Educational Technology in Vocational Training of Emergency Services


  • Camylla Cavalcante Soares de Freitas Public University of Rio Grande do Norte
  • Isabel Karolyne Fernandes Costa Public University of Rio Grande do Norte
  • Isabelle Katherinne Fernandes Costa Public University of Rio Grande do Norte
  • Ana Luiza Brandão de Carvalho Lira Public University of Rio Grande do Norte
  • Alexsandra Rodrigues Feijão Public University of Rio Grande do Norte
  • Gilson de Vasconcelos Torres Public University of Rio Grande do Norte



Health Technology, Simulation, Training of Human Resources in Health.


Background: The speed of the technological progress influences the health education, to the extent that the progress of knowledge requires innovative teaching methodologies that. Among the various components of the health system in the world, emergency services were considered as priorities in the qualification process or human resources. Objective: Identify the educational technologies used in the training of professionals who work in emergency services through an integrative review. Method: Through controlled descriptors of Medical Subject Heading: "Medical education", "Training" and "Emergency" in the databases. 2531 have been included articles in which, 21 were included in the final sample and suffered classification of the level of evidence. Results: There was a prevalence studies with a level III (71.4%) and in relation to the technology used, 95.2% of the studies used the simulation classified as soft-hard technology. In articles the subjects who used the technologies were the contents of obstetric emergencies and cardiopulmonary resuscitation. Conclusion: International articles relating to vocational training in emergency feature, mostly considerable level of evidence (III). Among the educational technologies, the simulation was the predominant use of methodology for training nursing staff and doctors.

Author Biographies

Camylla Cavalcante Soares de Freitas, Public University of Rio Grande do Norte

Nursing Department, Public University of Rio Grande do Norte, Natal, Brazil

Isabel Karolyne Fernandes Costa, Public University of Rio Grande do Norte

Health Sciences Center, Public University of Rio Grande do Norte, Natal, Brazil

Isabelle Katherinne Fernandes Costa, Public University of Rio Grande do Norte

Nursing Department, Public University of Rio Grande do Norte, Natal, Brazil

Ana Luiza Brandão de Carvalho Lira, Public University of Rio Grande do Norte

Nursing Department, Public University of Rio Grande do Norte, Natal, Brazil

Alexsandra Rodrigues Feijão, Public University of Rio Grande do Norte

Nursing Department, Public University of Rio Grande do Norte, Natal, Brazil

Gilson de Vasconcelos Torres, Public University of Rio Grande do Norte

Nursing Department, Public University of Rio Grande do Norte, Natal, Brazil


Wall ML, Prado ML, Carraro TE. The experience of undergoing a Teaching Internship applying active methodologies. Acta Paul Enferm. 2008; 21 (3): 515-9.

Blozik And NOTHACKER M, Bunk T, Szecsenyi J, Ollenschläger G, Scherer M. Simultaneous development of guidelines and quality indicators - how the guideline groups act ?: The survey worldwide. Int J Health Care What Assur. 2012; 25 (8): 712-29.

Kaneko RMU. et al. Situ Simulation in a Multidisciplinary Training Methodology to Identify Opportunities for Improvement in Patient Safety in a High Risk Unit. Rev. bras. educ. med. [Online]. 2015; 39 (2): 286-293.

Melon, KA, White, and D. Rankin, J. Beat the clock! Wait times and the production of 'quality'in emergency departments. Philosophy of Nursing. 2012. 14: 223-237.

Committee on Quality of Health Care in America, Institute of Medicine. To Err Is Human. Kohn LT, Corrigan JM, Donaldson MS, editors. National Academies Press; 2000.

Council of the European Union. The Council ADOPTED recommendation on patient safety, including the prevention and control of healthcare-associated infections [Internet]. In: 2947th Council Meeting Employment, Social Policy, Health and Consumer Affairs; 2013 May 8-9; Luxembourg.

Marin HF, Cunha Icko. Current perspectives in Nursing Informatics. Rev Bras Enferm 2006 May-Jun; 59 (3): 354-7.

KoerichI MHAL, VieiraII RHG, DE SilvaIII, Erdmann AL, Meirelles BHS. Brazilian technological production in nursing: progress and challenges. Rev. Gaúch. enferm. [Internet]. 2011 [cited 2015 Oct 20]; 32 (4): 743-736.

Merhy EE, Chakkour M, Stéfano And CM Santos Rodrigues RA, Oliveira PCP. In search of analytical tools of health technologies: information and day-to-day of a service, interrogating and managing health work. In: Merhy EE, Onocko R organizers. Acting in health: a challenge to the public. São Paulo: Editora Hucitec; 1997. p. 113-50

Couto, Thomaz Bittencourt. Realistic simulation in teaching pediatric emergencies graduation. Doctoral thesis. University of Sao Paulo. 2014.

Gold, Alessandra Sá Simões. The use of simulation-based education in the continuing education of physicians. XXF., 2014. Dissertation (Master of Education in Science and Health) Educational Technology Center for Health, Federal University of Rio de Janeiro, Rio de Janeiro, 2014.

EC Ali et al. lifelong learning, continuous, in service: unveiling its concepts. Global enfermería. 2013; 29: 324.

IKF Costa et al. Knowledge about work accident by the nursing service in mobile emergencycare. Science, Care and Health 2015; 14 (2):. 995-1000.

Souza M, Silva M, Carvalho R. Integrative review: what it is and how to do? Einstein. 2010; 8 (1): 106-102.

Botelho LLR, Cunha CCA, Macedo M. The method of integrative review in organizational studies. Management and Society. 2011; 5 (11): 121-36.

Karino ME, Felli VEA. Evidence-Based Nursing: advances and innovations in systematic reviews. Cienc Cuid Health. 2012; 11: 11-5.

HB Abrahamsen, Sollid SJM, Öhlund LS, Røislien J, Bondevik GT. Simulation-based training and assessment of non-technical skills in the Norwegian Helicopter Emergency Medical Services: a cross-sectional survey. Emerg Med J; 2015; 32: 647-653.

The Aekka, et al. Prehospital trauma care education for fi rst responders in Indiajournal of surgical research; 2015; 331-338.

Bloch SA, Bloch AJ. Simulation training based on observation with minimal participation Improves pediatric emergency medicine knowledge, skills and con fi dence. Emerg Med J; 2015; 32: 195-202.

A. Cheng et al. Perception of quality CPR: In fl uence of CPR feedback, Just-in-Time CPR training and provider role. Resuscitation; 2015; 87: 44-50

JF Crofts, Fox R, Draycott TJ, Winter C, Hunt LP, Akande VA. Retention of factual knowledge after practical training for intrapartum emergencies. International Journal of Gynecology and Obstetrics; 2013; 123: 81-85.

Crofts J F, et al. Onsite training of doctors, midwives and nurses in obstetric emergencies, Zimbabwe. Bull World Health Organ; 2015; 93: 347-35.

MR Deluhery, Lerner EB, Pirrallo RG, RB Schwartz. Paramedic accuracy using salt triage after a brief initial training. Prehospital emergency care; 2011; 15: 526-532.

Duffy MC, et al. Team regulation in a simulated medical emergency: An in-depth analysis of cognitive, metacognitive, and affective processes. Instr Sci; 2015; 43: 401-426

HASKE David, et al. The effect of paramedic training on pre-hospital trauma care (EPPTC-study): a study protocol for the semi-qualitative observational trial prospective. BMC Medical Education; 2014 14:32

Lim D, S Bartlett, Horrocks P, Grant-Wakefield1 C, Kelly J. Tippett V. Enhancing paramedics procedural skills using a cadaveric model. BMC Medical Education; 2014 14: 138.

Emerson B, M Shepherd, Auerbach M.Technology-Enhanced Simulation Training for Pediatric Intubation. 2015; 16: 3.

Fandler M, Habersack, HP Dimai. Have "new" methods in medical education Reached German-speaking Central Europe: a survey. BMC Medical Education; 2014 14: 172.

Monod C, Voekt CA, Gisin M, S Gisin, Hoesli IM. Optimization of competency in obstetrical emergencies: the role for simulation training. Arch Gynecol Obstet; 2014; 289: 733-738

Ortner CM, Richebe P Bollaga Ross BK Landaua R. Repeated simulation-based training for performing general anesthesia for emergency cesarean delivery: long-term retention and recurring mistakes. International Journal of Obstetric Anesthesia LA; 2014; 23, 341-347

Rovamo L, Nurmi And Mattila M, Suominen P, Silvennoinen M. Effect of a simulation-based workshop on multidisplinary teamwork of newborn emergencies: an intervention study. BMC Res Notes; 2015; 8: 671

Samardzic J, Hreckovski B, Hasukic I. Education and Training for Major Incidents Through Medical Response to Major Incidents-MRMI course.Acta inform med; 2015; 23 (3): 169-171.

Sørensen JL, et al. Simulation-based multiprofessional obstetric anesthesia training Conducted in situ versus off-site leads to similar individual and team outcomes: a randomized trial educational. BMJ Open; 2015; 5.

O'Leary FM. Paediatric resuscitation training: Is e-learning the answer? The before and after pilot study. Journal of Paediatrics and Child Health, 2012; 529-533.

Walker et al. Team training in obstetric and neonatal emergencies using highly realistic simulation in Mexico: impact on process indicators. BMC Pregnancy and Childbirth 2014, 14: 367.

Walker et al. The process of evaluation READY simulation training for obstetric and neonatal emergency response teams in Guatemala. BMC Medical Education; 2015; 15: 117.

K. Pringle, et al. The short trauma course for physicians in a resource-limited setting: Is low-cost simulation effective ?. Injury, Int.J. Care Injured; 2015; 1796-1800.

Gomez MV, Vieira JE, Neto AS. teachers profile analysis of the Health Area that use the simulation as a teaching strategy. Rev Bras Med Educ 2011.; 35 (2): 157-62.

Costa R, Padilha I. The Neonatal Intensive Care unit enabling new practices in the care of the newborn. Rev. Gaúcha Enferm. 2011; 32 (2): 248-55.

Von Der Heyden M, K. Meissner Simulation in preclinical emergency medicine. Best Practice & Research Clinical Anaesthesiology. 2015; 29: 61-68.

Flato UAP, Guimarães HP. Based education and emergency simulation and emergency: art imitates life. 2011; 9 (5): 360-5.

Casey PM et al. To the point: reviews in medical education-the Objective

Structured Clinical Examination. American Journal of Obstetrics. 2009; 1.

Cant RP, Cooper SJ. Simulation-based learning in nurse education: systematic review. J Adv Nurs. 2010; 66 (1): 3-15.

Farris D. Leveraging organizational structure in safety and emergency preparedness programs. J Chem Health Saf [Internet]. 2012 [cited 2015 Jun 19]; 19 (4): 9-14.


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