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Retroalimentación basada en casos clínicos mediante chatbot: una herramienta educativa para la intubación para residentes de pediatría

dc.contributor.advisorGómez Lozano, María Teresa
dc.creatorGelvez Nieto, Juan Camilo
dc.creatorSánchez Piñeros, Natalia
dc.creatorTiuso Vega, Daniela Andrea
dc.creator.degreeMagíster en Educación para Profesionales de la Salud
dc.date.accessioned2026-01-30T16:12:39Z
dc.date.available2026-01-30T16:12:39Z
dc.date.created2025-11-19
dc.date.embargoEndinfo:eu-repo/date/embargoEnd/2028-01-31
dc.descriptionEste estudio analiza la contribución de un chatbot educativo con casos clínicos interactivos y retroalimentación formativa inmediata al aprendizaje del procedimiento de intubación orotraqueal en urgencias pediátricas en residentes de pediatría. Mediante un enfoque de investigación-acción con anális mixto, desarrollado en dos ciclos consecutivos, se diseñó, validó y optimizó un chatbot basado en los protocolos PALS y PFCCS. Los resultados evidencian mejoras en la comprensión secuencial del procedimiento, la toma de decisiones clínicas, la reducción de errores y el fortalecimiento de la confianza profesional. Los residentes percibieron la herramienta como accesible, realista y motivadora, destacando la retroalimentación inmediata como elemento clave del aprendizaje. Se concluye que el chatbot constituye un andamiaje pedagógico digital innovador que potencia la práctica deliberada y la retroalimentación formativa en un entorno ético y seguro, aportando al fortalecimiento de competencias clínicas mediante inteligencia artificial educativa.
dc.description.abstractThis study analyzes the contribution of an educational chatbot with interactive clinical cases and immediate formative feedback to the learning of the orotracheal intubation procedure in pediatric emergency settings among pediatric residents. Using an action research approach with mixed-methods analysis, developed across two consecutive cycles, a chatbot based on the PALS and PFCCS protocols was designed, validated, and optimized. The results demonstrate improvements in the sequential understanding of the procedure, clinical decision-making, reduction of errors, and strengthening of professional confidence. Residents perceived the tool as accessible, realistic, and motivating, highlighting immediate feedback as a key element in the learning process. It is concluded that the chatbot constitutes an innovative digital pedagogical scaffold that enhances deliberate practice and formative feedback within an ethical and safe environment, contributing to the strengthening of clinical competencies through educational artificial intelligence.
dc.format.extent74 pp
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_47401
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/47401
dc.language.isospa
dc.publisherUniversidad del Rosario
dc.publisherPontificia Universidad Javeriana. Facultad de Medicina
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programMaestría en Educación para Profesionales de la Salud
dc.rights.accesRightsinfo:eu-repo/semantics/embargoedAccess
dc.rights.accesoRestringido (Temporalmente bloqueado)
dc.source.bibliographicCitationAlam, F., Lim, M. A., & Zulkipli, I. N. (2023). Integrating AI in medical education: Embracing ethical usage and critical understanding. Frontiers in Medicine, 10, 1279707. https://doi.org/10.3389/fmed.2023.1279707
dc.source.bibliographicCitationAlharbi, N. S. (2024). Evaluating competency-based medical education: A systematized review of current practices. BMC Medical Education, 24(612). https://doi.org/10.1186/s12909-024-05609-6
dc.source.bibliographicCitationBernard, A. W., Kman, N. E., & Khandelwal, S. (2011). Feedback in the emergency medicine clerkship. Western Journal of Emergency Medicine, 12(4), 537–542. https://doi.org/10.5811/westjem.2010.9.2014
dc.source.bibliographicCitationBurgess, A., van Diggele, C., Roberts, C., & Mellis, C. (2020). Feedback in the clinical setting. BMC Medical Education, 20(Suppl 2), 1–5. https://doi.org/10.1186/s12909-020-02280-5
dc.source.bibliographicCitationCastillo Rocubert, N. (s.f.). Acerca de los paradigmas de la investigación educativa. Dialnet. https://dialnet.unirioja.es
dc.source.bibliographicCitationChakraborty, C., Pal, S., Bhattacharya, M., Dash, S., & Lee, S. S. (2023). Overview of chatbots with special emphasis on artificial intelligence-enabled ChatGPT in medical science. Frontiers in Artificial Intelligence, 6. https://doi.org/10.3389/frai.2023.1237704
dc.source.bibliographicCitationChan, K. Y., Yuen, T. H., & Co, M. (2025). Using ChatGPT for medical education: The technical perspective. BMC Medical Education, 25(201). https://doi.org/10.1186/s12909-025-06785-9
dc.source.bibliographicCitationDriessen, E. W., van der Vleuten, C. P. M., Schuwirth, L. W. T., & van der Horst, H. E. (2008). Width and depth of assessment: The role of the assessment environment in formative assessment. Medical Education, 42(12), 1165–1172.
dc.source.bibliographicCitationElliott, J. (2000). La investigación-acción en educación. Ediciones Morata.
dc.source.bibliographicCitationEricsson, K. A. (2004). Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Academic Medicine, 79(10), S70–S81.
dc.source.bibliographicCitationFey, M. K., Scrandis, D., Daniels, A., & Haut, C. (2014). Learning through debriefing: Students’ perspectives. Clinical Simulation in Nursing, 10(5), e249–e256. https://doi.org/10.1016/j.ecns.2013.12.009
dc.source.bibliographicCitationFord, T. R., Fix, M. L., Shappell, E., Egan, D. J., Mannix, A., Bailitz, J., Li, X., & Gottlieb, M. (2021). Beyond the emergency department: Effects of COVID-19 on emergency medicine resident education. AEM Education and Training, 5(3), 1–12. https://doi.org/10.1002/aet2.10568
dc.source.bibliographicCitationGaiser, R. R. (2000). Teaching airway management skills: How and what to learn and teach. Critical Care Clinics, 16(3), 515–524
dc.source.bibliographicCitationGelvez Nieto, J. C., Sánchez Piñeros, N., & Jiménez Mora, A. F. (2024, abril 9). Microproyecto: Intubación orotraqueal en población pediátrica en el servicio de urgencias pediátricas en la Clínica Colsubsidio Infantil. Maestría en Educación para Profesionales de la Salud, Universidad del Rosario – Pontificia Universidad Javeriana.
dc.source.bibliographicCitationGhorashi, N., Ismail, A., Ghosh, P., Sidawy, A., & Javan, R. (2023). AI-powered chatbots in medical education: Potential applications and implications. Cureus, 15(8), 1–5. https://doi.org/10.7759/cureus.43271
dc.source.bibliographicCitationGonzález, L., & Ramírez, C. (2023). Uso de chatbots educativos y su impacto en el aprendizaje. Retos de la Ciencia, 8(2), 89–104. https://www.retosdelacienciaec.com/Revistas/index.php/retos/article/download/529/734/2582
dc.source.bibliographicCitationHattie, J., & Timperley, H. (2007). The power of feedback. Review of Educational Research, 77(1), 81–112. https://doi.org/10.3102/003465430298487
dc.source.bibliographicCitationJohnson Pivec, C. R. (2011). Debriefing after simulation: Guidelines for faculty and students [Master’s thesis, St. Catherine University]. SOPHIA Repository. https://sophia.stkate.edu/ma_nursing/14
dc.source.bibliographicCitationJurafsky, D., & Martin, J. H. (2020). Speech and language processing: An introduction to natural language processing, computational linguistics, and speech recognition (3rd ed.). Pearson Education.
dc.source.bibliographicCitationKalantarion, M., Sabet, B., & Habibi, A. (2023). Exploring the potential of chatbots in medical education. Shiraz E-Medical Journal, 24(12). https://doi.org/10.5812/semj-139465
dc.source.bibliographicCitationKaur, A., Singh, S., Chandan, J. S., Robbins, T., & Patel, V. (2021). Qualitative exploration of digital chatbot use in medical education: A pilot study. Digital Health, 7, 1–11. https://doi.org/10.1177/20552076211038151
dc.source.bibliographicCitationKhan, R. A., Jawaid, M., Khan, A. R., & Sajjad, M. (2023). ChatGPT - Reshaping medical education and clinical management. Pakistan Journal of Medical Sciences, 39(2), 605–607. https://doi.org/10.12669/pjms.39.2.7653
dc.source.bibliographicCitationKhamees, D., & Wolff, M. (2021). No time, no room: On-shift teaching for any shift. AEM Education and Training, 5(4), 5–6. https://doi.org/10.1002/aet2.10701
dc.source.bibliographicCitationKling, D. B., Helwig, S., & Iyer, M. S. (2023). Pediatric emergency medicine fellow training for bedside teaching: A national survey of pediatric emergency medicine fellows and program directors. Cureus, 15(11). https://doi.org/10.7759/cureus.48652
dc.source.bibliographicCitationKolb, D. A. (1984). Experiential learning: Experience as the source of learning and development. Prentice-Hall.
dc.source.bibliographicCitationLatorre, A. (2005). La investigación-acción: Conocer y cambiar la práctica educativa (3ª ed.). Editorial Graó.
dc.source.bibliographicCitationLe Cornu, R., Peters, J., & Collins, J. (2003, September). What are the characteristics of constructivist learning cultures? Paper presented at the British Educational Research Association Annual Conference, Heriot-Watt University, Edinburgh.
dc.source.bibliographicCitationLefroy, J., Watling, C., Teunissen, P. W., & Brand, P. (2015). Guidelines: The do’s, don’ts and don’t knows of feedback for clinical education. Perspectives on Medical Education, 4(6), 284–299. https://doi.org/10.1007/s40037-015-0231-7
dc.source.bibliographicCitationLong, E., Barrett, M. J., Peters, C., Sabato, S., & Lockie, F. (2020). Emergency intubation of children outside of the operating room. Pediatric Anesthesia, 30(3), 319–330. https://doi.org/10.1111/pan.13784
dc.source.bibliographicCitationLopreiato, J. O., & Sawyer, T. (2015). Simulation-based medical education in pediatrics. Academic Pediatrics, 15(2), 134–142. https://doi.org/10.1016/j.acap.2014.10.010
dc.source.bibliographicCitationMartín, C., Rodríguez, G., & García, A. (2020). La innovación en la tecnología para la educación es de suma importancia, ya que contribuye a un aprendizaje autónomo y creativo. Revista Cubana de Educación Superior, 39(6), 639–652.
dc.source.bibliographicCitationMartínez Godínez, V. L. (2013). Paradigmas de investigación: Manual multimedia para el desarrollo de trabajos de investigación. Una visión desde la epistemología dialéctico-crítica.
dc.source.bibliographicCitationMoonaghi, H. K., Vafaee, M., Es-Hagh Ildarabadi, &, & Rice, S. (2016). Experiences of medical teachers about methods, types, and barriers of giving feedback. FMEJ, 26–31.
dc.source.bibliographicCitationNatesan, S., Bailitz, J., King, A., Krzyzaniak, S. M., Kennedy, S. K., Kim, A. J., Byyny, R., & Gottlieb, M. (2020). Clinical teaching: An evidence-based guide to best practices from the Council of Emergency Medicine Residency Directors. Western Journal of Emergency Medicine, 21(4), 985–998. https://doi.org/10.5811/westjem.2020.4.46060
dc.source.bibliographicCitationO’Leary, F. (2024). Simulation-based education in paediatric resuscitation. Paediatric Respiratory Reviews, 51, 2–9. https://doi.org/10.1016/j.prrv.2024.05.002
dc.source.bibliographicCitationOrtiz Granja, D. (2015). El constructivismo como teoría y método de enseñanza. Sophia: Colección de Filosofía de la Educación, 19(2), 93–110. https://doi.org/10.17163/soph.n19.2015.04
dc.source.bibliographicCitationPereira, D., & Souza, M. (2021). Uso de inteligencia artificial a través de chatbot en la interacción con estudiantes en un curso de especialización en salud. Revista Brasileña de Aprendizaje Abierto y a Distancia, 19(4), 23–38. https://seer.abed.net.br/RBAAD/article/download/774/568
dc.source.bibliographicCitationPiaget, J. (1970). Science of education and the psychology of the child. Orion Press.
dc.source.bibliographicCitationPilbery, R. (2018). How do paramedics learn and maintain the skill of tracheal intubation? A rapid evidence review. British Paramedic Journal, 3(2), 7–21. https://doi.org/10.29045/14784726.2018.09.3.2.7
dc.source.bibliographicCitationRafiq, A., & Sethi, A. (2024). Entrustable professional activities for bedside clinical teachers. BMC Medical Education, 24(1). https://doi.org/10.1186/s12909-024-05876-3
dc.source.bibliographicCitationRhoney, D. H., Chen, A. M., Churchwell, M. D., Daugherty, K. K., Jarrett, J. B., Kleppinger, E. L., Nawarskas, J. J., Sibicky, S. L., Stowe, C. D., & Meyer, S. M. (2024). The need for competency-based education. American Journal of Pharmaceutical Education, 88(6), 100706. https://doi.org/10.1016/j.ajpe.2024.100706
dc.source.bibliographicCitationRillo, A. G., Martínez-Carrillo, B. E., Castillo-Cardiel, J. A., & Rementería-Salinas, J. M. (2020). Constructivism: An interpretation from medical education. IOSR Journal of Research & Method in Education, 10(3, Ser. VII), 1–12. https://doi.org/10.9790/7388-1003070112
dc.source.bibliographicCitationRonquillo Murrieta, G. V., De Mora Litardo, E., Bohórquez Morante, A. M., & Padilla Plaza, J. L. (2023). Modelo constructivista y su aplicación en el proceso de aprendizaje de los estudiantes. Journal of Science and Research, III Congreso Internacional en Sinergia Educativa. https://doi.org/10.5281/zenodo.10420471
dc.source.bibliographicCitationSaldarriaga-Zambrano, P. J., Del R Bravo-Cedeño, G., & Loor-Rivadeneira, M. R. (2016). La teoría constructivista de Jean Piaget y su significación para la pedagogía contemporánea. Dominio de las Ciencias, 2(3), 127–137. https://dialnet.unirioja.es/descarga/articulo/5802932.pdf
dc.source.bibliographicCitationSchuster, A., Puente, M., Andrada, O., & Maiza, M. (2013). La metodología cualitativa, herramienta para investigar los fenómenos que ocurren en el aula. Revista Electrónica Iberoamericana de Educación en Ciencias y Tecnología, 4(2), 109–136.
dc.source.bibliographicCitationToy, S., et al. (2017). Using learner-centered, simulation-based training to improve medical students’ procedural skills. Journal of Medical Education and Curricular Development, 4, 1–6. https://doi.org/10.1177/2382120516684829
dc.source.bibliographicCitationVahdat, M., Waugh, C., & Tarrant, J. (2018). Simulation-based training in pediatric airway management: A systematic review. Pediatric Anesthesia, 28(6), 523–532. https://doi.org/10.1111/pan.13456
dc.source.bibliographicCitationVygotsky, L. S. (1978). Mind in society: The development of higher psychological processes. Harvard University Press.
dc.source.bibliographicCitationWang, M. C., Tang, J. S., Liu, Y. P., Chuang, C. C., & Shih, C. L. (2023). Innovative digital technology adapted in nursing education between Eastern and Western countries: A mini-review. Frontiers in Public Health, 11(May). https://doi.org/10.3389/fpubh.2023.1167752
dc.source.bibliographicCitationWebb, J. J. (2023). Proof of concept: Using ChatGPT to teach emergency physicians how to break bad news. Cureus, 15(5), e38755. https://doi.org/10.7759/cureus.38755
dc.source.bibliographicCitationWinkler, R., & Soellner, M. (2018). Unleashing the potential of chatbots in education: A state-of-the-art analysis. Academy of Management Proceedings, 2018(1), 15903. https://doi.org/10.5465/ambpp.2018.15903abstract
dc.source.bibliographicCitationZamani, M., Nasr-Esfahani, M., Forghani, M., Sichani, M., & Omid, A. (2020). Endotracheal intubation training to medical practitioners: Comparison of the modified 4-step Payton’s training method and Halsted’s training method in a simulated environment. Journal of Education and Health Promotion, 9(1), 126. https://doi.org/10.4103/jehp.jehp_705_19
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectRetroalimentación formativa
dc.subjectChatbot educativo
dc.subjectIntubación orotraqueal
dc.subjectUrgencias pediátricas
dc.subjectEducación médica
dc.subject.keywordFormative feedback
dc.subject.keywordEducational chatbot
dc.subject.keywordOrotracheal intubation
dc.subject.keywordPediatric emergencies
dc.subject.keywordMedical education
dc.titleRetroalimentación basada en casos clínicos mediante chatbot: una herramienta educativa para la intubación para residentes de pediatría
dc.title.TranslatedTitleCase-based feedback through a chatbot: An educational tool for intubation for pediatric residents
dc.typemasterThesis
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTesis de maestría
local.department.reportEscuela de Medicina y Ciencias de la Salud
local.regionesBogotá
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