Effect of an Observer Tool on Learning Outcomes During High Fidelity Simulation

NCT03356717 | Completed

• 1 other identifier: UParis-Sud
• Study Type: interventional
• Target: 89
• Locations: 1 country
• Sites: 1

Brief Summary

The increasing use of high-fidelity simulation is limited by the imbalance between the growing number of students and the human resources available in such a way that all residents cannot play a role during scenarios. The learning outcomes of observers need to be studied in more depth. Previous studies have provided controversial results but overall no significant differences in learning outcomes can be demonstrated between observers and participants engaged as players in scenarios. Moreover, preliminary data suggest that learning outcomes of observers might be improved by using an observer tool during the scenario. However, no high-quality study has yet shown if this assumption is verified. In the present study, 3rd-4th year residents in anesthesia will be randomized before high fidelity scenarios to act as observers only or active participants in some scenarios and observers in others. The main outcome parameter will be the learning outcomes by comparing data obtained before and after the sessions by using questionnaires specifically dedicated to the knowledge of technical skills in the management of crisis scenarios.

Conditions

Simulation

Keywords

simulation, high-fidelity, observer tool; learning outcomes

Outcome Measures

Primary Outcomes (1)

• Learning outcomes assessing knowledge of technical skills

  The main outcome parameter will be the learning outcomes by comparing data obtained before and after the sessions by using questionnaires specifically dedicated to the knowledge of technical skills in the management of crisis scenarios: change will be assessed

  measured before and immediately after the session

Secondary Outcomes (1)

• self assessment of the effect of the simulation session on non-technical skills

  measured immediately after the session

Study Arms (2)

educational intervention - observer tool

EXPERIMENTAL

Participants in this arm will be given the observer tool (OT) before the scenario and will be explained how to use it, i.e. observe all details of the scenario on the screen and tick on the OT all actions which are done by active participants.The observer tool will also be used to engage observers during the debriefing session. The scenario will then be observed in a screen (i.e. the scenario is played by active participants in an adjacent room using direct video-recording and transmission.

Behavioral: educational intervention with observer tool

without observer tool

ACTIVE COMPARATOR

Participants in this arm will not be given the observer tool (OT) before the scenario but will be asked to observe all details of the scenario on the screen.The observers will also be asked to participate during the debriefing session.

Behavioral: educational intervention

Interventions

educational intervention with observer tool BEHAVIORAL

To assess if the use of an observer tool by observers during high fidelity simulation improves learning outcomes

educational intervention - observer tool

educational intervention BEHAVIORAL

without observer tool

without observer tool

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• residents in anesthesia

You may not qualify if:

• none

Sponsors & Collaborators

• Université Paris-Sud: lead

Study Sites (1)

Université Paris Sud

Le Kremlin-Bicêtre, 94275, France

Location

Related Publications (2)

• Lai A, Haligua A, Dylan Bould M, Everett T, Gale M, Pigford AA, Boet S. Learning crisis resource management: Practicing versus an observational role in simulation training - a randomized controlled trial. Anaesth Crit Care Pain Med. 2016 Aug;35(4):275-81. doi: 10.1016/j.accpm.2015.10.010. Epub 2016 Mar 14.

  PMID: 26987738 BACKGROUND

• Suet G, Blanie A, De Montblanc J, Benhamou D. Use of an Observer Tool to Enhance Observers' Learning of Anesthesia Residents During High-Fidelity Simulation: A Randomized Controlled Trial. Simul Healthc. 2022 Feb 1;17(1):e75-e82. doi: 10.1097/SIH.0000000000000584.

  PMID: 34120134 DERIVED

Related Links

• Observer roles that optimise learning in healthcare simulation education: a systematic review. O'Regan et al. Advances in Simulation (2016) 1:4

MeSH Terms

Interventions

Early Intervention, Educational

Intervention Hierarchy (Ancestors)

Child Health Services; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Preventive Health Services

Study Officials

• BENHAMOU Dan, MD

  Université Paris-Sud

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Anesthesia and Intensive Care Medicine, Chair of the simulation center

Model Details: randomized study

Study Record Dates

• First Submitted: June 22, 2017
• First Posted: November 29, 2017
• Study Start: June 23, 2017
• Primary Completion: June 29, 2017
• Study Completion: June 30, 2017
• Last Updated: November 29, 2017

Record last verified: 2017-11

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)