Effectiveness of Simulation Based Training in Implementing One Hour Bundle Sepsis

Study Overview
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Brief Summary
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This study aimed to compare simulation training with conventional training (case-based discussion only) to improve team performance in implementing one-hour sepsis bundle in the intensive care unit

Detailed Description
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This was an experimental randomized single-blind study to examine the role of simulation-based training in improving team performance in conducting sepsis management. Subjects were sixteen doctors and twenty-four nurses working in the intensive care unit. The subjects were randomly divided into two treatment groups: the discussion group and the simulation group. Each treatment group was further divided into four small groups consisting of two doctors and three nurses. Prior to the training, every subject received a pretest for cognitive evaluation and a posttest at the end of the training. The performance of both groups in implementing one-hour sepsis bundle was assessed by solving a sepsis case in high fidelity manikin.

Official Title
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The Role of Simulation-Based Training to Improve Team Performance in Implementing One Sepsis Hour Bundle in Intensive Care Unit

Conditions
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Sepsis, Medical Education, Simulation Training

Intervention / Treatment
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* Other: Simulation training
* Other: Case-based discussion training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Doctors working in Dr. Cipto Mangunkusumo Public Hospital's ICU Nurses working in Dr. Cipto Mangunkusumo Public Hospital's ICU Exclusion Criteria: Doctors and nurses who are not fit or healthy to undergo this training
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

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Simulation group<br>The simulation training group will receive a simulation training of a sepsis case which will see the participants implementing one-hour bundle sepsis with a high-fidelity manikin. | Other: Simulation training<br>* The participants in the simulation group will receive simulation training with high-fidelity manikin to practice and implement one-hour bundle sepsis<br>|
| Experimental: Conventional group<br>The conventional training group will receive a case-based discussion of a sepsis case which will see the participants implementing one-hour bundle sepsis. | Other: Case-based discussion training<br>* The participants in the conventional group will only do a case-based discussion in implementing one-hour bundle sepsis<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Differences in score of skills in implementing one-hour bundle sepsis in the intensive care unit assessed with checklist which were designed by four anesthesiologist-intensivists | Measured by checklist which were designed by four anesthesiologist-intensivists before the study was conducted and validated by Aiken coefficient. The Aiken coefficient for this checklist were all >0.3 which is declared valid. | upon study completion, in 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Differences in intrateam communication's score in implementing one hour sepsis bundle assessed with checklist which were designed by four anesthsiologist-intensivists | Measured by checklist which were designed by four anesthesiologist-intensivists before the study was conducted and validated by Aiken coefficient. The Aiken coefficient for this checklist were all >0.3 which is declared valid. | upon study completion, in 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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medical education, simulation training, sepsis, high-fidelity manikin, one-hour bundle sepsis