Transfer of Non-technical Skills From Simulation to Clinical Practice

NCT04922203 | Unknown

• 1 other identifier: 2018-71
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Since 1988, simulation has been proposed as a teaching tool in Anesthesia. The simulation environment allows to teach learners non-technical skills which are a combination of cognitive, social, and personal resources complementary to procedural skills that contribute to an efficient and safe performance. Non-technical skills traditionally used in Anesthesia are task management, situational awareness, teamwork and decision making. They can be indirectly measured with validated scales (e.g. Anesthesia Non-Technical Skills (ANTS) system). In addition to these basic skills, specific skills such as Anesthesia Crisis Resource Management (ACRM) are required when the patient presents a critical clinical situation. Simulation, as proposed by Gaba, was initially practiced in centers specifically designed for this purpose. More recently, we have proposed the model of in situ simulation, i.e. in the usual workplace with the usual work team, as another option for the practice of simulation. There are many theories about the transfer of learning. Transfer can be defined as what remains of the completed training that the learner actually uses, i.e. the final real effect. Nevertheless, almost 30 years after the introduction of simulation in the training of anesthesiologists, data demonstrating the interest of this teaching in terms of transfer of learning of non-technical skills to clinical practice or benefits for patients are rare. The main objective of this study is to evaluate the transfer of non-technical skills taught in a training program including in situ simulation to clinical practice by anesthesiology residents.

Conditions

in Situ Simulation

Outcome Measures

Primary Outcomes (3)

• ANTS (Anesthesia non technical skills) score

  15 items - From 1(poor) to 4 (good) for each item - Minimum 15 - Maximum 60

  Once a day for 5 consecutive days between the first and the 15th day after enrollment in the study

• ANTS (Anesthesia non technical skills) score

  15 items - From 1(poor) to 4 (good) for each item - Minimum 15 - Maximum 60

  Once a day for 5 consecutive days between the 30th and 45th day after enrollment

• ANTS (Anesthesia non technical skills) score

  15 items - From 1(poor) to 4 (good) for each item - Minimum 15 - Maximum 60

  Once a day for 5 consecutive days between the 3rd and the 4th month after enrollment

Secondary Outcomes (3)

• DOPS (Direct Observation of Procedural Skills) scale

  Once within the first 15 days of enrollment

• DOPS (Direct Observation of Procedural Skills) scale

  Once between the 30th and the 45th day after enrollment

• DOPS (Direct Observation of Procedural Skills) scale

  Once between the 3rd and the 4th month after enrollment

Study Arms (2)

Control group

NO INTERVENTION

Anesthesiology residents do not receive any in situ simulation sessions during the observation period

Simulation group

EXPERIMENTAL

Anesthesiology residents receive in situ simulations sessions during the observation period

Other: in Situ Simulation

Interventions

in Situ Simulation OTHER

2 sessions of in situ simulation with 4 crisis scenarios and debriefing focused on non technical skills

Simulation group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Internship in the ambulatory surgery unit

You may not qualify if:

• \- Refusal to participate

Sponsors & Collaborators

• Jean François Brichant: lead

Study Sites (1)

CHU de Liège - Sart-Tilman

Liège, 4000, Belgium

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Sponsor

Study Record Dates

• First Submitted: June 4, 2021
• First Posted: June 10, 2021
• Study Start: May 28, 2021
• Primary Completion: September 30, 2024
• Study Completion: September 30, 2024
• Last Updated: June 10, 2021

Record last verified: 2021-06

Locations

BE (1)