Pharmacological management with the Zuspan method in pregnant women preeclampsia
DOI:
https://doi.org/10.22201/fm.30617243e.2025.4.107Keywords:
Clinical simulation; pharmacology; preeclampsia; Zuspan method; simulation education; student satisfaction, nursing simulationAbstract
Introduction: Nursing teaching-learning, with high fidelity simulators, develops technical and non-technical skills . The simulation carried out by nursing students provides them with learning experiences very similar to real life. Theoretical pharmacological knowledge is crucial for nursing students in drug administration. In the LEO-UNAM plan, at the end of the 6th semester they must have knowledge to assess, prescribe and apply pharmacological therapy , the objective was to create a scenario, for the solution and to know the perception and impact on students of clinical transferability and realism on pharmacological management with the Zuspan method in pregnant women with preeclampsia. Material and methods: Administration of a Zuspan scheme (calculation, preparation and administration of magnesium sulfate impregnation and maintenance and Hydralazine) in a Mater Code, N=53, 6th semester students, in NOELLE simulator s575.100. Instruments: At the end, a 19-item instrument was applied, "student satisfaction with simulation experiences". Results: 70.44% fully agree that the scenario increased their confidence, improved their clinical competence and prepared them for the clinical environment, in the realism evaluation 28.94% said they agreed and 69.18% fully agreed that the scenario recreates the situation of a true critical care environment. Discussion: There is scientific evidence that supports the results obtained and shows a clear interest on the part of students in continuing their learning with simulators. Conclusions: Demonstrate transferability and clinical realism for the calculation, preparation and administration of the Zuspan scheme in preeclampsia. It has a positive impact to develop work in an interprofessional team such as in a Mater Code
References
Abdo, A., & Ravert, P. (2006). Student Satisfaction with Simulation Experiences. Clinical Simulation in Nursing, 2(1). https://doi.org/10.1016/j.ecns.2009.05.009
Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222. (2020). Obstetrics and gynecology, 135(6), e237–e260. https://doi.org/10.1097/AOG.0000000000003891
Aggar, C., Bloomfield, J. G., Frotjold, A., Thomas, T. H. T., & Koo, F. (2018). A time management intervention using simulation to improve nursing students’ preparedness for medication administration in the clinical setting: A quasi-experimental study. Collegian, 25(1), 105–111. doi:10.1016/j.colegn.2017.04.004
Bautista-Charry A.A. (2024) MAGNESIUM SULFATE: 100 years saving maternal lives. A scientific heritage of humanity. Rev Colomb Obstet Ginecol. Oct 25;75(3):4303. English, Spanish. doi: 10.18597/rcog.4303.
Duley, L., Gülmezoglu, A. M., Henderson-Smart, D. J., & Chou, D. (2010). Magnesium sulfate and other anticonvulsants for women with preeclampsia. Cochrane Database of Systematic Reviews, 11, 1269–1270. doi:10.1002/14651858.cd000025.pub2
Facultad de Enfermería y Obstetricia. (2022). Plan de Estudios de la Licenciatura en Enfermería y Obstetricia. https://web.eneo.unam.mx/wp-content/uploads/2023/02/Tomo-I-LEO-2237-revisado-30-oct-22.pdf
Feingold, C. E., Calaluce, M., & Kallen, M. A. (2004). Computerized Patient Model and Simulated Clinical Experiences: Evaluation With Baccalaureate Nursing Students. Journal of Nursing Education, 43(4), 156–163. https://doi.org/10.3928/01484834-20040401-03
Instituto Mexicano del Seguro Social. (2017, 16 de marzo). GPC: Prevención, diagnóstico y tratamiento de la Preeclampsia en segundo y tercer nivel de atención. https://www.imss.gob.mx/sites/all/statics/guiasclinicas/020GER.pdf
Lazard EM. A preliminary report on the intravenous use of magnesium sulphate in puerperal eclampsia. Am J Obstet Gynecol. 1925;(9):178–188. doi: 10.1016/S0002-9378(25)90068-3.
Leis-Marquez, M.T., Rodríguez-Bosch, M.R., & García-López, M.A. (2010). Guías de práctica clínica. Diagnóstico y tratamiento de la preeclampsia-eclampsia. Ginecología y obstetricia de México, 78, 461-525. https://www.medigraphic.com/pdfs/ginobsmex/gom-2010/gom106f.pdf
Lowe, S.A., Bowyer, L., Lust, K., McMahon, L.P., Morton, M., North, R.A., Paech, M. and Said, J.M. (2015), SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014. Aust N Z J Obstet Gynaecol, 55: e1-e29. https://doi.org/10.1111/ajo.12399
Mai, J. A., Pilcher, R. L., & Frommelt-Kuhle, M. (2018). Fostering interprofessional collaboration and critical thinking between nursing and physical therapy students using high-fidelity simulation. Journal of Interprofessional Education and Practice, 10, 37–40. doi:10.1016/j.xjep.2017.11.002
Medellín-Enríquez R. (2009). Estabilización en preeclampsia-eclampsia, ¿período o tratamiento?. Revista Mexicana de Anestesiología. 32 (S1), 40-43. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=21567
Mou, A.D., Barman, Z., Hasan, M., Miah, R., Hafsa, J.M., Das Trisha A., Ali N. (2021) Prevalence of preeclampsia and the associated risk factors among pregnant women in Bangladesh. Sci Rep.;11:21339. doi: 10.1038/s41598-021-00839-w
Picado Centeno, P. M., & Galo Rodríguez, M. de F. (2018). Uso de Sulfato de Magnesio 1g/10mL IV en mujeres ingresadas con preeclampsia grave en el Hospital Bertha Calderón Roque, Septiembre 2016 - Marzo 2017. [monografía para optar a título de licenciatura Universidad Nacional Autónoma de Nicaragua]. Repositorio Institucional https://repositorio.unan.edu.ni/id/eprint/8900/
Piña-Jiménez, I., & Amador-Aguilar, R. (2015). La enseñanza de la enfermería con simuladores, consideraciones teórico-pedagógicas para perfilar un modelo didáctico. Enfermería Universitaria, 12(3), 152–159. https://doi.org/10.1016/j.reu.2015.04.007
Secretaría de Salud, & Centro Nacional de Equidad de Género y Salud Reproductiva. (2016). Triage Obstétrico, Código Mater y Equipo de Respuesta Inmediata Obstétrica. Lineamiento Técnico. https://www.gob.mx/salud/documentos/triage-obstetrico-codigo-mater-y-equipo-de-respuesta-inmediata-obstetrica
Urra Medina, E., Sandoval Barrientos, S., & Irribarren Navarro, F. (2017). El desafío y futuro de la simulación como estrategia de enseñanza en enfermería. Investigación En Educación Médica, 6(22), 119–125. doi:10.1016/j.riem.2017.01.147
Zuspan F.P., Ward M.C. (1964) Treatment of eclampsia. South Med J.;(57):954–959. doi:10.1097/00007611-196408000-00019
