High-Fidelity Simulation

NCT06935773 | Enrolling By Invitation DMC

• 1 other identifier: ChangBingSCMH
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This study explores the impact of high-fidelity simulation-based training on critical care nurses' emergency knowledge, skills, and teamwork in emergency and intensive care units. Using a quasi-experimental design, the experimental group undergoes 20 minutes of cognitive education followed by 40 minutes of simulation training, while the control group receives standard training. The study aims to assess improvements in teamwork efficiency, clinical decision-making, and confidence, with expected outcomes including enhanced emergency response skills and patient safety. The findings will underscore the value of simulation training in improving nursing care quality in high-pressure clinical environments.

Conditions

High-fidelity Simulation

Outcome Measures

Primary Outcomes (1)

• teamwork capabilities

  This study used a self-developed "First Aid Knowledge Scale" based on the American Heart Association (2020) First Aid Training Guidelines and course content to evaluate the effectiveness of on-the-job training in high-fidelity simulated first aid scenarios. The scale covers core topics, including first aid and CPR concepts, medication selection and dosage, and oxygen supply frequency. To ensure content validity, five emergency specialists reviewed the scale. It consists of 10 multiple-choice questions, each with four options. Correct answers earn 1 point, and incorrect answers earn 0. The score range is 0-10, with higher scores indicating better first aid knowledge. The "Team Resource Management Scale" (Chen Zhijie, 2011) was used to assess teamwork before and after the intervention. It measures leadership, communication, situational monitoring, and mutual support, with a total of 33 items. Higher scores reflect better teamwork.

  High-fidelity simulated first aid scenarios were measured pre-intervention and post-intervention in on-the-job training

Study Arms (2)

Experimental - Chang Bing Show Chwan Memorial Hospital

EXPERIMENTAL

Participants in this group will receive high-fidelity simulated emergency scenario in-service training.

Other: High-Fidelity Simulated Emergency Training

Placebo Comparator - Show Chwan Memorial Hospital

PLACEBO COMPARATOR

Participants in this group will not receive any simulation-based training during the study period.

Other: No intervention (observational study)

Interventions

High-Fidelity Simulated Emergency Training OTHER

A high-fidelity simulation-based in-service training program focusing on emergency scenarios. The training includes simulated resuscitation cases, teamwork drills, and post-simulation debriefings conducted at Chang Bing Show Chwan Memorial Hospital.

Experimental - Chang Bing Show Chwan Memorial Hospital

No intervention (observational study) OTHER

Participants in this arm will not receive any training or simulation intervention during the study period.

Placebo Comparator - Show Chwan Memorial Hospital

Eligibility Criteria

• Age: 20 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 20-65 years old.
• At least three months of work experience in acute and critical care units.
• Have received Advanced Cardiac Life Support(ACLS) training courses in hospitals.
• Willing participants after explaining the purpose of the study.

You may not qualify if:

• Nurses who are newly hired within 3 months.
• Have not received ACLS training courses in hospitals.

Sponsors & Collaborators

• Pei Yu Huang: lead

Study Sites (1)

Chang Bing Show Chwan Memorial Hospital

Changhua, Lukang, 505, Taiwan

Location

MeSH Terms

Interventions

Observation

Intervention Hierarchy (Ancestors)

Methods; Investigative Techniques

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: This study adopts a quasi-experimental design, targeting the nursing staff in the emergency department and intensive care unit of Chang Bing Show Chwan Memorial Hospital for the high-fidelity simulated emergency scenario in-service training as the experimental group. The control group consists of nursing staff from the emergency and critical care units at Changhua Show Chwan Memorial Hospital.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research Nurse Practitioner

Model Details: This study adopts a quasi-experimental design, targeting the nursing staff in the emergency department and intensive care unit of Chang Bing Show Chwan Memorial Hospital for the high-fidelity simulated emergency scenario in-service training as the experimental group. The control group consists of nursing staff from the emergency and critical care units at Changhua Show Chwan Memorial Hospital. The study is conducted using a pre-test and post-test design for both groups. The measurement tools include the Team Resource Management (TRM) scale and the Emergency Knowledge scale, which are used to evaluate the training effectiveness. The experimental group is divided into subgroups based on their unit attributes and receives 20 minutes of cognitive education followed by 40 minutes of simulation training. The content includes rotating through emergency roles and post-training discussions to promote learning reflection and behavior improvement.

Study Record Dates

• First Submitted: April 6, 2025
• First Posted: April 20, 2025
• Study Start: April 15, 2025
• Primary Completion: August 31, 2025
• Study Completion: December 31, 2025
• Last Updated: April 20, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: one year

Locations

TW (1)