The Learning Outcome of Resuscitation Teamwork Training in Postgraduate Year Doctors and Nurses

Patient Care Team Clinical Trial

Official title:

The Learning Outcome of Resuscitation Teamwork Training on Developing Teamwork Performance in Postgraduate Year Doctors and Nurses - Comparison of Board Game-based Learning, Simulation-based Learning and Lecture-based Learning

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT05302414
• Other study ID #: N202201126
• Status: Enrolling by invitation
• Phase: N/A
• Start date: September 12, 2022
• Est. completion date: December 2022

Study information

• Verified date: February 2022
• Source: Taipei Medical University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

It is challenging for healthcare team to manage emergency patient effectively. Most of these critical patients have medical conditions and need complex medical managements. Research findings have shown that poor healthcare teamwork would result in poor communication, missing information, and insufficient situation monitoring and thus compromise patient safety. Simulation has been proved as an effective method to develop teamwork competency. However, comparing to traditional training model, simulation requires more resources such as funding, spaces, time, administration staffs, schedule, facilitators, and equipment. It would not be easy to delivery in various professional departments. Game-based learning was a known effective and learner-centered learning model which required less resources. Researchers have shown that game-based learning has higher acceptance for the learners and can improve learners' knowledge, attitude, motivation, and performance. Therefore, the aim of this study was to explore the learning effectiveness of resuscitation teamwork training of board game-based learning, simulation-based learning and lecture-based learning in PGY doctors and nurses.

Description:

This will be a prospective, longitudinal, and randomized controlled trial design. A total number of 180 PGY doctors and nurses will be enrolled from a teaching hospital in northern Taipei City. They will be randomized into board game-based learning, simulation-based learning, and lecture-based learning group. Three groups will receive "Emergency Medical Response Teamwork" training and all of these contents were developed according to America Heart Association Guidelines for Cardiopulmonary Resuscitation and ECC and TeamSTEPPS curriculum from Agency for Healthcare Research and Quality. We will collect the professional demography, the professional medical knowledge for medical management, the concept of knowledge for teamwork, team performance, team attitude, medical management, course survey, and cognitive load scales. We will compare the learning effectiveness between three groups in pre test, post-test, and three month later after post-test. Statistics including categorical data and between-group test will analyzed by Chi-square test. In addition, we will use repeated measurement ANOVA and Linear mixed model for continuous variables to exam the between group difference from the baseline to the delay test.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 180
• Est. completion date: December 2022
• Est. primary completion date: December 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years and older

Eligibility

Inclusion Criteria:

1. Postgraduate Year doctors who is 20 years old and work in primary care.

2. Postgraduate Year nurses who is 20 years old and work in primary care

Exclusion Criteria:

1. Participant do not work in primary care provide.

2. Healthcare provider do not delivery in relative adult care department, such as pediatric department, obstetrics department, and psychiatry department so on.

Related Conditions & MeSH terms

• Patient Care Team

Intervention

Other:
• board game-based teamwork training
Using board game-based learning to develop resuscitation teamwork competency in PGY doctors and nurses.

Behavioral:
• simulation-based teamwork training
Using board simulation-based learning to develop resuscitation teamwork competency in PGY doctors and nurses.

Other:
• lecture-based teamwork training
Using board lecture-based learning to develop resuscitation teamwork competency in PGY doctors and nurses.

Locations

Country	Name	City	State
Taiwan	Jen-Chieh Wu	New Taipei City

Sponsors (2)

Lead Sponsor	Collaborator
Taipei Medical University Hospital	Taipei Veterans General Hospital, Taiwan

Country where clinical trial is conducted

Taiwan, 

References & Publications (15)

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Buijs-Spanjers KR, Harmsen A, Hegge HH, Spook JE, de Rooij SE, Jaarsma DADC. The influence of a serious game's narrative on students' attitudes and learning experiences regarding delirium: an interview study. BMC Med Educ. 2020 Sep 1;20(1):289. doi: 10.11 — View Citation

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Eddy K, Jordan Z, Stephenson M. Health professionals' experience of teamwork education in acute hospital settings: a systematic review of qualitative literature. JBI Database System Rev Implement Rep. 2016 Apr;14(4):96-137. doi: 10.11124/JBISRIR-2016-1843 — View Citation

Fernandez R, Kozlowski SW, Shapiro MJ, Salas E. Toward a definition of teamwork in emergency medicine. Acad Emerg Med. 2008 Nov;15(11):1104-12. doi: 10.1111/j.1553-2712.2008.00250.x. Epub 2008 Oct 1. — View Citation

Finer NN, Rich W. Neonatal resuscitation: toward improved performance. Resuscitation. 2002 Apr;53(1):47-51. — View Citation

Malmström B, Nohlert E, Ewald U, Widarsson M. Simulation-based team training improved the self-assessed ability of physicians, nurses and midwives to perform neonatal resuscitation. Acta Paediatr. 2017 Aug;106(8):1273-1279. doi: 10.1111/apa.13861. Epub 20 — View Citation

McEwan D, Ruissen GR, Eys MA, Zumbo BD, Beauchamp MR. The Effectiveness of Teamwork Training on Teamwork Behaviors and Team Performance: A Systematic Review and Meta-Analysis of Controlled Interventions. PLoS One. 2017 Jan 13;12(1):e0169604. doi: 10.1371/ — View Citation

Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, Perkins GD, Soar J, Truhlár A, Wyllie J, Zideman DA; ERC Guidelines 2015 Writing Group. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summar — View Citation

Rosqvist E, Lauritsalo S, Paloneva J. Short 2-H in Situ Trauma Team Simulation Training Effectively Improves Non-Technical Skills of Hospital Trauma Teams. Scand J Surg. 2019 Jun;108(2):117-123. doi: 10.1177/1457496918789006. Epub 2018 Jul 20. — View Citation

Sawyer T, Laubach VA, Hudak J, Yamamura K, Pocrnich A. Improvements in teamwork during neonatal resuscitation after interprofessional TeamSTEPPS training. Neonatal Netw. 2013 Jan-Feb;32(1):26-33. doi: 10.1891/0730-0832.32.1.26. — View Citation

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* Note: There are 15 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The change of medical team's teamwork performance	The medical team's teamwork performance was assessed by "Chinese Version of Team Performance Observation Tool" (TPOT) which consisted of 23 items. The team performance observation tool comprised of 5 main aspects including team structure, communication, leadership, situation monitoring, and mutual support. The scale was from 1 (Very disagree) to 5 (strongly agree), and the total score was 115.	The measure assessing change between three time points in medical team's teamwork performance. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
Primary	The change of healthcare professionals' concept of knowledge for teamwork	The healthcare professionals' concept of knowledge for teamwork was assessed by "TeamSTEPPS Learning Benchmarks" which consisted of 23 items. TeamSTEPPS Learning Benchmarks' questions focus on medical teamwork and communication and their effect on quality and safety in patient care. Each question have 5 option but only one best answer. The total score was 115.	The measure assessing change between three time points in concept of knowledge for teamwork. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
Secondary	The change of healthcare professionals' team attitude	The healthcare professionals' team attitude was assessed by "Interprofessional Collaboration Scale" (IPC) which consisted of 26 items. IPC comprised of 3 main aspects including communication, accommodation and isolation. We adopted the first 13 items because those were related to medical and nursing professional background. The scale was from 1 (strongly disagree) to 4 (strongly agree), and the total score was between 13 and 52.	The measure assessing change between three time points in healthcare professionals' team attitude. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
Secondary	The change of healthcare professionals' resuscitation medical knowledge for medical management	The healthcare professionals' medical knowledge for medical management was assessed by "ACLS Precourse Self-Assessment" which consisted of 60 items. ACLS Precourse Self-Assessment comprised of 3 main aspects including rhythm identification, pharmacology and practical application. We selected the 20 items because those were related to resuscitation medical management (VT, VF, Asystole, PEA). The total score was 100.	The measure assessing change between three time points in resuscitation medical knowledge for medical management. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
Secondary	The change of medical team's resuscitation medical management	The medical team's resuscitation medical management was assessed by " medical management checklist ". The checklist items is reference from 2020 American Heart Association Guidelines for CPR and ECC. 20 items were identified by our expert panel based on resuscitation guideline including applying adequate oxygen according to patient's dynamic condition, identifying cardiac arrest in time and keep providing high quality cardio-pulmonary resuscitation, identifying shockable rhythm and delivering in-time and correctly shock, administering resuscitation medicine correctly. The checklist was rated on a dichotomous scale with 2 (complete), 1 (patical), and 0 (incomplete).The total score was 20.	The measure assessing change between three time points in medical team's resuscitation medical management. The pre-test (Baseline), immediate post-test after intervention (Time 2), and three months later after intervention (Time 3), respectively.
Secondary	The healthcare professionals' learning cognitive load after intervention	The healthcare professionals' learning cognitive load was assessed by "Chinese Version of Learning Cognitive Load questionnaires" (Hwang & Yangru, 2013) which consisted of 8 items. The learning cognitive load questionnaires comprised of 2 main aspects including mental Load and mental efforts. The scale was from 1 (Very disagree) to 6 (strongly agree), and the total score was 48.	The immediate post-test after intervention.
Secondary	Course survey	Two questions for course satisfaction after board game-based learning. First question, how do you feel about your board game-based learning experience? (For example: any difficult or interesting, etc...). Second, are there any suggestions you can provide to help improve this course?	The immediate post-test after intervention.