Daniela Karine Ramos, Bruna Santana Anastácio, Gleice Assunção da Silva, Leila Urioste Rosso, João Mattar
Burnout syndrome in different teaching levels during the covid-19 pandemic in Brazil
BMC public health
aim study investigate nursing students clinical decisionmaking using highfidelity simulation deteriorated patient scenario convergent parallel mixed methods research design used consisting quantitative qualitative data collection twentythree students completed health science reasoning test simulation october 2015 june 2016 presented simulated scenario asked think aloud simulation students audiovideo recorded observations collected researcher significant moderate increase deduction analysis subscale scores overall test score suggestive improved analytical decisionmaking processes simulation experience thinkaloud observation data identified students predominantly applied forward reasoning simulated patients deterioration focusing mainly cue acquisition backward reasoning focus cue interpretation prominent debriefing data line survey outcomes accurate cue interpretation critical key cues appeared useful total number cues solving main clinical case problem students learn different clinical decisionmaking skills simulation compared learn debriefing using observation thinkaloud methods significant benefits researchers seeking optimize evaluation clinical decisionmaking process