- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT05146856
Impact of a Day Without Clinical Activity Before Night Shift on Non-technical Skills of Intensive Care Residents (REPOPREGARD)
Impact of a Modified Schedule Including a Day Without Clinical Activity Before Night Shift on Non-technical Skills of French Residents in Intensive Care Unit, a Prospective Randomized Multi Center Study: REPOPREGARD Protocol Study
In this proposal, investigators seek to address conclusively two knowledge gaps: 1) the lack of data on the impact of a schedule including a day off clinic before night shift on performances of residents in anesthesia or critical care medicine and 2) the lack of data on the relationship between resident sleep deprivation and their non technical skills impairment. Investigators designed a prospective, randomized, blinded in cross over evaluation of medical pratices. Investigators will compare resident's performance during a high fidelity simulation session, on crisis managment in intensive care unit, after a night shift in intensive care unit, of residents who work on an intervention schedule with no clinical activity before night shift, with resident's performance of residents who had a traditionnal schedule including an usual clinical day before night shift. Investigators also assess cognitive performances, sleepiness and self esteem before and after night shift. Investigators specific aims will be:
To test the hypothesis that residents working on an intervention schedule will have non technical skills, assessed by Ottawa GRS global score, significantly less impaired after a night shift, than those on traditionnal schedule
To test the hypothesis that residents working on an interveniton schedule will have cognitive performances, sleepiness and self esteem less impaired after night shift than those on a traditionnal schedule
Studieöversikt
Status
Betingelser
Detaljerad beskrivning
Studietyp
Inskrivning (Förväntat)
Kontakter och platser
Studieorter
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-
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Clermont-Ferrand, Frankrike, 63000
- Clermont-Ferrand University Hospital
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Huvudutredare:
- Alexandre LAUTRETTE
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Testmetod
Studera befolkning
Beskrivning
Inclusion Criteria:
- residents in Anesthesia or Critical care medicine
- Who effect night shift in intensive care unit
- Able to take a day off clinic before night shift
- Able to give consent
Exclusion Criteria:
- Refusal of participation
Studieplan
Hur är studien utformad?
Designdetaljer
Kohorter och interventioner
Grupp / Kohort |
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Control
Residents in control group have a usual day with clinical activity before night shift
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Intervention
Residents in intervention group have a day off clinic before night shift (i.e day off or day with university activity)
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Residents' non technical skills after a night shift
Tidsram: Immediatly after the end of the night shift
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Measured by Ottawa Global Rated Scale global score assessed during a high fidelity simulation session of crisis managment.
Global score is comprise between 7 for a performance expected from a beginner and 42 for a performance expeted from an expert.
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Immediatly after the end of the night shift
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Residents' non technical skill before a night shift
Tidsram: Baseline, before the night shift
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Measured by Ottawa Global Rated Scale global score assessed during a high fidelity simulation session of crisis managment.
Global score is comprise between 7 for a performance expected from a beginner and 42 for a performance expeted from an expert.
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Baseline, before the night shift
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Cognitive performances : Phasic alert test
Tidsram: Before the night shift
|
refers to the notion of general wakefulness allowing to react quickly and appropriately to requests, score obtained from computer tool
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Before the night shift
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Cognitive performances : Phasic alert test
Tidsram: After the night shift up to 12 hours
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refers to the notion of general wakefulness allowing to react quickly and appropriately to requests, score obtained from computer tool
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After the night shift up to 12 hours
|
Cognitive performances : Divided attention test
Tidsram: Before the night shift
|
refers to the notion of paying attention to several things at the same time, score obtained from computer tool
|
Before the night shift
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Cognitive performances : Divided attention test
Tidsram: After the night shift up to 12 hours
|
refers to the notion of paying attention to several things at the same time, score obtained from computer tool
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After the night shift up to 12 hours
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Cognitive performances : Flexibility test with alternation
Tidsram: Before the night shift
|
refers to the notion of displacement of the attentional focus, score obtained from computer tool
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Before the night shift
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Cognitive performances : Flexibility test with alternation
Tidsram: After the night shift up to 12 hours
|
refers to the notion of displacement of the attentional focus, score obtained from computer tool
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After the night shift up to 12 hours
|
Cognitive performances : Working memory test
Tidsram: Before the night shift
|
refers to the notion of maintaining and updating when carrying out complex problems, score obtained from computer tool
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Before the night shift
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Cognitive performances : Working memory test
Tidsram: After the night shift up to 12 hours
|
refers to the notion of maintaining and updating when carrying out complex problems, score obtained from computer tool
|
After the night shift up to 12 hours
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Cognitive performances : Computerized Speed Cognitive Test
Tidsram: Before the night shift
|
refers to the notion of the speed of information processing, score obtained from computer tool
|
Before the night shift
|
Cognitive performances : Computerized Speed Cognitive Test
Tidsram: After the night shift up to 12 hours
|
refers to the notion of the speed of information processing, score obtained from computer tool
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After the night shift up to 12 hours
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Sleepiness
Tidsram: Before the night shift
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Measured by Karolinska Sleepiness scale, a score of 1 for a great tiredness to 9 for a very well awake state.
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Before the night shift
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Sleepiness
Tidsram: After the night shift up to 12 hours
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Measured by Karolinska Sleepiness scale, a score of 1 for a great tiredness to 9 for a very well awake state.
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After the night shift up to 12 hours
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Self esteem
Tidsram: Before the night shift
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Measured by Rosenberg Self Esteem scale, a score lower than 25 indicates a low self esteem and a score higher than 39 indicates a high self esteem.
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Before the night shift
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Self esteem
Tidsram: After the night shift up to 12 hours
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Measured by Rosenberg Self Esteem scale, a score lower than 25 indicates a low self esteem and a score higher than 39 indicates a high self esteem.
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After the night shift up to 12 hours
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Samarbetspartners och utredare
Studieavstämningsdatum
Studera stora datum
Studiestart (Förväntat)
Primärt slutförande (Förväntat)
Avslutad studie (Förväntat)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2021 LAUTRETTE REPOPREGARDE
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