Impact of Mental Imagery of Cognitive Neonatal Resuscitation Aid Compared to Simple Reading on the Non-technical Skills of Anaesthesia Residents Six Months After Initial Training: a Randomized Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 22
- 试验地点
- 2
- 主要终点
- Behaviorally Anchored Rating Scale (BARS)
研究概览
简要总结
The goal of this randomized trial is to learn if mental imagery works to improve non technical skills in residents. It will also learn about knowledge and technical skills. The main questions it aims to answer are:
Does mental imagery of a cognitive aid improve non technical skills of residents ? Does mental imagery of a cognitive aid improve technical skills and knowledge of residents ?
The invastigators will compare repeated mental imagery to repeated simple reading of a cognitive aid to see if mental imagery works to train non technical skills.
Participants will:
- participate in an initial training on neonatal resuscitation
- be randomized in two groups: mental imagery or simple reading
- Repeat training according to the group with predefined intervalls during 6 months
- be evaluated 6 months after the initial training
详细描述
Non-technical skills, such as stress management, decision-making, communication and leadership, are crucial in anaesthesia and intensive care, particularly in emergency situations where technical performance alone is not enough. Mental imagery training used in the fields of sport and surgery could play a key role in improving these skills in future doctors.
A recent study showed that mental imagery training led to better non-technical skills among first-year anaesthesia residents in simulation of a cardiopulmonary resuscitation case (article currently being reviewed).
This study compared mentalisation with reminders at predefined intervals in the intervention group with no reminders to read the cognitive aid in the control group. In addition, cardiopulmonary arrest is a well-known subject for students and initial knowledge was not assessed beforehand.
This new clinical trial aims to evaluate the impact of mental imagery on the non-technical skills of anaesthesia and intensive care residents following initial training in neonatal resuscitation with a full-scale simulation evaluation at 6 months, in residents with a reminder of mentalisation or rereading of the cognitive aid depending on the group.
- Objective of the study 2.1 Main objective: Blind video assessment by an expert examiner of the non-technical skills (situational awareness, communication, decision-making, teamwork) of anaesthesia and intensive care residents on a simulated neonatal resuscitation case with the BARS score out of 36 points (9 for the 4 subcategories of non-technical skills).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Anesthesia residents in 1, 2, 3 o 4 year of training and volunteers
排除标准
- •Residents not volunteer
研究组 & 干预措施
Mental Imagery
Participant of the mental imagery group will have a specific training during the initial training and will repeat the mental imagery regularely during the 6 months (timing of repetition guided by messages sended by investigator)
干预措施: Mental imagery (Other)
Classical reading
Participant of the control group will have no specific training during the initial training, only presentation of the cognitive aid. They will also repeat the reading of the cognitive aid regularely during the 6 months (timing of repetition guided by messages sended by investigator)
干预措施: Cognitive aid reading (Other)
结局指标
主要结局
Behaviorally Anchored Rating Scale (BARS)
时间窗: 6 months
Evaluation of Non-Technical Skills of anesthesia residents' (Originally published in Watkins et al., Simul in Healthc 2017). From 1 to 36 points. Better score means better skills
次要结局
- Neonatal Resuscitation Performance Evaluation (NRPE) scale(6 months)
研究者
Michelet Daphne
Clinical Professor
Reims University hospital