The Effect Of Simulation-Supported Pediatric CPR Training Based On CRM On Knowledge, Attitude, And Performance

NCT06341218 | Completed DMC

• 1 other identifier: 21-5T/3
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Crew Resource Management is a training system that aims to use all available resources effectively and increase safety by improving technical knowledge and skills as well as non-technical skills in risky tasks such as CPR. In safe critical patient management, the healthcare team should have interpersonal skills such as communication, stress management, teamwork, and leadership, cognitive skills such as situational awareness, task completion, planning, monitoring the situation, and rapid response to critical incidents, in addition to technical skills. To improve outcomes after pediatric cardiac arrest, many systems have been developed for performance measurement and quality improvement initiatives of the healthcare team. However, studies are needed to evaluate the effects of these systems. This study was planned to evaluate the effectiveness of simulation-supported pediatric cardiopulmonary resuscitation training based on team resource management on knowledge, attitude, and performance of the healthcare team in the pediatric intensive care unit.

Conditions

Cardiopulmonary Resuscitation

Keywords

crew resource management; cpr; multidisciplinary health team; pediatric nursing; patient simulation

Outcome Measures

Primary Outcomes (4)

• Socio-demographic data of the healthcare team

  In this form, there are closed-ended questions about the participant's age, gender, occupation, educational status, duration of professional experience, area of professional experience, the status of receiving Pediatric CPR training in undergraduate education, the status of attending the Pediatric CPR Course, and the status of participating in CPR case management in the clinic. In addition, open-ended questions were included to evaluate the reasons for the difficulties experienced in the management of the CPR process, the perception of a functional team in CPR management, the status of providing functional teamwork in risky tasks such as CPR in their clinics, and what are the individual-clinical-organizational suggestions to improve ECM management in the CPR process.

  Baseline

• Pediatric KPR knowledge level

  The effect of simulation-supported pediatric KPR training based on team resource management on knowledge The form includes a total of 25 statements, including 13 true and 12 false statements for the management of the Pediatric CPR process. A cut-off point of 80 points was set for the participants to be evaluated as successful in the form in which the level of knowledge of the participants was determined. For each statement in the form, the participants were expected to answer as 'True' - 'False' - 'No Idea'; each item was evaluated over 4 points.

  2 month

• Pediatric KPR team attitude level

  The effect of simulation-supported pediatric KPR training based on team resource management on team attitude The Teamwork Attitudes Scale includes 5 sub-dimensions (team structure, leadership, situation monitoring, mutual support, and communication) and 28 items. The scale is a 5-point Likert-type scale (Strongly Disagree=1 point, Disagree=2 points, Undecided=3 points, Agree=4 points, Strongly Agree=5 points). As a result of the evaluation of the scale total score averages and sub-dimension score averages, the highest score is 140 and the lowest score is 28. As a result of the evaluation of the scale, the high score of the individual shows that the teamwork attitude is positive.

  2 month

• Pediatric KPR team performance level

  The effect of simulation-supported pediatric KPR training based on team resource management on performance Pediatric CPR Team Performance Checklist; while the participant performed the skill expected from him/her in the simulation environment, the researcher monitored how this skill was performed and evaluated through pre-structured and progressive checklists. In the evaluation of the Pediatric CPR Team Performance Checklist; according to the performance of the participant, each item was evaluated as 'Not Performed=0 points', 'Partially Performed=1 point', and 'Performed=2 points'. Total score averages were used in the evaluation. The Pediatric CPR Team Performance Checklist includes the following sections; Phase 1: Pre-CPR Performance Checklist (16 items) Phase 2: CPR Process Performance Checklist (16 items) Phase 3: Post-KPR Performance Checklist (6 items) Phase 4: CPR Process Non-Technical Skills Checklist (13 items)

  2 month

Study Arms (2)

Intervention Group

EXPERIMENTAL

The intervention group was divided into 5 CPR teams consisting of 5 nurses and 2 physician assistants. While forming the intervention group, stratified random sampling was performed by targeting the years of professional experience of assistant physicians and nurses and homogeneity between subgroups was ensured. CRM-Based Pediatric CPR Training was given to the intervention group.

Other: Pediatric Cardiopulmonary Resuscitation Training Based On Team Resource Management

Control Group

NO INTERVENTION

The Control group was divided into 5 CPR teams consisting of 5 nurses and 2 physician assistants. While forming the control group, stratified random sampling was performed by targeting the years of professional experience of assistant physicians and nurses, and homogeneity between subgroups was ensured. The control group was assumed to know pediatric CPR management as per their clinical duties and no educational intervention was made.

Interventions

Pediatric Cardiopulmonary Resuscitation Training Based On Team Resource Management OTHER

The sociodemographic information form, Pediatric CPR knowledge level and teamwork attitudes pretest were administered to the healthcare teams just before the training intervention. The intervention group received a 3-hour training intervention on technical/non-technical skills for CRM-Based Pediatric CPR Training To measure pediatric CPR team performance, 5 different scenarios were prepared by the researcher by INACLS standards. One day after the training intervention, simulation application including pediatric cardiac arrest scenarios was applied to all CPR teams in the intervention(5 groups) and control(5 groups) groups. The scenario content was based on a 5-year-old male patient diagnosed with Pneumonia+Septic Shock. Pediatric CPR skill levels of the healthcare teams were evaluated during the simulation practice. Immediately after the simulation, the post-intervention post-test of Pediatric CPR knowledge level and team attitudes of the healthcare teams was performed.

Intervention Group

Eligibility Criteria

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

You may qualify if:

• Working in Ege University Pediatric Intensive Care Unit or Pediatric Emergency Service
• Voluntary acceptance to participate in the study
• Participated in CPR case management at least once
• Not having received ECM training before
• Not having received any training on Pediatric CPR and ECPR during the implementation phase of the study

You may not qualify if:

• Voluntary refusal to participate in the study,
• Never participated in CPR case management,
• Having received EKY training before,
• Having received any training in Paediatric CPR and ECM during the implementation phase of the study,
• Incomplete completion of the data collection tools of the study or failure to complete the simulation phase

Sponsors & Collaborators

• Zonguldak Bulent Ecevit University: lead
• Ege University: collaborator

Study Sites (1)

Ege University

Izmir, Bornova, 35100, Turkey (Türkiye)

Location

Study Officials

• SİĞNEM ANOL KILIÇ, PhD

  Research assistant

  PRINCIPAL INVESTIGATOR

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: PRINCIPAL INVESTIGATOR
• PI Title: research assistant

Study Record Dates

• First Submitted: November 28, 2023
• First Posted: April 2, 2024
• Study Start: February 25, 2021
• Primary Completion: September 30, 2023
• Study Completion: November 15, 2023
• Last Updated: April 2, 2024

Record last verified: 2024-04

Locations

TU (1)