Task Focusing Strategy During a Simulated Cardiopulmonary Resuscitation

Mental Stress Clinical Trial

Official title:

Impact of a Task Focusing Strategy on Perceived Stress Levels and Performance During a Simulated Cardiopulmonary Resuscitation: A Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01645566
• Other study ID #: BS1330978
• Status: Completed
• Phase: N/A
• First received: July 15, 2012
• Last updated: July 19, 2012
• Start date: December 2007
• Est. completion date: July 2008

Study information

• Verified date: July 2012
• Source: University Hospital, Basel, Switzerland
• Contact: n/a
• Is FDA regulated: No
• Health authority: Switzerland: EKBB
• Study type: Interventional

Clinical Trial Summary

This is a prospective randomized controlled study. The aim of this study is to

1. describe the stress patterns experienced during a CPR situation;

2. investigate whether the perceived stress was associated with CPR performance in terms of hands-on time and time to start CPR;

3. to investigate whether this task focusing strategy reduces perceived stress levels, and

4. whether this translates into better CPR performance. Based on findings that clear, directive leadership can enhance performance in cardiac resuscitation, we further 5) investigate if stress was associated with fewer leadership statements.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 124
• Est. completion date: July 2008
• Est. primary completion date: May 2008
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 4th year medical students

Exclusion Criteria:

• No informed consent

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject)

Related Conditions & MeSH terms

• Mental Stress
• Stress, Psychological

Intervention

Behavioral:
• instruction
instructions about focusing on relevant task elements by posing two task-focusing questions ("what is the patient's condition?", "what immediate action is needed?") when feeling overwhelmed by stress (intervention-group)

Locations

Country	Name	City	State
Switzerland	University Hospital Basel	Basel	BS

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Basel, Switzerland

Country where clinical trial is conducted

Switzerland, 

References & Publications (3)

Hunziker S, Johansson AC, Tschan F, Semmer NK, Rock L, Howell MD, Marsch S. Teamwork and leadership in cardiopulmonary resuscitation. J Am Coll Cardiol. 2011 Jun 14;57(24):2381-8. doi: 10.1016/j.jacc.2011.03.017. Review. — View Citation

Hunziker S, Laschinger L, Portmann-Schwarz S, Semmer NK, Tschan F, Marsch S. Perceived stress and team performance during a simulated resuscitation. Intensive Care Med. 2011 Sep;37(9):1473-9. doi: 10.1007/s00134-011-2277-2. Epub 2011 Jun 22. — View Citation

Hunziker S, Semmer NK, Tschan F, Schuetz P, Mueller B, Marsch S. Dynamics and association of different acute stress markers with performance during a simulated resuscitation. Resuscitation. 2012 May;83(5):572-8. doi: 10.1016/j.resuscitation.2011.11.013. Epub 2011 Nov 22. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	perceived levels of stress and feeling overwhelmed (stress/overload)	This is a simulator study and the study starts after students entered the simulator and the manikin has a cardiac arrest. The scenarios usually last for not more than 5-10 min at which time point the study is finished	time from start of CPR until scenario is finished (usually 5-10min)	No
Secondary	hands-on time	This is a simulator study and the study starts after students entered the simulator and the manikin has a cardiac arrest. The scenarios usually last for not more than 5-10 min at which time point the study is finished	time from start of CPR until scenario is finished (usually 5-10min)	No
Secondary	time to start CPR		time from start of CPR until scenario is finished (usually 5-10min)	No
Secondary	Number of leadership statements		time from start of CPR until scenario is finished (usually 5-10min)	No