Script Voz – simulador de casos clínicos de adultos com disfonia comportamental: planejamento e elaboração de conteúdo
Script Voz – clinical case simulator of adults with behavioral dysphonia: planning and content creation
Lorena Luiza Costa Rosa Nogueira; Sandro Renato Dias; Anna Alice de Figueirêdo Almeida; Renata Rangel Azevedo; Ana Cristina Côrtes Gama
Resumo
Palavras-chave
Abstract
Purpose To present the preliminary results of the development of a web platform aimed at training clinical reasoning aimed at the speech therapy approach to patients with behavioral dysphonia.
Methods Methodological study that describes the tool development stages. The contents were defined by consensus from a panel of experts. The project will comply with the stages of planning, platform development, content creation, usability evaluation and user acceptance, redefinition of the tool and determination of charges. This article presents the processes and results of the first three stages.
Results Called Script Voz, the web platform will initially include six clinical cases of behavioral dysphonia. The user can select one clinical case at a time, and must be guided sequentially through the assessment, diagnosis, and therapeutic planning stages of the case. To do so, you must choose the answer(s) you deem appropriate to each of the ten questions proposed for each clinical case. Procedure guides for assessment, diagnosis and therapeutic planning focused on clinical cases that will make up the tool are presented, highlighting their processes.
Conclusion Script Voz will be freely accessible. The procedural guides provided here will guide data collection, manifestation diagnosis and therapeutic planning focused on the clinical cases that will make up the tool. The questions and feedback that will guide the user experience are still in the final stages of preparation. The tool will use real clinical cases and arguments anchored in the clinical reasoning of experienced professionals.
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References
1 Peixoto JM, Santos SME, Faria RMD. Clinical reasoning development in medical students. Reb Bras Atual Med. 2018;42(1):73-81.
2 Boshuizen HPA, Schmidt HG. On the role of biomedical knowledge in clinical reasoning by experts, intermediates and novices. Cogn Sci. 1992;16(2):153-84.
3 Brasil. Conselho Nacional de Saúde – CNS. Resolução Nº610, de 13 de dezembro de 2018. Aprova o Parecer Técnico nº 454/2018 que dispõe sobre as recomendações do Conselho Nacional de Saúde à proposta de Diretrizes Curriculares Nacionais do curso de graduação de Bacharelado em Fonoaudiologia. Diário Oficial da União; Brasília; 16 abr. 2019.
4 Hoben K, Varley R, Cox R. Clinical reasoning skills of speech and language therapy students. Int J Lang Commun Disord. 2007;42(Suppl 1):123-35.
5 Ginsberg SM, Friberg JC, Visconti CF. Diagnostic reasoning by experienced speech-language pathologists and student clinicians. Commun Sci Disord. 2016;43:87-97.
6 Norman G. Research in clinical reasoning: past history and current trends. Med Educ. 2005;39(4):418-27.
7 Schmidt HG, Rikers RJ. How expertise develops in medicine: knowledge encapsulation and illness scripts formation. Med Educ. 2007;41(12):1133-9.
8 Kim J, Park JH, Shin S. Effectiveness of simulation-based nursing education depending on fidelity: a meta-analysis. BMC Med Educ. 2016;16:152.
9 Costa SRS, Duqueviz BC, Pedroza RLS. Tecnologias digitais como instrumentos mediadores da aprendizagem dos nativos digitais. Psicol Esc Educ. 2015;19(3):603-10.
10 Behlau MS. The 2016 G. Paul Moore lecture: lessons in voice rehabilitation: journal od voice and clinical practice. J Voice. 2019;33(5):669-81.
11 Falkembach GAM. Concepção e desenvolvimento de material educativo digital. RENOTE. 2005;3(1):1-15.
12 Silva WS, Castro CMC Fo.
13 Watts PI, McDermott DS, Alinier G, Charnetski M, Ludlow J, Horsley E, et al. Healthcare simulation standards of best practiceTM simulation design. Clin Simul Nurs. 2021;58:14-21.
14 Iliadou E, Fortune-Ely M, Melley LE, Garabet R, Sataloff RT, Rubin JS. Patients’ demographics and risk factors in voice disorders: an umbrella review of systematic reviews. J Voice. 2024;30:892-997.
15 Korn GP, Gama ACC, Nascimento UN. Visual-perceptive assessment of glottic characteristics of vocal nodules by means of high-speed videoendoscopy. Rev Bras Otorrinolaringol (Engl Ed). 2023;89(4):101275. PMid:37271116.
16 Behlau M, Azevedo R, Pontes P, Brasil O. Disfonias Funcionais. In: Behlau M, editor. Voz: o livro do especialista. Rio de Janeiro: Revinter; 2001. p. 85-245.
17 Behlau M, Almeida AA, Amorim G, Balata P, Bastos S, Cassol M, et al. Reduzindo o GAP entre a ciência e a clínica: lições da academia e da prática profissional – parte A: julgamento perceptivo-auditivo da qualidade vocal, análise acústica do sinal vocal e autoavaliação em voz. CoDAS. 2022;34(5):e20210240.
18 Ghirardi A, Ferreira L, Giannini S, Latorre M. Screening Index for Voice Disorder (SIVD): development and Validation. J Voice. 2013;27(2):195-200.
19 Behlau MS, Madazio G, Yamasaki R. Campo dinâmico vocal: avaliação e funcionalidade da voz. CoDAS. 2023;35(5):e20210083.
20 Côrtes MG, Gama ACC. Análise visual de parâmetros espectrográficos pré e pós-fonoterapia para disfonias. Rev Soc Bras Fonoaudiol. 2010;15(2):243-9.
21 Brito VM, Pasin H No, Gama ACC. Manual therapy with neural mobilization: immediate effect on the vocal quality of women with dysphonia. J Voice. 2024;38(1):120-8.
22 Moreti F, Zambon F, Oliveira G, Behlau M. Crosscultural adaptation, validation, and cutoff values of the Brazilian version of the Voice Symptom ScaleVoiSS. J Voice. 2014;28(4):458-68.
23 Behlau M, Alves Dos Santos LM, Oliveira G. Cross-cultural adaptation and validation of the voice handicap index into Brazilian Portuguese. J Voice. 2011;25(3):354-9.
24 Oliveira G, Hirani SP, Epstein R, Yazigi L, Behlau M. Validation of the Brazilian version of the voice disability coping questionnaire. J Voice. 2016;30(2):247.e13-21.
25 Behlau M, Almeida AA, Amorim G, Balata P, Bastos S, Cassol M, et al. Reduzindo o gap entre a ciência e a clínica: lições da academia e da prática profissional – parte B: técnicas tradicionais de terapia vocal e técnicas modernas de eletroestimulação e fotobiomodulação aplicadas à reabilitação vocal. CoDAS. 2022;34(5):e20210241.
26 Behlau M, Madazio G, Feijó D, Azevedo R, Gielow I, Rehder MI. Aperfeiçoamento vocal e tratamento fonoaudiológico das disfonias. In: Behlau M, editor. Voz: o livro do especialista. Rio de Janeiro: Revinter; 2005. p. 409-564.
27 Van Stan JH, Whyted J, Duffye JR, Barkmeier-Kraemer J, Doyleg P, Ghersonh S, et al. Voice therapy according to the Rehabilitation Treatment Specification System (RTSS-Voice): expert consensus ingredients and targets. Am J Speech Lang Pathol. 2021;30(5):2169-201.
28 Almeida AA, Lopes LW. Reabilitação vocal. In: Feitosa ALF, Depolli GT, Guimarães MF, editors. Mapas conceituais em fonoaudiologia: voz. Ribeirão Preto: Book Toy; 2022. p. 129-47.
29 Afanador AA. Importancia y utilidad de las “Guías de simulación clínica” en los procesos de aprendizaje en medicina y ciencias de la salud. Univ Med. 2011;52(3):309-14.
30 Biselli PJ, Atta JA. Diagnóstico sindrômico. Rev Med. 2005;84(3-4):95-101.
31 Zambon F, Teixeira LC, Almeida AA. Disfonias comportamentais. In: Lopes L, Moreti F, Ribeiro LL, Pereira EC, editors. Fundamentos e atualidades em voz clínica. Rio de Janeiro: Thieme Revinter Publicações, 2019. p. 81-93.
32 Jerônimo I, Campos JF, Peixoto MAP, Brandão M. Use of clinical simulation to improve diagnostic reasoning in nursing. Esc Anna Nery. 2018;22(3):1-9.
33 Hill AE, Davidson BJ, Theodoros DGADHAE. Reflections on clinical learning in novice speech-language therapy students. Int J Lang Commun Disord. 2012;47(4):413-26.
34 Schwarz M, Coccetti A, Cardell EADSM. Clinical decision-making for complex feeding decisions: a national survey of current approaches and perspectives. Australas J Ageing. 2020;39(1):e110-8.
35 Torres F, Álvarez C, Romero L. Transferencia de aprendizajes desde el aula formal hacia la práctica clínica: una reflexión sobre la formación de fonoaudiólogos en Chile. Rev Chil Fonoaudiol. 2018;7:1-10.
36 McAllister S, Tedesco H, Kruger S, Ward EC, Marsh C, Doeltgen SH. Clinical reasoning and hypothesis generation in expert clinical swallowing examinations. Int J Lang Commun Disord. 2020;55(4):480-92.
37 Wainwright SF, McGinnis PQ. Factors that influence the clinical decision-making of Rehabilitation professionals in long-term care settings. J Allied Health. 2009;38(3):143-51. PMid:19753425.
38 Coutts K, Pillay M. Decision making and the bedside assessment: the Speech Language Therapists’ thinking when making a diagnosis at the bed. S Afr J Commun Disord. 2021;68(1):e1-8.
39 McCurtin A, Carter B. We don’t have recipes; we just have loads of ingredients’: explanations of evidence and clinical decision making by speech and language therapists. J Eval Clin Pract. 2015;21(6):1142-50.
40 Calleja-Reina M, Luque-Liñán ML, Rodríguez-Santos JM. Utilidad de una herramienta informática para la adquisición de competencia en razonamiento clínico en logopedia. Educ Med. 2018;19(3):162-5.
Submitted date:
04/01/2024
Accepted date:
06/14/2024
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