Examining Pediatric Resuscitation Education Using Simulation and Scripted Debriefing: A Multicenter, Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 443
- 试验地点
- 2
- 主要终点
- Behavioural Assessment Tool Score (Percentage 0-100%)
研究概览
简要总结
The investigative team's purpose for conducting this research is to improve effective and efficient translation and implementation of evidence based advanced life support practice to providers of care for children. This specific project aims to accomplish 2 major goals. The investigators aim to evaluate the utility of a debriefing script specifically designed to facilitate debriefing when used by novice Pediatric Advanced Life Support instructors during low and high realism simulation-based learning. Secondly, the investigators hope to evaluate the effectiveness of high realism simulation vs. low realism simulation in achieving PALS-based educational outcomes, such as knowledge and skill acquisition.
The investigators hypothesize that SCRIPTED debriefing by novice instructors following low and high fidelity simulation-based learning will :
- Improve the cognitive performance and knowledge of multidisciplinary team members as assessed by a cognitive performance tool and multiple choice testing compared with more traditional, NON-SCRIPTED debriefing;
- Improve the behavioural, teamwork and communication skills of multidisciplinary team members as assessed by a validated assessment tool compared with more traditional, NON-SCRIPTED debriefing;
The investigators hypothesize that HIGH REALISM simulation-based learning will:
- Improve the cognitive performance and knowledge of multidisciplinary team members as assessed by a cognitive performance tool and multiple choice testing compared with more traditional, LOW REALISM simulation;
- Improve the behavioural, teamwork and communication skills of multidisciplinary team members as assessed by a validated assessment tool compared with more traditional, LOW REALISM simulation;
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •(Novice Instructors):
- •senior residents (general pediatric, emergency medicine, pediatric subspecialty) in year three of training or above
- •nursing staff, respiratory therapists or paramedics with greater than 5 years of clinical experience
- •recent PALS certification within the past 2 years
- •Inclusion Criteria (Team composition)
- •1 or 2 pediatric nurses, 2 physicians (residents/fellows in pediatrics, anesthesia, family medicine, emergency medicine, pediatric emergency medicine, pediatric critical care or pediatric anesthesia) and/or 1 pediatric respiratory therapist or 1 pediatric transport paramedic
排除标准
- •(Novice Instructors):
- •experienced instructors, defined as having taught three or more courses for healthcare professionals where simulation was followed by debriefing
- •Exclusion Criteria (Team composition)
结局指标
主要结局
Behavioural Assessment Tool Score (Percentage 0-100%)
时间窗: Baseline of one hour (post debreifing) - note: reporting change in timeframe for all 3 outcome measures
Behavioral Assessment Tool The Behavioral Assessment Tool (BAT) was used to assess the team leader's crisis resource management skills during the pre and post-simulation scenarios. Each behavior is rated on a five-point Likert scale, where a score of one represents poor behavioral performance in the category and a score of five reflects excellent performance. Each behavior is supplement by descriptive anchors for poor (1), average (3) and excellent performance (5). Previous work done by LeFlore et al has focused on establishing reliability and validity of the tool in varying contexts. In a study of nurse practitioner students, data demonstrated a Cronbach's alpha of 0.97 with an intraclass correlation coefficient of 0.84 (p\<0.001). In a different study assessing alternative educational models for interdisciplinary student teams, the BAT was used to assess behavioral performance and the Cronbach's alpha was 0.956.
次要结局
- Clinical Performance Tool Score (Percentage 0-100%)(Baseline of one hour (post debreifing) - note: reporting change in timeframe for all 3 outcome measures)
- Multiple Choice Test (Knowledge)(Baseline of one hour (post debreifing) - note: reporting change in timeframe for all 3 outcome measures)
