Construção de ferramentas pedagógicas para a implementação de simulações clínicas e a avaliação do julgamento clínico de acadêmicos de enfermagem

Abstract

Contemporary nursing education requires the development of cognitive skills such as critical thinking, clinical reasoning, and, fundamentally, clinical judgment, which are essential for the effective application of the nursing process. In this context, clinical simulation stands out as an excellent teaching strategy, although its evaluation still faces challenges related to subjectivity. This study aimed to construct an Implementation Guide for clinical simulation scenarios and a Model of Expected Skill Sets for evaluating the Clinical Judgment performance of nursing students, using the Lasater Clinical Judgment Rubric - Brazilian Version (LCJR-BV). This is an applied methodological study focused on the development of essential pedagogical tools for the assessment of clinical competence. Three scenario guides and three skill sets were developed. The presentation of these results was organized into two scientific manuscripts and the appendices of the study, ensuring the dissemination of the tools developed. The tools developed demonstrated the potential to standardize the creation of scenarios and provide objectivity and specificity to student assessment, mitigating biases. It is concluded that the materialization of these instruments represents an advance for nursing education, offering resources that increase the reproducibility of simulations and qualify the development of Clinical Judgment, a fundamental skill for safe and evidence-based care.