Cognitive Appraisals and Team Performance Under Stress in Simulated Trauma Care

Recruiting

• Conditions: Trauma; Cognitive Change; Stress, Emotional
• Interventions: Other: European Trauma Course

• Registration Number: NCT05083871
• Lead Sponsor: Azienda Usl di Bologna

Brief Summary

Medical teams work in demanding situations that are often uncertain, changeable and require accurate decision-making, skilled movement and coordinated action. How teams perform matters for patient outcomes. In addition to medical expertise, how individuals and the team collectively respond and manage the psychological stress of the situation has a significant impact on performance. One approach, which attempts to explain the facilitating and debilitating effects of stress on performance is the biopsychosocial model of challenge and threat. A challenge state occurs when perceived personal resources meet or exceed the situation's demands, whereas threat occurs when demands exceed resources. Challenge states have been consistently associated with improved performance in a range of environments and activities, including medical settings. In a recent study conducted during a national simulation-based training event for residents (the SIMCUP Italia 2018) it was found that a high level of resources is associated with better performance until demands become very high. The present study builds on previous work to explore how challenge and threat states are linked to performance. It includes a more recently developed and robust measure of demands and resource appraisals. In addition, secondary aims include the exploration of how psychological variables, specifically cognitive anxiety, somatic anxiety, self-confidence and social identity (connection with other members of the medical team) are linked to challenge and threat and performance. Understanding the psychological determinants of performance in critical care can provide the basis for individual and team-based interventions to improve critical care team performance.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-10-06
• Study First Submitted QC: 2021-10-06
• Study First Posted: 2021-10-19
• Study Start: 2021-10-20
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-24
• Last Update Posted: 2024-04-25
• Primary Completion: 2024-12-31
• Study Completion: 2025-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 130

Inclusion Criteria

• Learners of the European Trauma Course in Italy

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Exclusion Criteria

• Age < 18 years

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Learners of the European Trauma Course	European Trauma Course	Learners attending the European Trauma Course

Primary Outcome Measures

Name	Time	Method
Performance in simulated emergency trauma care	3 days	Composite outcome measure taking into account both technical and non technical skills evaluation from the course instructors

Secondary Outcome Measures

Name	Time	Method
participants' perceptions of task demands vs. personal resources	3 days	Evaluation of the evolution of the participants' perceptions of task demands vs. personal resources throughout the course
mental readiness	3 days	Evaluation of the evolution of the participants' mental readiness throughout the course
Social identity	3 days	Evaluation of the evolution of the participants' social identity throughout the course

Trial Locations

Locations (1)

Azienda Unità Sanitaria Locale; 🇮🇹 Bologna, Italy