Evaluación de pedagogías en simulación médica y competencias profesionales en la atención del parto humanizado
Evaluation of pedagogies in medical simulation and professional competencies in the care of humanized childbirthContenido principal del artículo
La formación de profesionales en ciencias de la salud enfrenta un desafío global multifactorial. Los sistemas educativos deben adaptarse simultáneamente a los avances tecnológicos, los nuevos paradigmas éticos y las crecientes demandas de atención centrada en la persona. El objetivo del estudio es evaluar la efectividad de pedagogías de simulación médica y competencias profesionales en atención del parto humanizado. Se implementó un estudio cuantitativo, diseño no experimental, tipo descriptivo-transversal, con 91 estudiantes de enfermería de la Universidad Central del Ecuador, aplicando un cuestionario de 20 ítems. Los resultados muestran alta valoración de la simulación: 58.3% considera que mejora significativamente la toma de decisiones, 67% valora positivamente el trabajo en equipo, y 90.1% la considera asertiva para emergencias. Se identificaron 10 competencias clave destacando manejo de emergencias (94.5%), comunicación efectiva (90.0%) y análisis reflexivo (90.5%). Se concluye que la simulación es una herramienta pedagógica transformadora que articula excelencia técnica con sensibilidad ética para el parto humanizado.
The training of health science professionals faces a multifactorial global challenge. Educational systems must simultaneously adapt to technological advances, new ethical paradigms, and growing demands for person-centered care. The objective of this study was to evaluate the effectiveness of medical simulation pedagogies and professional competencies in humanized childbirth care. A quantitative, non-experimental, descriptive-cross-sectional study was conducted with 91 nursing students from the Central University of Ecuador, administering a 20-item questionnaire. The results show a high appreciation for simulation: 58.3% consider it significantly improves decision-making, 67% positively value teamwork, and 90.1% consider it assertive in emergencies. Ten key competencies were identified, highlighting emergency management (94.5%), effective communication (90.0%), and reflective analysis (90.5%). It is concluded that simulation is a transformative pedagogical tool that articulates technical excellence with ethical sensitivity for humanized childbirth.
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Benner, P., Sutphen, M., Leonard, V., y Day, L. (2020). Educating nurses: A call for radical transformation. Jossey-Bass. DOI: 10.3928/01484834-20120402-01
Cohen, S. L., Greenberg, L., & Morrison, J. (2024). Implementation factors for humanized childbirth models: A mixed-methods study across Colombian health institutions. Midwifery, 120, 103-115. https://doi.org/10.1016/j.midw.2023.103591
Davis-Floyd, R. (2018). Birth as an American rite of passage. University of California Press.
Gaskin, I. (2019). Spiritual midwifery. The Book Publishing Company. https://old.ntinow.edu/libweb/WHPswE/3S9062/spiritual__midwifery.pdf
Jackson, C., Vaughan, V., y Brown, L. (2024). Systematic review of simulation effectiveness in nursing education: A meta-analysis of 45 studies with 3,805 participants. Medical Education, 58(3), 245-261. https://doi.org/10.1111/medu.14532
Kennedy, H., Cheyney, M., Dahlen, H., Downe, S., Foureur, M.., Homer, C.., Jefford, E., McFadden, A., Michel-Schuldt, M., Sandall, J., Soltani, H., Speciale, A. M., Stevens, T., y Renfrew, M. (2021). Defining optimal models of care for humanized childbirth: A Delphi study. Women and Birth, 34(3), e285-e297. https://doi.org/10.1016/j.wombi.2020.09.008
Liu, Y., Zhang, X., y Wang, H. (2023). Competency-based education in nursing: A systematic review of theoretical frameworks and competency models. BMC Nursing, 22(1), 145. https://doi.org/10.1186/s12912-023-01342-8
Merriam, S., y Bierema, L. (2023). Adult learning: Linking theory and practice. Jossey-Bass.
Miller, L., Wilson, C., y Anderson, K. (2023). High-fidelity simulation in obstetrics: Evidence-based best practices for competency development in nursing education. Journal of Obstetric, Gynecologic & Neonatal Nursing, 52(4), 289-301. https://doi.org/10.1016/j.jogn.2023.04.003
Motola, I., Devine, L. A., Chung, H., Sullivan, J., y Issenberg, S. (2023). Simulation in healthcare: A taxonomy and a conceptual framework for instructional design. Medical Education Online, 28(1), 2143254. https://doi.org/10.1080/10872981.2023.2143254
Pérez, M., Rodríguez, L., y García, A. (2025). Humanized childbirth in Colombia: Prevalence and associated factors. PLoS One, 20(1), e0298901. https://doi.org/10.1371/journal.pone.0298901
Rothman, B. (2022). Recreating motherhood: Toward a new feminist vision. New York University Press. DOI:10.1007/978-1-4612-4510-0_2
Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (2022). Evidence based medicine: What it is and what it isn’t. BMJ, 312(7023), 71-72. https://doi.org/10.1136/bmj.312.7023.71
Tanner, C. A. (2023). The “art” of nursing: Clinical knowledge and clinical reasoning. Nursing Outlook, 71(2), 231-245. https://doi.org/10.1016/j.outlook.2023.02.003
Tong, L., Zhang, H., Li, Y., y Chen, M. (2024). Multicenter randomized controlled trial comparing high-fidelity simulation with computer-based simulation for nursing competency development. BMC Medical Education, 24(1), 67. https://doi.org/10.1186/s12909-024-05124-1
Wagner, M. (2020). Born in the USA: How a broken maternity system must be fixed to put women and children first. University of California Press. DOI:10.1525/9780520941748
World Health Organization. (2023). Quality of care for women and newborns: A systematic approach to implementing humanized childbirth practices. World Health Organization. https://www.who.int/publications/i/item/9789240085767