Clinical trial NCT01659268: Performance of Baccalaureate Nursing Students in Insertion of Laryngeal Mask: a Trial in Mannequins
Official title: Performance of Nursing Students in the Insertion of Supraglottic Device (Laryngeal Mask): Randomized Controlled Trial on Mannequins.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Respiratory Failure
Keywords: teaching
patient simulation
laryngeal masks
baccalaureate nursing education
teaching strategies
simulation
Lead sponsor: University of Sao Paulo
Sponsor class: OTHER
First posted: 2012-08-07
Enrollment: 17
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL

Brief summary: The purpose of this study is to compare if there difference in acquisition of knowledge and skills in airway management to baccalaureate nursing students submitted to different learning strategies: exhibition-dialogued class and practical activity in skill lab with low-fidelity mannequin or simulation class with low-fidelity mannequin.

Detailed description: The airway control is priority in patient resuscitation. The Laryngeal Mask Airway (LMA) can minimize complications, establishing a safe airway. Is fundamental to nurse acquired skills to act in emergency situations; the simulation is a important learning tool for this, because allows a realistic environment and allows to student the possibility of training skills.

Hypothesis: There difference in acquisition of knowledge and skills in airway management to baccalaureate nursing students submitted to different learning strategies: classroom lecture-dialogued follow of laboratory activity practice with low-fidelity mannequin or simulation in laboratory with low-fidelity mannequin?

The aim of this study is compare the effect of teaching-learning strategies: classroom lecture-dialogued follow of laboratory activity practice with low-fidelity mannequin or simulation in laboratory with low-fidelity mannequin, in the acquisition of knowledge and skills to baccalaureate nursing. This is a randomized controlled trial, the population is all students of baccalaureate nursing of EERP-USP, eighth period, 69 students in total; the sample will be voluntary and composed for students that accept participate of study. The intervention group (IG) will be submitted to simulation class and the control group (CG)to exhibition-dialogued class, and practical activity in skill lab. The study will have 3 steps:

1. The participants will be recruited with letters and posters, randomized to IG or CG and follow submitted to write pre-test.
2. The GI will submitted to simulation in laboratory and de CG classroom lecture-dialogued follow of laboratory activity practice. The focus will be the airway management with emphasis in LMA.
3. All participants will be submitted to write post test and follow to practice test in simulation scenario, with medium-fidelity mannequin, which simulates human physiologic conditions.

The scenario will have a appraiser with a checklist which performance scores of skills and interventions observed. The activities will be filmed and recorded. To data analysis will be used the SPSS software: descriptive statistics, chi-square test, t-test of Student.

Eligibility criteria: Inclusion Criteria:

* student must be in the eighth period of course;
* must be registered regular in the baccalaureate nursing course.

Exclusion Criteria:

* absence in any step of study.

Primary outcomes:
measure: Scores in Pre and Post-test, Number of Participants Successfully Completing the Overall Performance Simulated Scenario(OSCE).
timeFrame: Pretest: 40 minutes; Post-test: 40 minutes; OSCE: 10 minutes
measure: Time to Conclusion of Simulation Scenario (OSCE)
timeFrame: 10 minutes
Secondary outcomes:
measure: Time for Acquisition of First Effective Ventilation, Adequate Tidal Volume and Stabilization of Patient.
timeFrame: 10 minutes (600 sec)
measure: Number of Attempts to Insertion of LMA
timeFrame: 10 minutes (total time of scenario)
Other outcomes:
Locations:
city: Ribeirão Preto
country: Brazil
facility: College of Nursing at Ribeirao Preto - University of Sao Paulo
state: São Paulo
Study officials:
affiliation: College of Nursing at Ribeirao Preto - University of Sao Paulo
name: Cesar E Pedersoli, MSN
role: PRINCIPAL_INVESTIGATOR
References: