Stroke in adults represents one of the main causes of mortality and acquired disability in the world. (1)
Its effective treatment is time dependent, that is, the clinical outcomes depend on the time from the onset of symptoms to reperfusion/revascularization, either by intravenous thrombolysis or endovascular thrombectomy. (2) Early diagnosis and teamwork of health professionals are key to achieving better clinical results with fewer complications. (3)
Delays in treatment, handling errors or misunderstandings among the health teams are therefore risky situations for patients. (4) 3–4% of medical complications in stroke patients are supposedly due to human error, and 70% of them to team communication problems, misunderstandings, poor execution of orders or poor decisions.
There are multiple flow charts to manage patients with suspected stroke at optimal times. They cover various strategies to reduce inpatient care times, such as taking actions during the transfer, but many fail to mention the methods used to train these teams. (5)
Given the risk of hindering patient treatment, serious pathologies such as stroke offer fewer traditional training opportunities for young professionals. Given the natural ethical commitment of professionals to give timely treatment to patients, trainers must prioritize clinical care over the supervision of students or other members of the health team without achieving teaching objectives. (6)
Simulation and technologies applied to health education have emerged as valuable tools for the development of individual clinical skills and teamwork. They provide an environment of psychological security, without risk to patients and with the possibility of guaranteeing access to and opportunities for learning. Furthermore, they allow the delivery of specific feedback and the confirmation of achievements in areas not observable in the traditional models. (7)
There are reports of simulation programs to improve emergency care times based on the use of standardized patients (8) and on-site simulation programs that have reduced in-hospital times to thrombolysis. (9) In Latin America there are reports of simulation programs applied in Brazil, which have reduced door-to-needle times. (10)
There are also studies reporting multiple simulation programs at the undergraduate level. Some, aimed at nursing students for emergency management showed high satisfaction with simulation. (11) Other were interprofessional training programs based on the use of standardized patients that focus on rehabilitation and also proved to have high participant satisfaction.(12) In postgraduate neurology, it was shown that after the regular implementation of immersive simulation programs for handling stroke codes, door-to-needle times were reduced. (13)
The use of mobile communication systems associated with motion tracking has been reported as a useful technology to improve coordination between professionals from pre-hospital and in-hospital systems and thus reduce stroke care time from the onset of symptoms. (14)
We did not find reports in the literature of interprofessional training programs that use various simulation modalities combined; mobile communication systems associated with movement tracking technologies emulating the joint work of prehospital and hospital care levels.
The following study reports the self-perception of knowledge, self-confidence and satisfaction of an interprofessional group that used various methodologies in order to improve the training process of pre-hospital and in-hospital health teams in the initial management of stroke. Our hypothesis is that interprofessional training for the management of Stroke, through virtual simulation, simulation with standardized patients and a patient tracking application of clinical processes fosters both learning and confidence at the time of decision-making of health personnel.