Construção e validação de exame clínico objetivo estruturado (osce) sobre ressuscitação cardiopulmonar

Abstract

Objective: to develop and validate an objective structured clinical examination instrument for a simulation scenario on cardiopulmonary resuscitation in adults in basiclife support, using automatic external defibrillator in the hospital environment. Method: applied research of technological production, developed at the Escola de Enfermagem in Ribeirão Preto of Universidade de São Paulo, from January 2017 to March 2018 with 16 expert professionals in the area of urgency and emergency for validation the structured objective clinical examination. The instrument addressed 40 intervention items related to the link in the chain of survival of American Heart Association (2015) to perform clinical evaluation in the cardiopulmonary resuscitation simulation scenario. Results: of the experts, 62.5% obtained a score higher than or equal to 10 in Fehring criteria and it is noteworthy that 93.75% have clinical practice in adults’ urgency and emergence. Theobjective structured clinical examination reached agreement of 97.34% in organization; 96.09% in objectivity; 93.75% in clarity, and in the categorization of the inter-evaluator agreement proposed by Landis and Kock showed “almost perfect agreement”, with p<0.0001. Conclusion: in the validation process by the experts, opportunities forimprovement were identified and accepted and the objective structured clinical examination is a contemporary object and adequate for application in the teachinglearningprocess on cardiopulmonary resuscitation in adults on basic life support with the use of automatic external defibrillator in the hospital environment.