Related Experiment Video
Updated: Sep 12, 2025
Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
Development of Clinical Competence in Nursing Education Using a Low-Cost Simulator for Cardiorespiratory Auscultation
Tiago de O Nogueira1, Cleber L Campelo1, Thalyta Mariany R L Ueno1
1State University of Amazonas, Brazil.
Abstract:
Simulation in the teaching-learning process in health has been gaining space over time, with success in the development of clinical competencies with an impact on patient safety.
Objective:
To describe the stages of the development of a low-cost simulator applied in nursing education.
Methods:
Methodological study for the construction of a simulator for thoracic auscultation carried out by professors and graduate students at the State University of Amazonas, Manaus, Amazonas from December 2023 to May 2024. It contemplated the phases of: 1. Planning and Design; 2. Modeling and designer; 3. Implementation; 4. Testing and Validation; 5. Implementation and dissemination and 6. Continuous improvements.
Results/Discussion:
A low-cost simulator was built using an inanimate male half torso, am-fm radio, stethoscope headphones. To operationalize it, it was necessary to use the bluetooth system and normal and pathological heart and lung sounds extracted from free platforms and synchronized with the proposed clinical case. It is notified that it can be applied to the web system (computer) and mobile (tablets and smartphones).
Conclusion:
The development of clinical skills using a simulator strengthens the student's mental model and can contribute to improving clinical reasoning and decision-making with more assertive care for the patient.
Related Concept Videos
01:25Assessment of the Cardiovascular System IV: Auscultation
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:20Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
01:23Cardiopulmonary Resuscitation III: AED Use
01:21Cardiopulmonary Resuscitation I: Adult