Performance Clinical Trial
Official title:
The Effect of a Proficiency Based Progression Training Programme for Clinical Communication on ISBAR Performance
Importance: Clinical communication is an important source of medical error and preventable
adverse events.
Objective: To determine the effectiveness of proficiency-based progression (PBP) simulation
training for ISBAR (Identify, Situation, Background, Assessment, Recommendation)
communication in the deteriorating patient.
Setting: The study will be conducted in University College Cork, Ireland. Participants: Third
year undergraduate nursing and fifth year medical students, who are scheduled to undertake
ISBAR training as part of the National Early Warning Score (NEWS) programme.
Intervention: Participants will be prospectively randomized to one of three groups before
undertaking a performance assessment of an ISBAR communication relevant to a deteriorating
patient in a high fidelity simulation laboratory: HSE group (the national e-learning
programme only); S group (national e- learning plus simulation training) and PBP group
(national e-learning plus proficiency-based progression simulation).
Main outcome and measures: A proficiency benchmark on the performance of ISBAR communication
in the context of an acutely deteriorating patient.
The first successful simulation validation study used a proficiency-based progression
methodology. Since then the approach has been successfully deployed to produce superior
technical skills but has not yet been validated for non-technical (communication) skills. The
ISBAR (Identify, Situation, Background, Assessment and Recommendation) has been selected as
the standardised tool for clinical communication in relation to an acutely deteriorating
patient in many healthcare organisations worldwide, including Ireland.
The aim of this study is to explore whether proficiency-based progression (PBP) could be
applied to simulation-based training for ISBAR performance to produce a superior skill set.
The study will compare performance outcomes of students, who receive the national e-learning
programme only with those who receive it in combination with either standard simulation or
proficiency-based progression (PBP) simulation.
Participants will be prospectively randomized to one of three training groups within their
professional cohort (medicine or nursing) before undertaking a performance assessment of an
ISBAR communication relevant to a deteriorating patient in a high fidelity simulation
laboratory:
1. Online learning only (HSE) -the national e-learning programme only
2. Standard simulation (S) -online learning plus simulation training
3. Proficiency based progression (PBP) -online learning plus proficiency-based progression
simulation.
Main outcome and measures: A proficiency benchmark on the performance of ISBAR communication
in the context of an acutely deteriorating patient.
All participants will be required to demonstrate a certificate of successful completion on
the national e-learning programme within the previous 4 weeks as well as supplying baseline
demographic information before undertaking the training.
Performance metrics have previously been identified, operationally defined and agreed upon at
a modified Delphi panel meeting consisting of medical and nursing experts for a series of
paper-based simulation cases and a standardised high fidelity simulation case used as the
assessment case. The proficiency benchmark for each case has been set based on the
performance of experienced nursing and medical personnel on each case as a series of steps,
errors and critical errors.
Outcome assessment will be scored by reviewing recordings of ISBAR performance by each
participant on the standardised case in the high fidelity laboratory.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT05538520 -
Effects of Pilates Stretching on Flexibility, Strength, Power and Muscular Endurance
|
N/A | |
Not yet recruiting |
NCT05529017 -
Post Injury Performance Deficits in Rink Hockey
|
||
Completed |
NCT04298151 -
Clinical Performance of Zirconia Reinforced GI Versus Conventional Viscous GI in Geriatric Patients
|
Phase 2 | |
Completed |
NCT06436521 -
The Efficacy of Online Brief Positive Cognitive Behavior Therapy Compared to Traditional Cognitive Behavior Therapy
|
N/A | |
Completed |
NCT01621074 -
Influence of Sodium Bicarbonate on Time-to-exhaustion at Critical Power in Endurance Athletes
|
N/A | |
Completed |
NCT03832972 -
Performance During Menstrual Cycle
|
||
Completed |
NCT03561337 -
Nutrient Supplementation Influences Mitochondria Adaptation
|
N/A | |
Recruiting |
NCT05314543 -
Power-speed-endurance Profile (Cycling/Rowing) : Optimize Performance of the French Athletes at the Paris Olympics 2024
|
N/A | |
Enrolling by invitation |
NCT05130502 -
Investigation of the Effect of Foam Roller and Kinesiotape Application on Performance Parameters, Pain and Fatigue With Football Players
|
N/A | |
Completed |
NCT04635982 -
Kinesiotape on Quadriceps and Gluteus in Counter Movement Jump and Sprint in Soccer Players
|
N/A | |
Completed |
NCT04241991 -
Photobiomodulation (PBM) Therapy on Muscle Performance in Elderly Women
|
N/A | |
Completed |
NCT02134756 -
Impact of Nutritional Supplementation on Aerobic Performance and Fatigue
|
N/A | |
Completed |
NCT05393219 -
Cardiac Biofeedback, Mindfulness, and Inner Resources Mobilization Interventions on Performances of Medical Students
|
N/A | |
Completed |
NCT04809415 -
Influence of Power and Wavelength on Photobiomodulation Therapy for Muscle Performance in Healthy Subjects
|
N/A | |
Completed |
NCT03589612 -
Regression of Hamstring Flexibility and Performance in Children With Duchenne Muscular Dystrophy
|
||
Recruiting |
NCT04505046 -
Validation of INSPiRED Innovative Smart Diagnostic Devices for the Detection of Parasites Infections.
|
||
Completed |
NCT05299320 -
Postural Control in Covid-19
|
||
Recruiting |
NCT05309473 -
Acoustic Stimulation During Restricted Sleep After Sleep Deprivation
|
N/A | |
Completed |
NCT02982239 -
Recovery Enhancement and Sleep Training
|
N/A | |
Completed |
NCT03529240 -
Kinesiology Taping in Duchenne Muscular Dystrophy: Effects on Performance, Gait Characteristics, and Energy Consumption
|
N/A |