Abstract Objective To develop and evaluate a simulation-based learning (SBL) intervention specifically designed to prepare triage nurses for effective interruption management. Methods A quasi-experimental, two-group design was used to assess feasibility and preliminary outcomes. Thirty-four triage nurses from an academic emergency department participated; 14 were assigned to the intervention group, receiving a one-time SBL session focused on managing interruptions, while 20 served as controls. Two weeks post-intervention, blinded observers assessed participants in real-time triage using a validated tool measuring proficiency, interruption duration, and triage time. Participant perceptions of simulation fidelity were also collected. Data analysis included traditional regression and regression tree modeling to explore predictors of proficiency. STROBE checklist was completed. Results Although participants rated the simulation scenarios as highly realistic (M = 8.14, SD = 1.70), participants requested more preparatory information prior to simulation. No statistically significant differences were observed between groups in triage duration or proficiency. However, regression tree analysis revealed important patterns: nurses experiencing interruptions under 15 seconds demonstrated the highest proficiency regardless of training, while those with less than 4.8 years of experience and interruptions over 15 seconds had the lowest scores. These findings suggest interruption duration and experience may have stronger influences on triage performance than the intervention alone. Conclusion This SBL intervention was feasible and well received. While no significant performance improvements were found, the study highlights key contextual variables—interruption duration and clinical experience—that may shape future training impact. These results support further refinement and larger-scale testing of structured interruption management education for triage nurses.
Objective: To evaluate a multiplatform for clinical simulation that replicates a virtual hospital. Methods: This cross-sectional study was conducted between 2023 and 2024, in three distinct phases, with nursing students from a university in southern Brazil. The data collection involved students in their 7(th) and 8(th) semesters of undergraduate studies, in the second semester of 2023 (2023/2) and the first and second semesters of 2024 (2024/1 and 2024/2). Sociodemographic data and platform aspects were analyzed, including interactivity, usability, layout, speed, and content, and were evaluated using a Likert scale. The data were statistically analyzed using McNemar's and chi-square tests. The study complied with the Guidelines and Regulatory Standards for Research Involving Human Subjects (Resolution 466/2021). Results: The sample of 61 students performed 82 evaluations of the platform in 2023/2 (29), 2024/1 (23), and 2024/2 (30). The results were mostly positive, with a significant improvement in interactivity (p=0.029) in 2024/2 compared to 2024/1 (more "excellent" ratings). The other categories also presented predominantly positive evaluations ("good", "very good", and "excellent"). Conclusion: The platform showed positive and consistent results, with progressive improvements. The findings suggest that the technology employed has the potential to provide a more engaging and interactive simulation environment for health education.
Objective: To analyze the association between the professional profile, knowledge, and attitudes of healthcare professionals and the implementation of HIV/AIDS coping actions in Primary Health Care. Methods: This cross-sectional and analytical study was conducted in the Primary Health Care setting of a municipality in S & atilde;o Paulo State with physicians, nurses, dentists, pharmacists, and psychologists trained to perform rapid tests. Professional profiles, knowledge, and attitudes regarding Sexually Transmitted Infections, HIV, and AIDS were examined, as well as the implementation of coping actions, such as rapid testing, health education, notification, and active partnership seeking. A coping score was calculated by summing the reported actions, and the score was analyzed using multiple linear regression to identify associations with profile, knowledge, and attitude variables. The Family Health Strategy care models and the traditional care model were also compared using the chi-square and Fisher's exact tests. Results: The sample consisted of 120 professionals, the majority of whom were female (74.2%) and medical professionals (55.0%). More than half of the sample did not participate in training in the last five years (60.0%) and do not provide guidance on the use of condoms (65.0%). Professionals from the Family Health Strategy presented a higher coping score, with a ratio of actions 1.68 higher than that of professionals in traditional Basic Units, highlighting the active search for partnerships, monitoring of pregnant women with HIV, and notification of Sexually Transmitted Infections. Conclusion: The care model directly influences actions to cope with HIV and AIDS, with greater effectiveness in the Family Health Strategy.
Objective: To map content and evaluate the usability of mobile applications (apps) aimed at HIV prevention and control. Methods: Benchmarking of apps in Portuguese, English, and Spanish was conducted. They are available on the Google Play Store and the App Store using search terms related to HIV. The inclusion criteria covered apps focused on HIV prevention and control, intended for the general population. Those intended for specific population groups, or related to other objectives, were excluded. The apps were selected by two nurses using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist, and then evaluated for usability using the validated System Usability Scale questionnaire. Results: A total of 1,001 apps were identified, of which 22 met the inclusion criteria. Most of the apps were in English, and only four were in Portuguese. A lack of Brazilian appstargeting key populations, such as men who have sex with men, sex workers, and transgender people, was observed. The most frequently used features were reminders, texts, calendars, and diaries. The average usability score for the apps was 72.9, which is considered acceptable. Apps focused on pre-exposure prophylaxis were predominant. No apps were identified that offered post-exposure prophylaxis or specific immunization. Conclusion: The apps analyzed have potential as educational tools, although they have limitations in their focus on key populations and in their use of combined prevention strategies. Adopting mobile technologies can contribute to fighting HIV, especially if they are targeted to the needs of vulnerable populations.
