Development of Clinical Competence in Nursing Education Using a Low-Cost Simulator for Cardiorespiratory Auscultation in the Amazonian Context.

Simulation in the teaching-learning process in health has been gaining space over time, with success in the development of clinical competencies with an impact on patient safety. To describe the stages of the development of a low-cost simulator applied in nursing education. Methodological study for the construction of a simulator for thoracic auscultation carried out by professors and graduate students at the State University of Amazonas, Manaus, Amazonas from December 2023 to May 2024. It contemplated the phases of: 1. Planning and Design; 2. Modeling and designer; 3. Implementation; 4. Testing and Validation; 5. Implementation and dissemination and 6. Continuous improvements. A low-cost simulator was built using an inanimate male half torso, am-fm radio, stethoscope headphones. To operationalize it, it was necessary to use the bluetooth system and normal and pathological heart and lung sounds extracted from free platforms and synchronized with the proposed clinical case. It is notified that it can be applied to the web system (computer) and mobile (tablets and smartphones). The development of clinical skills using a simulator strengthens the student's mental model and can contribute to improving clinical reasoning and decision-making with more assertive care for the patient.