Clinical trial NCT04330924: A Comparison Between Physical and Virtual Simulation: A Randomized Controlled Trial
Official title: Nurse-Physician Communication Team Training in Virtual Reality Versus Live Simulations: Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Interdisciplinary Communication
Keywords: team training
virtual reality
simulation
nurse-physician communication
Lead sponsor: National University of Singapore
Sponsor class: OTHER
First posted: 2020-04-02
Enrollment: 120
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: Nurse-physician communication skills can be improve through inter-professional team training. Simulation is often used to conduct these training. However, constraints to conduct these sessions such as scheduling and logistic arrangements have been widely reported. Thus with the advancement of technology in education, the use of virtual environment to conduct the team training is being explored and evaluated.

Detailed description: All recruited participants underwent a 3-hour nurse-physician communication training prior to the simulation session. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) curriculum and pre-learning videos were introduced to the participants. Pre-test questionnaires were administered after the training. Participants were then randomized to the control (live simulation) or intervention group (virtual simulation).

Intervention group participants will undergo a virtual simulation session training via the multi-user virtual world by logging in into the 3D virtual environment while participants in the control group performed the simulations in a physical simulated ward setting. Each pair of 1 medical student and 1 nursing student participate in two role-playing simulation scenarios (15-20 minutes each) along with a facilitator who will provide a debrief (30-minutes). Prior to the simulation, participants were given a smart-watch to monitor their physiological parameters such as heart rate. Post-test questionnaires were administered after the simulation sessions.

After the simulation training, a 30-minutes team-based assessments were conducted based on a inter-professional bedside care scenario in pairs of one medical and one nursing student within their randomized group. The assessments were video recorded for evaluation by assessors who are blinded to the groupings. All participants were then invited to complete a follow-up questionnaire 2 months after the simulation training.

Eligibility criteria: Inclusion Criteria:

i) Full time students undertaking National University of Singapore's

* Third or fourth year Bachelor of Science (Nursing)
* Third or fourth year Bachelor of Medicine \& Bachelor of Surgery

ii) Completed acute care management modules

Exclusion Criteria:

i) Does not voluntarily agree to join the study

ii) Does not want their performance to be video-recorded

Primary outcomes:
measure: Demographics
timeFrame: Baseline
measure: Communication skill performance
timeFrame: Post-test (immediately after simulation assessment)
measure: Baseline (Attitudes Toward Interprofessional Health Care Team)
timeFrame: Pre-test
measure: Post-test (Change of Attitudes Toward Interprofessional Health Care Team from baseline)
timeFrame: Post-test (immediately after simulation training)
measure: Follow-up (Change of Attitudes Toward Interprofessional Health Care Team from baseline and post-test)
timeFrame: Follow-up (2-months after simulation training)
measure: Baseline (Interprofessional Socialization and Valuing Scale)
timeFrame: Pre-test
measure: Post-test (Change of Interprofessional Socialization and Valuing Scale from baseline)
timeFrame: Post-test (immediately after simulation training)
measure: Follow-up (Change of Interprofessional Socialization and Valuing Scale from baseline and post-test)
timeFrame: Follow-up (2-months after simulation training)
measure: Pulse rate
timeFrame: Pre-test
measure: Pulse rate (Change of parameter from baseline)
timeFrame: Post-test (immediately after simulation training)
measure: Blood pressure (diastolic & systolic)
timeFrame: Pre-test
measure: Blood pressure (diastolic & systolic) (Change of parameter from baseline)
timeFrame: Post-test (immediately after simulation training)
measure: Baseline (State-Trait Anxiety Inventory)
timeFrame: Pre-test
measure: Post-test (Change of State-Trait Anxiety Inventory from baseline)
timeFrame: Post-test (immediately after simulation training)
measure: Baseline (Confidence and self-efficacy)
timeFrame: Pre-test
measure: Post-test (Change of Confidence and self-efficacy from baseline)
timeFrame: Post-test (immediately after simulation training)
measure: Baseline (Student Stereotype Rating)
timeFrame: Pre-test
measure: Post test (Change of Student Stereotype Rating from baseline)
timeFrame: Post-test (immediately after simulation training)
measure: Follow up (Change of Student Stereotype Rating from baseline and post test)
timeFrame: Follow-up (2-months after simulation training)
Secondary outcomes:
Other outcomes:
Locations:
city: Singapore
country: Singapore
facility: National University of Singapore
Study officials:
References:
citation: Liaw SY, Sutini, Chua WL, Tan JZ, Levett-Jones T, Ashokka B, Te Pan TL, Lau ST, Ignacio J. Desktop Virtual Reality Versus Face-to-Face Simulation for Team-Training on Stress Levels and Performance in Clinical Deterioration: a Randomised Controlled Trial. J Gen Intern Med. 2023 Jan;38(1):67-73. doi: 10.1007/s11606-022-07557-7. Epub 2022 May 2.
citation: Liaw SY, Ooi SW, Rusli KDB, Lau TC, Tam WWS, Chua WL. Nurse-Physician Communication Team Training in Virtual Reality Versus Live Simulations: Randomized Controlled Trial on Team Communication and Teamwork Attitudes. J Med Internet Res. 2020 Apr 8;22(4):e17279. doi: 10.2196/17279.