The Effect of Simulation-based Training on Confidence and Competence in Obtaining Vitals in a Child With Autism
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Mean change from baseline in confidence scores on the employee questionnaire at weeks 10 and 16
研究概览
简要总结
The objective is to evaluate the efficacy of an online learning module combined with high fidelity simulation-based training in improving medical assistants' and registered nurses' self-confidence and competence scores in taking vital signs in a child with Autism Spectrum Disorder in clinic. The study will explore the efficacy of high-fidelity simulation which has not been studied to date as a training modality for teaching healthcare workers about Autism Spectrum Disorder. The investigators will also evaluate patient encounter data to provide insight into trainees' transformation of knowledge into clinical practice. The hypothesis is that nurses and medical assistants who participate in an online learning module combined with simulation-based training will demonstrate improved self-confidence and competence scores in evaluating children with Autism.
详细描述
The study is an interrupted time series design trial. The employee participants will undergo two educational interventions: an online didactic lecture and an educational simulation activity. These activities are both standard educational activities. The online didactic lecture will be recorded and viewed by the participant within a two-week time frame. The simulation activity will be completed in a clinic room in Helmsley Tower 3 or 5 which is an accepted WCM educational setting. An iterative script will be used for the simulation.
The recruitment period for primary study population will last 4 weeks (Week 0 - Week 4).
During this period employee participants will be emailed the study invitation letter, consent form, and survey. A roster of participant names and email addresses will be collected from the consent forms and used throughout the study to email study participants to complete the surveys and participate in the educational interventions. At the start of Week 4 the employee participants will be emailed an online didactic lecture on taking vital signs in children with ASD and they will have 2 weeks to complete the lecture. At the start of Week 9 the employees will be emailed a second survey (post-didactic survey) and will have
1 week to complete it. Prior to week 10 the participants will be emailed to set up a time for their simulation. Then, between Weeks 10-12 they will participate in a simulation activity.
At the start of Weeks 15 the participants will be emailed the final survey (post-simulation survey) which they will have 1 week to complete.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •[Primary study participants] any nurses and medical assistants employed in the pediatric clinics of HT3 and HT
- •[Secondary study participants] pediatric patients ages 1-17 years in HT3 and HT5 clinics with autism spectrum disorder who need vital signs obtained, accompanied by a parent or guardian who can read, write and understand written English.
排除标准
- •[Primary study participants] persons who are not nurses or medical assistants employed in the pediatric clinics of HT3 and HT
- •[Secondary study participants] any patients who do not have a diagnosis of Autism Spectrum Disorder documented in the medical record, are not between the ages of 1 and 17, do not need vital signs obtained at their visit, or are not accompanied by a parent/guardian who can read, write and understand written English.
研究组 & 干预措施
Educational Intervention: online didactic lecture and educational simulation activity
The didactic was created by the research team and provides information on Autism Spectrum Disorder (ASD) and an approach to taking vital signs in these children. The didactic will be pre-recorded and sent by email to employee study participants. The didactic will last about 10 minutes.
The simulation activity will have the premise of a child with ASD and their caregiver at clinic visit. The employee participant will be asked to take vital signs on the patient. The caregiver will be played by an actor and the child will be played by a mannequin. An iterative script will be used by the actor during the scenario. The simulation will last about 20 minutes and will be followed by a 10 minute debrief.
干预措施: Educational Intervention: online didactic lecture and educational simulation activity (Other)
Caregiver Satisfaction
Caregivers who accompany their children with autism to the clinic will be surveyed for their comfort scores before and after the study participants' educational intervention
结局指标
主要结局
Mean change from baseline in confidence scores on the employee questionnaire at weeks 10 and 16
时间窗: 0 weeks = baseline; 10 weeks = interim survey; 16 weeks = final survey
Minimum score = 3 (least confident). Maximum score = 15 (most confident).
Mean change from baseline in competency scores on the employee questionnaire at weeks 10 and 16
时间窗: 0 weeks = baseline; 10 weeks = interim survey; 16 weeks = final survey
Minimum score = 8 (least competent). Maximum score = 40 (most competent).
次要结局
- Mean change in the number of times vital signs obtained between weeks 0-4, weeks 6-10, and weeks 12-16(0 weeks = baseline; 6-10 weeks = interim survey; 12-16 weeks = final survey)
- Mean change from baseline in caregiver satisfaction score on the caregiver survey between weeks 6-10 and 12-16(0 weeks = baseline; 6-10 weeks = interim survey; 12-16 weeks = final survey)
- Mean change from baseline in knowledge scores on the employee questionnaire at weeks 10 and 16(0 weeks = baseline; 10 weeks = interim survey; 16 weeks = final survey)