Clinical trial NCT05353621: Resilience and Acute Stress in Simulation
Official title: Resilience and Acute Stress in Simulation : "SimStress"
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Stress, Professional
Resilience
Anaesthesiology
Simulation
Lead sponsor: University Hospital, Grenoble
Sponsor class: OTHER
First posted: 2022-04-29
Enrollment: 79
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: physician anesthesiologist or anesthesia intern or nurse anesthetist or student nurse anesthetist

Brief summary: The objective is to study an association between the resilience developed by anesthesia professionals and the level of acute stress during a simulation session.

Detailed description: This trial will take place at the Grenoble Alpes University Hospital. Volunteer anaesthetists, nurse anaesthetists, professionals or students will perform a simulation scenario. This scenario generates a high level of stress and focuses on medication errors, which is a good educational tool for the participants.

The simulation is performed in an available operating room with a dedicated anesthesia cart. In this environment, 17 error opportunities were created, i.e., factors that could contribute to the occurrence of a medication error. A person playing the role of the anesthesiologist will give instructions, leave the room, and return to interrupt the participant several times, which will contribute to the intensity of the stressor. The simulation will proceed as follows:

Briefing:

Welcome and explanation of the session. Collection of age, gender, number of years in anesthesia, number of previous simulation sessions, participation or not in stress management training. Presentation of the context and the anesthesiologist, then the participants evaluate their stress using the VAS (visual analog scale) Stress, which triggers the beginning of the scenario. Introduction of the setting and the anesthesiologist, then participants rate their stress using the VAS Stress scale, triggering the start of the scenario.

Scenario:

10 minutes in length. After the briefing, the anesthesiologist announces the imminent arrival of a patient with a suspected abdominal aortic aneurysm. The participant must quickly prepare a tray of medications. The scenario ends just prior to the patient's arrival, with the anesthesiologist presenting the stress VAS again for further evaluation.

Debriefing:

The participant completes a questionnaire about opportunities for detected errors, followed by a 15-minute debriefing after the simulation session.

For each participant, data regarding stress VAS, CD-RISC, PSS-10 and number of errors detected will be compared.

The primary objective is to analyze an association between resilience developed by anesthesia professionals and acute stress level.

The secondary objectives are to study the association between the resilience developed by the anesthesia professionals and the level of acute stress present immediately at the end of the simulation.

immediately at the end of the simulation. Measure the association between resilience (CDRISC 10) and performance (number of potential errors detected). Compare resilience and acute stress between different statuses (anesthesiologist, intern, nurse anesthetist, student nurse anesthetist).

Eligibility criteria: Inclusion Criteria:

* Accepts Healthy Volunteers

Exclusion Criteria:

* Participants who object to the use of their data for research purposes.

Primary outcomes:
measure: Resilience
timeFrame: 15 Days after simulation
measure: Self-reported stress
timeFrame: just Before the scenario (at 0 minute )
Secondary outcomes:
measure: Performance
timeFrame: just after the end of scenario (at 10 minute)
measure: resilience of anesthetists
timeFrame: 15 Days after simulation
measure: resilience of Resident in anaesthesia
timeFrame: 15 Days after simulation
measure: resilience of nurse anesthetist
timeFrame: 15 Days after simulation
measure: resilience of the student nurse anesthetist
timeFrame: 15 Days after simulation
measure: Self-reported stress
timeFrame: just after the end of scenario (at 10 minute )
Other outcomes:
Locations:
city: Grenoble
country: France
facility: University Hospital Grenoble
Study officials:
affiliation: University Hospital, Grenoble
name: Yoann Zafiriou
role: PRINCIPAL_INVESTIGATOR
affiliation: University Hospital, Grenoble
name: Julien Picard
role: PRINCIPAL_INVESTIGATOR
References: