Positive Communication and Clinical Performance in Anaesthetic Care.

Clinical Performance Clinical Trial

— ComPerf  

Official title:

Positive Communication Within Healthcare Team and Clinical Performance: a Prospective, Randomised and Controlled Simulation Trial.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03375073
• Other study ID #: CESAR001
• Status: Completed
• Phase: N/A
• Start date: November 29, 2017
• Est. completion date: September 29, 2018

Study information

• Verified date: April 2019
• Source: University Grenoble Alps
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The emotional and cognitive impact of positive communication between caregivers remains uninvestigated. The investigators hypothesize that positive communication during medical transmission can increase clinical performance for managing a subsequent stressful unexpected adverse event.

Description:

When caregivers deal with acute stressful adverse events, cognitive overload and negative emotions can impair cognitive abilities and decrease clinical performance. The beneficial effect of positive communication on patients' emotions has widely been studied. However, the emotional and cognitive impact of positive communication between caregivers remains uninvestigated. The primary purpose of this trial is to study the impact of positive communication between anaesthetic teams during medical transmissions on clinical performance for managing a subsequent stressful unexpected adverse event. Secondary outcomes are to study the impact of positive communication on physiological (heart rate variability) and psychological (psychometric scales) levels of stress.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 32
• Est. completion date: September 29, 2018
• Est. primary completion date: June 29, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion criteria

Anaesthetic teams composed with :

• 1 resident in anaesthesiology and critical care AND

• 1 anaesthetic nursing student in second year OR 1 anaesthetic nurse graduated less than 5 years ago

Non-inclusion criteria

• Refusal to be videotaped

• No consent to participate

• Anaesthetic nurses working in a paediatric operating room.

Related Conditions & MeSH terms

• Anaesthesiology
• Clinical Performance
• High Fidelity Simulation
• Positive Communication

Intervention

Other:
• Positive communication during medical transmission
Use of positive communication for medical transmission to the anaesthetic team who takes over the patient.

Locations

Country	Name	City	State
France	University Grenoble Alps	La Tronche

Sponsors (1)

Lead Sponsor	Collaborator
University Grenoble Alps

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Clinical performance of the anaesthetic team	Clinical performance in a simulated scenario of laryngospasm occurring in a 7 year old child under general anaesthesia. Clinical performance will be scored from 0 to 100 by two independent blinded assessors, using video records and a pre-established scenario-specific checklist. The primary endpoint will be the mean of the two assessments for each performance.	Each anaesthetic team will be involved once in the scenario. The scenario will last about 6 min (transmission not included). Both assessment of clinical performance will be made within 20 weeks of each simulation session
Secondary	Heart rate variability	Standard deviation of the average of RR intervals (SDNN in milliseconds) in participants	Before the scenario (during 5 min), during medical transmission (2 min), during the scenario before the laryngospasm (2 min), during the laryngospasm (4 min), during the debriefing (20 min), after the debriefing (5 min)
Secondary	Self-reported stress	Stress level self reported by participants on visual analogical scale (VAS from 0 to 100); One end of the scale represents the maximum conceivable symptom strength (i. e., 100%), the other end no symptoms whatsoever (i. e., 0%).	Before the scenario (at 5 min), after medical transmission (at 7 min), after the scenario (at 13 min), after debriefing (at 33 min)