Abstract
This was a quasi-experimental study carried out among nurses stationed in municipal care units in the interior of São Paulo State. Data were collected during the course of a pedagogical workshop that used low-fidelity simulation training. The study included 42 nurses, mostly female with over 15 years of experience. After low-fidelity simulation training, nurses showed a significant increase (p<0.05) in confidence related to nursing care in urinary retention. The lowest self-attributed scores during the activity were related to the objective assessment of urinary retention. Low-fidelity simulated training is an effective resource for the development of nurses with respect to nursing care in urinary retention. Avaliar o nível de autoconfiança de enfermeiros na assistência de enfermagem na retenção urinária antes e após atividade simulada de baixa fidelidade. Estudo quase-experimental realizado junto aos enfermeiros lotados nas unidades de atendimento de município do interior do estado de São Paulo. Os dados foram coletados durante a realização de uma oficina pedagógica que contou com atividade simulada de baixa fidelidade. Participaram do estudo 42 enfermeiros, a maioria do sexo feminino e com mais de 15 anos de atuação. Após o treino simulado de baixa fidelidade os enfermeiros demonstraram aumento significativo (p < 0,05) na autoconfiança relacionada à assistência de enfermagem na retenção urinária. Os menores escores autoatribuídos durante a atividade foram relacionados à avaliação objetiva da retenção urinária. A simulação de baixa fidelidade é um recurso efetivo no aprimoramento de enfermeiros no que diz respeito à assistência de enfermagem na retenção urinária.
Highlights
Urinary Retention (UR) can be defined as the partial or total spontaneous inability of the bladder to empty the urine produced by the kidneys
This study aims to assess the self-confidence level of nurses in urinary retention nursing care before and after low-fidelity simulation training
The practice simulators consisted of anatomical parts and/or whole body manikins (Laerdal®), which enable the introduction of the urinary catheter and urine drainage
Summary
Urinary Retention (UR) can be defined as the partial or total spontaneous inability of the bladder to empty the urine produced by the kidneys. The individual feels that the bladder is distended, tense, and painful, and the ability to urinate is unsatisfactory. In nursing care of patients with UR, the survey of the patient’s clinical data to reach the correct diagnosis is the nurse’s responsibility[2], and so is adopting appropriate nursing interventions for UR. It is up to the professional to identify UR, describe its defining characteristics and related factors, and develop actions ranging from acute care to promoting patients’ health. Among the most common treatment-related nursing interventions in UR is urinary catheterization[3]
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