The Training and Evaluate Effect of Simulation on Clinical Airway Management for Novices During Perioperative Period
试验速览
- 阶段
- 不适用
- 入组人数
- 150
- 主要终点
- Change of modified global rating scores (GRS).
研究概览
简要总结
In this self-control experiment, anesthesiologists without experiment of bronchoscopy working in anesthesiology department in Peking Union Medical College Hospital will receive a training and evaluation procedure in simulation and clinical practice about clinical airway management. The objects was (1) to investigate the improvements of manufacturing bronchoscopy in simulation and clinical practice before and after training on simulation, (2) to record the study curve and efforts trainees needed to achieve proficiency and self-confidence on simulation, (3) to record the curve of manufacturing from skilled to unskilled, (4)to evaluate if status manufacturing on simulations could reflect the ones in clinical practice.
详细描述
A modified global rating scale from 1 (unskilled) to 5 (expert) with a score of 3 linked to proficiency, and 5-points Likert from 1 (felt extremely unsure) to 5 (felt extremely confidence) with a score of 4 linked to confidence were used to evaluate during the procedure of training and evaluation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •An anesthesiologist who is working on anesthesia airway management;
- •During the research period, he/she worked in the anesthesiology department of Peking Union Medical College Hospital;
- •Have no experience of manufacturing bronchoscopy.
排除标准
- •Cannot complete pre-training assessment; or get more than 3 of modified global rating scale score.
- •Cannot complete the training course;
- •Cannot complete the post-training evaluation;
- •Clinical airway managers were not performed during the study period.
研究组 & 干预措施
Novice
Anesthesiologists without experiment of manufacturing bronchoscopy.
干预措施: Novice (Behavioral)
结局指标
主要结局
Change of modified global rating scores (GRS).
时间窗: Changes from baseline after finishing simulate training, an average of 1 month.
Change of modified global rating scores (GRS) rating manufacturing skills using bronchoscopy. Total score ranges from 4 to 20 scores at 1-score intervals, higher score matches better skill. Total score is the submission of four subscales, which evaluating central view, mucosal contact, progress and orientation using bronchoscopy, ranges from 1 to 5 scores at 1-score interval, higher scores represent better outcome.
Change of Time needed.
时间窗: Changes from baseline after finishing simulate training, an average of 1 month.
Change of time needed to navigate using bronchoscopy.
Change of Likert score.
时间窗: Changes from baseline after finishing simulate training, an average of 1 month.
Change of Likert score evaluating self-confidence using bronchoscopy. Likert score ranges from 1 to 5 scores at 1-score intervals, higher score with more self-confidence.
次要结局
- Inconsistency of evaluation of time needed between simulate and clinical practice.(1 day, 2 days, and every continuous 7 days until 1 month after training.)
- Inconsistency of evaluation of modified global rating scores between simulate and clinical practice.(1 day, 2 days, and every continuous 7 days until 1 month after training.)
- Inconsistency of evaluation of Likert socre between simulate and clinical practice.(1 day, 2 days, and every continuous 7 days until 1 month after training.)
研究者
Chunhua Yu
Chief Physician
Peking Union Medical College Hospital