Clinical trial NCT06935773: High-Fidelity Simulation
Official title: The Effectiveness of High-Fidelity Simulation-Based Emergency Scenario Training on Emergency and Critical Care Nurses' Resuscitation Knowledge and Team Resource Management Skills
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: High-fidelity Simulation
Lead sponsor: Chang Bing Show Chwan Memorial Hospital
Sponsor class: OTHER
First posted: 2025-04-20
Enrollment: 120
Sex: ALL
Minimum age (years): 20
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study adopts a quasi-experimental design, targeting the nursing staff in the emergency department and intensive care unit of Chang Bing Show Chwan Memorial Hospital for the high-fidelity simulated emergency scenario in-service training as the experimental group. The control group consists of nursing staff from the emergency and critical care units at Changhua Show Chwan Memorial Hospital. The study is conducted using a pre-test and post-test design for both groups. The measurement tools include the Team Resource Management (TRM) scale and the Emergency Knowledge scale, which are used to evaluate the training effectiveness. The experimental group is divided into subgroups based on their unit attributes and receives 20 minutes of cognitive education followed by 40 minutes of simulation training. The content includes rotating through emergency roles and post-training discussions to promote learning reflection and behavior improvement.
Primary purpose: OTHER

Brief summary: This study explores the impact of high-fidelity simulation-based training on critical care nurses' emergency knowledge, skills, and teamwork in emergency and intensive care units. Using a quasi-experimental design, the experimental group undergoes 20 minutes of cognitive education followed by 40 minutes of simulation training, while the control group receives standard training. The study aims to assess improvements in teamwork efficiency, clinical decision-making, and confidence, with expected outcomes including enhanced emergency response skills and patient safety. The findings will underscore the value of simulation training in improving nursing care quality in high-pressure clinical environments.

Detailed description: Research Background: Emergency departments and intensive care units (ICUs) have a high incidence of emergency events, with nurses often being the first responders to cardiac arrest situations. Therefore, they must be equipped with proficient cardiopulmonary resuscitation (CPR) skills and the ability to work effectively in emergency teams to improve survival rates.

Research Objective: This study aims to explore the impact of high-fidelity simulation-based training on enhancing the first aid skills and teamwork efficiency of critical care nurses. Additionally, it seeks to evaluate the effects of this training on nurses' emergency knowledge, skills, and ability to collaborate in emergency situations.

Research Methods: This study adopts a quasi-experimental design, targeting the nursing staff in the emergency department and intensive care unit of Chang Bing Show Chwan Memorial Hospital for the high-fidelity simulated emergency scenario in-service training as the experimental group. The control group consists of nursing staff from the emergency and critical care units at Changhua Show Chwan Memorial Hospital. The study is conducted using a pre-test and post-test design for both groups. The measurement tools include the Team Resource Management (TRM) scale and the Emergency Knowledge scale, which are used to evaluate the training effectiveness. The experimental group is divided into subgroups based on their unit attributes and receives 20 minutes of cognitive education followed by 40 minutes of simulation training. The content includes rotating through emergency roles and post-training discussions to promote learning reflection and behavior improvement.

Expected Results: It is anticipated that the high-fidelity simulation training will significantly enhance the emergency knowledge, skills, teamwork capabilities, confidence, and clinical decision-making abilities of critical care nurses.

Clinical Practice Implications: High-fidelity simulation training offers nurses the opportunity to practice in a safe environment, allowing repeated learning experiences. This approach effectively strengthens emergency response skills and teamwork, ultimately leading to improved clinical nursing quality and patient safety.

Eligibility criteria: Inclusion Criteria:

1. Age 20-65 years old.
2. At least three months of work experience in acute and critical care units.
3. Have received Advanced Cardiac Life Support(ACLS) training courses in hospitals.
4. Willing participants after explaining the purpose of the study.

Exclusion Criteria:

1. Nurses who are newly hired within 3 months.
2. Have not received ACLS training courses in hospitals.

Primary outcomes:
measure: teamwork capabilities
timeFrame: High-fidelity simulated first aid scenarios were measured pre-intervention and post-intervention in on-the-job training
Secondary outcomes:
Other outcomes:
Locations:
city: Changhua
country: Taiwan
facility: Chang Bing Show Chwan Memorial Hospital
state: Lukang
Study officials:
References: