Simulation-based Learning for Neurosurgical Instruments in Perioperative Nurses

Knowledge Transfer and Retention of Simulation-based Learning for Neurosurgical Instruments: a Randomized Trial of 100 Perioperative Nurses

Rapid technological advances in the last 20 years have led to the exponential adoption of simulation-based learning in nursing education.

Study Overview

• Status: Completed
• Conditions: Focus of Study: Simulation Technology
• Intervention / Treatment: Other: Simulation technology

Detailed Description

Simulation-based learning is designed to engage, challenge and enrich the learner's knowledge base and skill set. It presents the opportunity to experience a variety of clinical scenarios, both common and uncommon, in a safe environment allowing repeated skills training and facilitating the transfer of classroom-knowledge to real situations.Research demonstrates that simulation can improve student engagement and learning and is being increasingly used as an educational strategy for nursing students. This prospective randomized controlled study that was undertaken with the following goals:

1. to investigate the effectiveness of simulation-based training in a large sample of perioperative nurses, measured as nurses' learning progress in the simulation environment;
2. to determine whether the learning acquired through this training is transferable to recognizing real surgical instruments; and
3. to evaluate whether simulation-based learning is retained at least one week.

• Study Type: Interventional
• Enrollment (Actual): 100
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Perioperative nurse
• Employed at Queen Elizabeth II Health Sciences Center

Exclusion Criteria:

-Unable to provide informed consent

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A: simulation training before instruments; Group A performed simulation training before the recognition of real surgical instruments.	Other: Simulation technology; The intervention involves three consecutive sessions of the PeriopSim™ Instrument Trainer, followed by two consecutive sessions of the PeriopSim™ for Burr Hole Surgery (https://periopsim.com).
Active Comparator: Group B:instruments before simulation training; Group B performed the recognition of real surgical instruments without prior simulation training.	Other: Simulation technology; The intervention involves three consecutive sessions of the PeriopSim™ Instrument Trainer, followed by two consecutive sessions of the PeriopSim™ for Burr Hole Surgery (https://periopsim.com).

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in time saved for simulation task	Time saved is defined as the duration in seconds from the time the participant correctly submits an instrument prior to the maximum allotted time. Change is measured over repeated sessions on Day 1 and Day 7.	Day 1 and Day 7
Change in number of errors for simulation task	Number of errors are counted as the number of incorrectly selected instruments on the first attempt. Change is measured over repeated sessions on Day 1 and Day 7.	Day 1 and Day 7
Change in total score for simulation task	Total score is a gamification-based algorithm dependent upon the number of correct responses in the first attempt and time saved. Change is measured over repeated sessions on Day 1 and Day 7.	Day 1 and Day 7
Difference in total score for knowledge transfer task	Score is defined as the number of correctly identified instruments from the instrument tray during the instrument recognition task. The difference in score is measured between arms.	Day 7
Difference in time for knowledge transfer task	Time is the number of seconds (to a maximum of 45) taken to complete the real instrument task. The difference in score is measured between arms.	Day 7

Collaborators and Investigators

• Sponsor: Nova Scotia Health Authority
• Investigators: Principal Investigator: David Clarke, NSHA

Study record dates

Study Major Dates

• Study Start (Actual): October 21, 2015
• Primary Completion (Actual): May 25, 2016
• Study Completion (Actual): May 25, 2016

Study Registration Dates

• First Submitted: March 21, 2019
• First Submitted That Met QC Criteria: March 27, 2019
• First Posted (Actual): March 28, 2019

Study Record Updates

• Last Update Posted (Actual): April 1, 2019
• Last Update Submitted That Met QC Criteria: March 28, 2019
• Last Verified: March 1, 2019

More Information

Terms related to this study

• Other Study ID Numbers: 100 Nurses

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No