Effectiveness of Simulation Based Training in Implementing One Hour Bundle Sepsis

The Role of Simulation-Based Training to Improve Team Performance in Implementing One Sepsis Hour Bundle in Intensive Care Unit

This study aimed to compare simulation training with conventional training (case-based discussion only) to improve team performance in implementing one-hour sepsis bundle in the intensive care unit

Study Overview

• Status: Completed
• Conditions: Sepsis; Medical Education; Simulation Training
• Intervention / Treatment: Other: Simulation training; Other: Case-based discussion training

Detailed Description

This was an experimental randomized single-blind study to examine the role of simulation-based training in improving team performance in conducting sepsis management. Subjects were sixteen doctors and twenty-four nurses working in the intensive care unit. The subjects were randomly divided into two treatment groups: the discussion group and the simulation group. Each treatment group was further divided into four small groups consisting of two doctors and three nurses. Prior to the training, every subject received a pretest for cognitive evaluation and a posttest at the end of the training. The performance of both groups in implementing one-hour sepsis bundle was assessed by solving a sepsis case in high fidelity manikin.

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Indonesia
  • DKI Jakarta
    • Jakarta Pusat, DKI Jakarta, Indonesia, 10430
      • Cipto mangunkusumo general hospital

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Doctors working in Dr. Cipto Mangunkusumo Public Hospital's ICU
• Nurses working in Dr. Cipto Mangunkusumo Public Hospital's ICU

Exclusion Criteria:

• Doctors and nurses who are not fit or healthy to undergo this training

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Simulation group; The simulation training group will receive a simulation training of a sepsis case which will see the participants implementing one-hour bundle sepsis with a high-fidelity manikin.	Other: Simulation training; The participants in the simulation group will receive simulation training with high-fidelity manikin to practice and implement one-hour bundle sepsis
Experimental: Conventional group; The conventional training group will receive a case-based discussion of a sepsis case which will see the participants implementing one-hour bundle sepsis.	Other: Case-based discussion training; The participants in the conventional group will only do a case-based discussion in implementing one-hour bundle sepsis

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Differences in score of skills in implementing one-hour bundle sepsis in the intensive care unit assessed with checklist which were designed by four anesthesiologist-intensivists	Measured by checklist which were designed by four anesthesiologist-intensivists before the study was conducted and validated by Aiken coefficient. The Aiken coefficient for this checklist were all >0.3 which is declared valid.	upon study completion, in 1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Differences in intrateam communication's score in implementing one hour sepsis bundle assessed with checklist which were designed by four anesthsiologist-intensivists	Measured by checklist which were designed by four anesthesiologist-intensivists before the study was conducted and validated by Aiken coefficient. The Aiken coefficient for this checklist were all >0.3 which is declared valid.	upon study completion, in 1 day

Collaborators and Investigators

• Sponsor: Indonesia University
• Investigators: Principal Investigator: Adhrie Sugiarto, MD, Indonesia University

Study record dates

Study Major Dates

• Study Start (Actual): August 22, 2020
• Primary Completion (Actual): October 24, 2020
• Study Completion (Actual): October 24, 2020

Study Registration Dates

• First Submitted: September 18, 2021
• First Submitted That Met QC Criteria: September 29, 2021
• First Posted (Actual): October 13, 2021

Study Record Updates

• Last Update Posted (Actual): October 13, 2021
• Last Update Submitted That Met QC Criteria: September 29, 2021
• Last Verified: September 1, 2021

More Information

Terms related to this study

• Keywords: medical education; sepsis; simulation training; high-fidelity manikin; one-hour bundle sepsis
• Additional Relevant MeSH Terms: Pathologic Processes; Infections; Systemic Inflammatory Response Syndrome; Inflammation; Sepsis; Toxemia
• Other Study ID Numbers: IndonesiaUAnes117

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