Task Focusing Strategy During a Simulated Cardiopulmonary Resuscitation

Study Overview
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Brief Summary
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This is a prospective randomized controlled study. The aim of this study is to describe the stress patterns experienced during a CPR situation; investigate whether the perceived stress was associated with CPR performance in terms of hands-on time and time to start CPR; to investigate whether this task focusing strategy reduces perceived stress levels, and 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.

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

Conditions
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Mental Stress

Intervention / Treatment
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* Behavioral: instruction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 4th year medical students Exclusion Criteria: No informed consent

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention<br>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) | Behavioral: instruction<br>* 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)<br>|
| No Intervention: Control<br>No instructions | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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) | 
| time to start CPR |  | time from start of CPR until scenario is finished (usually 5-10min) | 
| Number of leadership statements |  | time from start of CPR until scenario is finished (usually 5-10min) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cardiopulmonary resuscitation, stress, intervention