Team Debriefing With Instructor vs Team Debriefing Without Instructor After Simulating a Vital Emergency in a Multidisciplinary Team

NCT03307421 | Unknown DMC

• 1 other identifier: DEBRIEF-SIM II
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

Comparison between a team debriefing with an instructor and a team debriefing without an instructor, on improving non-technical skills (TEAM score) after simulating a vital emergency in a multidisciplinary team as part of the initial training

Conditions

High Fidelity Simulation Training; Simulation Training

Keywords

simulation; debriefing; team score; multidisciplinarity; DEBRIEF sim II

Outcome Measures

Primary Outcomes (1)

• TEAM SCORE

  TEAM Score is a non-technical skills assessment score. This score consists of four items (leadership, teamwork, task management, overall score). Each of these items is rated from 0 to 4, which is a score of 44, to which is added an overall score of 10 points. This score is validated and reflects teamwork skills \[30\] \[31\] \[32\] \[33\]. The scoring of the TEAM score will be carried out by a pair composed of a doctor in anesthesia-resuscitation and a nurse anesthetist trained and trained beforehand. This notation will be done afterwards simulations thanks to the registration of passage of the binomials on simulators.

  6 months

Secondary Outcomes (2)

• technical score

  6 months

• sense of self-efficacy (SEP)

  6 months

Study Arms (2)

debriefing without instructor

OTHER

Team debriefing without an instructor will be organized as follows. The pairs of participants will be placed in a room with direct access to the video recording of their passage on the simulator. Two documents will be made available to help participants structure their debriefing: one targeting non-technical skills, based on the TEAM Score, and one recalling recommendations on ACR care. Despite its absence at the time of the debriefing, the instructor will be present during the briefing and during the simulation.

Other: debriefing without instructor

debriefing with instructor

OTHER

The team debriefing with an instructor will begin immediately after the simulator run and will be governed by the principle of "no judgment" described by Rudolph . A portion of the video of the participants' pass may be reviewed and used to support the debriefing (depending on the utility judged by the debrief). Each center will use its own team of trainers, but it will have a predefined plan and predefined objectives, which are provided in advance in order to obtain a standardized debriefing. Moreover, these trainers will not be beginners but will have some expertise in the pedagogy of simulation. They will have to have a DU in a simulation or pedagogy trainer (recommendations from SofraSim) and will have to carry out 15 debriefings per year

Other: debriefing with instructor

Interventions

debriefing without instructor OTHER

The randomization will focus on the allocation of the debriefing method: group without instructor versus group with instructor (AI). It will be stratified by center and performed before the first simulation session. The randomization will be carried out by the clinical methodology center of the Besançon University Hospital. The sequence of scenarios for each binomial will also be determined by randomization.

Also known as: video assisted

debriefing without instructor

debriefing with instructor OTHER

The randomization will focus on the allocation of the debriefing method: group without instructor versus group with instructor (AI). It will be stratified by center and performed before the first simulation session. The randomization will be carried out by the clinical methodology center of the Besançon University Hospital.

debriefing with instructor

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Men and women of full age (\> 18 years)
• Informed consent signed
• Affiliation to or a beneficiary of a French social security scheme.
• Internal from 3rd to 10th semester anesthesia resuscitation of the CHU of Besançon, Dijon, Lyon or Strasbourg.
• IADE students from the nursing school of Besançon, Dijon Lyon or Strasbourg.

You may not qualify if:

• Subject without health insurance
• Pregnant woman
• Subject refusing to sign the confidentiality clause
• Internal first-year anesthesia-resuscitation.

Sponsors & Collaborators

• Centre Hospitalier Universitaire de Besancon: lead
• ALOUANE Mael: collaborator

Study Sites (1)

CHU de besançon

Besançon, 25000, France

RECRUITING

Central Study Contacts

Sophie Depierre

CONTACT

0381218745; sdepierre@chu-besancon.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: 2 parallel groups, stratified by center, randomized by center

Study Record Dates

• First Submitted: September 28, 2017
• First Posted: October 11, 2017
• Study Start: October 12, 2017
• Primary Completion: December 12, 2018
• Study Completion: December 12, 2018
• Last Updated: December 26, 2017

Record last verified: 2017-12

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)