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Performance of Baccalaureate Nursing Students in Insertion of Laryngeal Mask: a Trial in Mannequins (LMANURSING)

2014年5月7日 更新者:Cesar Eduardo Pedersoli、University of Sao Paulo

Performance of Nursing Students in the Insertion of Supraglottic Device (Laryngeal Mask): Randomized Controlled Trial on Mannequins.

The purpose of this study is to compare if there difference in acquisition of knowledge and skills in airway management to baccalaureate nursing students submitted to different learning strategies: exhibition-dialogued class and practical activity in skill lab with low-fidelity mannequin or simulation class with low-fidelity mannequin.

調査の概要

詳細な説明

The airway control is priority in patient resuscitation. The Laryngeal Mask Airway (LMA) can minimize complications, establishing a safe airway. Is fundamental to nurse acquired skills to act in emergency situations; the simulation is a important learning tool for this, because allows a realistic environment and allows to student the possibility of training skills.

Hypothesis: There difference in acquisition of knowledge and skills in airway management to baccalaureate nursing students submitted to different learning strategies: classroom lecture-dialogued follow of laboratory activity practice with low-fidelity mannequin or simulation in laboratory with low-fidelity mannequin?

The aim of this study is compare the effect of teaching-learning strategies: classroom lecture-dialogued follow of laboratory activity practice with low-fidelity mannequin or simulation in laboratory with low-fidelity mannequin, in the acquisition of knowledge and skills to baccalaureate nursing. This is a randomized controlled trial, the population is all students of baccalaureate nursing of EERP-USP, eighth period, 69 students in total; the sample will be voluntary and composed for students that accept participate of study. The intervention group (IG) will be submitted to simulation class and the control group (CG)to exhibition-dialogued class, and practical activity in skill lab. The study will have 3 steps:

  1. The participants will be recruited with letters and posters, randomized to IG or CG and follow submitted to write pre-test.
  2. The GI will submitted to simulation in laboratory and de CG classroom lecture-dialogued follow of laboratory activity practice. The focus will be the airway management with emphasis in LMA.
  3. All participants will be submitted to write post test and follow to practice test in simulation scenario, with medium-fidelity mannequin, which simulates human physiologic conditions.

The scenario will have a appraiser with a checklist which performance scores of skills and interventions observed. The activities will be filmed and recorded. To data analysis will be used the SPSS software: descriptive statistics, chi-square test, t-test of Student.

研究の種類

介入

入学 (実際)

17

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

    • São Paulo
      • Ribeirão Preto、São Paulo、ブラジル、14040-902
        • College of Nursing at Ribeirao Preto - University of Sao Paulo

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

はい

受講資格のある性別

全て

説明

Inclusion Criteria:

  • student must be in the eighth period of course;
  • must be registered regular in the baccalaureate nursing course.

Exclusion Criteria:

  • absence in any step of study.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:独身

武器と介入

参加者グループ / アーム
介入・治療
実験的:Simulation class

The students will be submitted a simulation scenario in laboratory with low-fidelity mannequin for 60 minutes, in subgroups of 4-5 students. The simulated condition is a patient in respiratory failure which need of emergency interventions.

The approach concepts of anatomic, physiology and clinical interventions using LMA will be discussed during simulation.

The students will be submitted a simulation scenario in laboratory with low-fidelity mannequin for 60 minutes, in subgroups of 4-5 students. The simulated condition is a patient in respiratory failure which need of emergency interventions.

The approach concepts of anatomic, physiology and clinical interventions using LMA will be discussed during simulation.

他の:Exhibition-dialogued class
Students will be submitted to exhibition-dialogued class with duration of 60 minutes; after this, each subgroup composed of 4-5 students will go to the and practical activity in skill lab using the low-fidelity mannequin for 35 minutes.

The students randomized to CG will be submitted to exhibition-dialogued class with duration of 60 minutes; after this, will go to practical activity in skill lab using the low-fidelity mannequin with duration of 35 minutes.

Each subgroup will be composed of 5-6 students for the practice activity which will last 45 minutes.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Scores in Pre and Post-test, Number of Participants Successfully Completing the Overall Performance Simulated Scenario(OSCE).
時間枠:Pretest: 40 minutes; Post-test: 40 minutes; OSCE: 10 minutes

Score obtained in pre and post-test written, time to obtain the first effective ventilation (chest expansion through adequate ventilation on the mannequin), number of attempts to insert the LMA in the simulation scenario (OSCE).

Pre-test: 20 questions with score of 0.5 points each - minimum score=0 points and maximum score=10 points. Score 5-7 points was considered satisfactory; scores between 7-8 points was considered good performance; above 8 points excellent.

Post-test: 20 questions with score of 0.5 points each - minimum score=0 points and maximum score=10 points. Score 5-7 points was considered satisfactory; scores between 7-8 points was considered good performance; above 8 points excellent.

OSCE: instrument with total of 10 skills - each skill was subdivided in 4-5 activities (0.2-0.25 points each) - poor performance was score < 5.0; satisfactory performance 5.0-7.0; good 7.0-8.5 and excellent above 8.5 points.

Pretest: 40 minutes; Post-test: 40 minutes; OSCE: 10 minutes
Time to Conclusion of Simulation Scenario (OSCE)
時間枠:10 minutes
This result present the total time for execution of simulation scenario (OSCE) by the students.
10 minutes

二次結果の測定

結果測定
メジャーの説明
時間枠
Time for Acquisition of First Effective Ventilation, Adequate Tidal Volume and Stabilization of Patient.
時間枠:10 minutes (600 sec)

Time of achievement to first effective ventilation and tidal volume (adequate chest expansion).

Stabilization of mannequin parameters (spO2 e HR).

10 minutes (600 sec)
Number of Attempts to Insertion of LMA
時間枠:10 minutes (total time of scenario)
Number of attempts for insertion of LMA and obtainment of effective ventilation.
10 minutes (total time of scenario)

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

捜査官

  • 主任研究者:Cesar E Pedersoli, MSN、College of Nursing at Ribeirao Preto - University of Sao Paulo

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始

2012年9月1日

一次修了 (実際)

2012年12月1日

研究の完了 (実際)

2012年12月1日

試験登録日

最初に提出

2012年8月2日

QC基準を満たした最初の提出物

2012年8月6日

最初の投稿 (見積もり)

2012年8月7日

学習記録の更新

投稿された最後の更新 (見積もり)

2014年6月2日

QC基準を満たした最後の更新が送信されました

2014年5月7日

最終確認日

2012年12月1日

詳しくは

本研究に関する用語

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