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SIMUPICS: Simulation-based training for post-ICU syndrome prevention
Marta Raurell-Torredà1, Ignacio Zaragoza-García2, Francisco Javier Sánchez-Chillón3
1Departament d'Infermeria Fonamental i Clínica, Universitat de Barcelona, Barcelona, Spain; Grupo de investigación en cuidados enfermeros de salud mental, psicosociales y de complejidad 2021 SGR 01083, Universidad de Barcelona, Barcelona, Spain; Grupo de simulación de la Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC), Madrid, Spain; Grupo CENASim, grupo de investigación en cuidados de enfermería, nutrición, alimentación y simulación clínica, Universidad Complutense de Madrid, Madrid, Spain.
Introduction:
Post Intensive Care Syndrome (PICS) can be prevented by applying the components of the ABCDE bundle (mainly pain management, sedation, delirium and early mobilization).
Objective:
To design and validate the simulation-based SIMUPICS course to train knowledge and skills related to the application of the ABCDE bundle.
Methods:
Descriptive study of metric characteristics. Analysis of the face and content validity of the course with experts from the working groups of the Spanish Society of Intensive Care Nurses and Coronary Units (SEEIUC). Pilot test with at least 30 intensive care unit (ICU) nurses to assess applicability of the course in ICUs.
Results:
Two Delphi rounds were carried out until 85% of the items were agreed as optimal and an Aiken V between 0.82 and 1. The nurses who participated in the pilot test (n = 38) considered that the simulation received had helped them to identify key actions in the prevention of post-ICU syndrome (5 [4-5]) with a Likert scale from 1 totally disagree to 5 totally agree, and that the structure of the course (stations, duration, dynamics) facilitated practical learning (5 [4-5]).
Conclusions:
The SIMUPICS course, validated by nursing experts in analgesia, delirium and mobilization practices, is useful for training skills and knowledge related to the ABCDE bundle. Its design based on clinical simulation makes it a suitable strategy for the continuing education of health professionals, both in situ in the ICU itself and in simulation centers.
