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The Learning Outcome of Resuscitation Teamwork Training in Postgraduate Year Doctors and Nurses

18 ottobre 2022 aggiornato da: Taipei Medical University Hospital

The Learning Outcome of Resuscitation Teamwork Training on Developing Teamwork Performance in Postgraduate Year Doctors and Nurses - Comparison of Board Game-based Learning, Simulation-based Learning and Lecture-based Learning

It is challenging for healthcare team to manage emergency patient effectively. Most of these critical patients have medical conditions and need complex medical managements. Research findings have shown that poor healthcare teamwork would result in poor communication, missing information, and insufficient situation monitoring and thus compromise patient safety. Simulation has been proved as an effective method to develop teamwork competency. However, comparing to traditional training model, simulation requires more resources such as funding, spaces, time, administration staffs, schedule, facilitators, and equipment. It would not be easy to delivery in various professional departments. Game-based learning was a known effective and learner-centered learning model which required less resources. Researchers have shown that game-based learning has higher acceptance for the learners and can improve learners' knowledge, attitude, motivation, and performance. Therefore, the aim of this study was to explore the learning effectiveness of resuscitation teamwork training of board game-based learning, simulation-based learning and lecture-based learning in PGY doctors and nurses.

Panoramica dello studio

Stato

Iscrizione su invito

Condizioni

Intervento / Trattamento

Descrizione dettagliata

This will be a prospective, longitudinal, and randomized controlled trial design. A total number of 180 PGY doctors and nurses will be enrolled from a teaching hospital in northern Taipei City. They will be randomized into board game-based learning, simulation-based learning, and lecture-based learning group. Three groups will receive "Emergency Medical Response Teamwork" training and all of these contents were developed according to America Heart Association Guidelines for Cardiopulmonary Resuscitation and ECC and TeamSTEPPS curriculum from Agency for Healthcare Research and Quality. We will collect the professional demography, the professional medical knowledge for medical management, the concept of knowledge for teamwork, team performance, team attitude, medical management, course survey, and cognitive load scales. We will compare the learning effectiveness between three groups in pre test, post-test, and three month later after post-test. Statistics including categorical data and between-group test will analyzed by Chi-square test. In addition, we will use repeated measurement ANOVA and Linear mixed model for continuous variables to exam the between group difference from the baseline to the delay test.

Tipo di studio

Interventistico

Iscrizione (Anticipato)

180

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

  • Taiwan
      • New Taipei City, Taiwan, 23442
        • Jen-Chieh Wu

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

20 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

Sì

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  1. Postgraduate Year doctors who is 20 years old and work in primary care.
  2. Postgraduate Year nurses who is 20 years old and work in primary care

Exclusion Criteria:

  1. Participant do not work in primary care provide.
  2. Healthcare provider do not delivery in relative adult care department, such as pediatric department, obstetrics department, and psychiatry department so on.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Altro
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: board game-based learning
game-based learning
Altro: board game-based teamwork training
Using board game-based learning to develop resuscitation teamwork competency in PGY doctors and nurses.
Comparatore attivo: simulation-based learning
simulation education
Comportamentale: simulation-based teamwork training
Using board simulation-based learning to develop resuscitation teamwork competency in PGY doctors and nurses.
Comparatore placebo: lecture-based learning
lecture education
Altro: lecture-based teamwork training
Using board lecture-based learning to develop resuscitation teamwork competency in PGY doctors and nurses.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
The change of medical team's teamwork performance
Lasso di tempo: The measure assessing change between three time points in medical team's teamwork performance. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
The medical team's teamwork performance was assessed by "Chinese Version of Team Performance Observation Tool" (TPOT) which consisted of 23 items. The team performance observation tool comprised of 5 main aspects including team structure, communication, leadership, situation monitoring, and mutual support. The scale was from 1 (Very disagree) to 5 (strongly agree), and the total score was 115.
The measure assessing change between three time points in medical team's teamwork performance. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
The change of healthcare professionals' concept of knowledge for teamwork
Lasso di tempo: The measure assessing change between three time points in concept of knowledge for teamwork. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
The healthcare professionals' concept of knowledge for teamwork was assessed by "TeamSTEPPS Learning Benchmarks" which consisted of 23 items. TeamSTEPPS Learning Benchmarks' questions focus on medical teamwork and communication and their effect on quality and safety in patient care. Each question have 5 option but only one best answer. The total score was 115.
The measure assessing change between three time points in concept of knowledge for teamwork. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
The change of healthcare professionals' team attitude
Lasso di tempo: The measure assessing change between three time points in healthcare professionals' team attitude. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
The healthcare professionals' team attitude was assessed by "Interprofessional Collaboration Scale" (IPC) which consisted of 26 items. IPC comprised of 3 main aspects including communication, accommodation and isolation. We adopted the first 13 items because those were related to medical and nursing professional background. The scale was from 1 (strongly disagree) to 4 (strongly agree), and the total score was between 13 and 52.
The measure assessing change between three time points in healthcare professionals' team attitude. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
The change of healthcare professionals' resuscitation medical knowledge for medical management
Lasso di tempo: The measure assessing change between three time points in resuscitation medical knowledge for medical management. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
The healthcare professionals' medical knowledge for medical management was assessed by "ACLS Precourse Self-Assessment" which consisted of 60 items. ACLS Precourse Self-Assessment comprised of 3 main aspects including rhythm identification, pharmacology and practical application. We selected the 20 items because those were related to resuscitation medical management (VT, VF, Asystole, PEA). The total score was 100.
The measure assessing change between three time points in resuscitation medical knowledge for medical management. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
The change of medical team's resuscitation medical management
Lasso di tempo: The measure assessing change between three time points in medical team's resuscitation medical management. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
The medical team's resuscitation medical management was assessed by " medical management checklist ". The checklist items is reference from 2020 American Heart Association Guidelines for CPR and ECC. 20 items were identified by our expert panel based on resuscitation guideline including applying adequate oxygen according to patient's dynamic condition, identifying cardiac arrest in time and keep providing high quality cardio-pulmonary resuscitation, identifying shockable rhythm and delivering in-time and correctly shock, administering resuscitation medicine correctly. The checklist was rated on a dichotomous scale with 2 (complete), 1 (patical), and 0 (incomplete).The total score was 20.
The measure assessing change between three time points in medical team's resuscitation medical management. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
The healthcare professionals' learning cognitive load after intervention
Lasso di tempo: The immediate post-test after intervention.
The healthcare professionals' learning cognitive load was assessed by "Chinese Version of Learning Cognitive Load questionnaires" (Hwang & Yangru, 2013) which consisted of 8 items. The learning cognitive load questionnaires comprised of 2 main aspects including mental Load and mental efforts. The scale was from 1 (Very disagree) to 6 (strongly agree), and the total score was 48.
The immediate post-test after intervention.
Course survey
Lasso di tempo: The immediate post-test after intervention.
Two questions for course satisfaction after board game-based learning. First question, how do you feel about your board game-based learning experience? (For example: any difficult or interesting, etc...). Second, are there any suggestions you can provide to help improve this course?
The immediate post-test after intervention.

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Taipei Medical University Hospital

Collaboratori

Taipei Veterans General Hospital, Taiwan

Investigatori

  • Cattedra di studio: Jen-Chieh Wu, Taipei Medical University Hospital

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Pubblicazioni generali

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

12 settembre 2022

Completamento primario (Anticipato)

1 dicembre 2022

Completamento dello studio (Anticipato)

1 dicembre 2022

Date di iscrizione allo studio

Primo inviato

9 marzo 2022

Primo inviato che soddisfa i criteri di controllo qualità

21 marzo 2022

Primo Inserito (Effettivo)

31 marzo 2022

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

20 ottobre 2022

Ultimo aggiornamento inviato che soddisfa i criteri QC

18 ottobre 2022

Ultimo verificato

1 febbraio 2022

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Altri numeri di identificazione dello studio

  • N202201126

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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