IJCS | Volume 32, Nº2, May/June 2019

232 Table 2 - Comparative analysis of the number of right answers per question (n = 156) in the first phase Type of question Pre-test Pos-test p-value n (%) n (%) 1 Diagnosis 152 (97.4) 155 (99.4) 0.250 2 Therapy 68 (43.6) 84 (53.8) < 0.0001 3 Therapy 90 (57.7) 126 (80.8) < 0.0001 4 Diagnosis and Therapy 104 (66.7) 132 (84.6) < 0.0001 5 Diagnosis and Therapy 118 (75.6) 108 (69.2) 0.002 6 Diagnosis and Therapy 103 (66.0) 134 (85.9) < 0.0001 7 Therapy 72 (46.2) 104 (66.7) < 0.0001 8 Diagnosis and Therapy 61 (39.1) 100 (64.1) < 0.0001 9 Therapy 61 (39.1) 58 (37.2) 0.250 10 Diagnosis 109 (69.9) 139 (89.1) < 0.0001 Table 1 - Number of right answers by the participants (n = 156) in the first phase, and physicians (n = 75) and nurses (n = 167) in the second phase Right answers First phase Second phase Physicians Nurses Pre-test Post-test Pre-test Post-test Pre-test Post-test 0 - - - - 1 (0.6) - 1 - - - - 3(1.8) - 2 2 (1.3) - 1 (1.4) - 4(2.4) - 3 11 (7.1) - 1 (1.4) - 25 (15.0) - 4 14 (9.0) 6 (3.8) 4 (5.3) 1 (1.4) 20 (12.0) - 5 37 (23.7) 20 (12.8) 10 (13.3) 5 (6.7) 24 (14.4) 8 (4.8) 6 32 (20.5) 32 (20.5) 18 (24.0) 11 (14.7) 33 (19.8) 15 (9.0) 7 30 (19.2) 23 (14.7) 18 (24.0) 19 (25.3) 23 (13.8) 23 (13.8) 8 15 (9.6) 32 (20.5) 17 (22.6) 10 (13.3) 18 (10.4) 32 (19.2) 9 12 (7.7) 23 (14.7) 6 (8.0) 19 (25.3) 14 (8.4) 53 (31.7) 10 3 (1.9) 20 (12.8) - 10 (13.3) 2 (1.2) 36 (21.6) Souza-Silva et al. Simulation training for myocardial infarction Int J Cardiovasc Sci. 2019;32(3)227-237 Original Article test and for nurses it went from zero to five questions. Table 3 shows the individual analysis of each question, for physicians and nurses. One -hundr ed and th i r t y - seven hea l thca r e professionals filled out the survey, of which 58 were nurses (29.9% of the total) and 76 were physicians (93.8% of the total). Most of the sample (52.6%) had had less than 5 years of work experience since graduation. A total of 58 physicians (76.3% of the respondents) informed having treated at least five patients with chest pain during the last month, while 26 (34.2%) reported having treated 5 to 10 patients and 32 (42.1%) professionals treated over 10 patients. After the training, 128 professionals (95.5%) reported feeling “very secure” when performing fibrinolysis. A total of 24 physicians and 119 nurses participated in the second training session. Regarding the impact onmedication prescription,, the results are shown in Table 4. Discussion In this study, a training strategy for ACS management using simulation techniques for emergency healthcare professionals improved knowledge acquisition,