In Situ Simulation Training in Transferring Critically Ill COVID-19 Patients

Study Overview
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Brief Summary
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This study aimed to determine the role of in situ simulation training during a pandemic by using standard and high-fidelity mannequins to improve interprofessional communication, skills, and teamwork in transferring critically ill COVID-19 patients.

Detailed Description
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Fourty subjects were randomly allocated into two large groups, the High Fidelity Simulator group and the Low Fidelity Simulator group. Each group was divided into small groups, consist of 2 doctors and 3 nurses. All subjects underwent the same interactive lectures, and two sessions of in-situ simulation according to their assign group. In-situ simulation and debriefing were performed by implementing appropriate personal protective equipment and social distancing. At the end of each simulation session, each group would underwent a debriefing session, which was performed by an experience instructor. The first simulation was aimed to teach participants skills and steps in transporting critically-ill COVID-19 patients according to the hospital check-list. While the second simulation was aimed to assess skills, team work and communication that participants had learned from the previous simulation, by using assessment tools that had been developed before. In addition to comparing each point in the assessment tool between the two groups, the points that had been earned were also added up to get the overall points for total skills, cooperation and communication score. At the end of the session, learner immediate feedback were also collected using an online feedback form, which provided accountability for attendance, content learning, and course evaluation feedback.

Official Title
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In Situ Simulation Training for a Better Interprofessional Team Performance in Transferring Critically Ill COVID-19 Patients: A Prospective Randomized Control Trial

Conditions
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Simulation of Physical Illness, COVID-19 Respiratory Infection

Intervention / Treatment
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* Procedure: Simulation Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: in good physical condition had no history of involving in COVID-19 patients care willing to become study subject Exclusion Criteria: doesn't want to become study subject

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 65 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

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: High Fidelity Simulator<br>Subjects will receive training using high fidelity simulator | Procedure: Simulation Training<br>* Simulation Training using High and Low Fidelity Simulator<br>|
| Active Comparator: Low Fidelity Simulator<br>Subjects will receive training using low fidelity simulator | Procedure: Simulation Training<br>* Simulation Training using High and Low Fidelity Simulator<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| rate of interprofessional communication | improvement of interprofessional communication in transferring critically ill COVID-19 patients | within 3 months | 
| rate of skill | improvement of skill in transferring critically ill COVID-19 patients | within 3 months | 
| rate of team work | improvement of team work in transferring critically ill COVID-19 patients | within 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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In Situ Simulation, Intreprofessional Training, High Fidelity Mannequin