Clinical trial NCT05628519: Captain Sonar Impact on Trauma Patient Management
Official title: Captain Sonar Impact on Trauma Patient Management
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Trauma Injury
Keywords: Healthcare professionals
Technical Skills
Non Technical Skills
Crew ressource Management
Stress evaluation and management
Lead sponsor: Claude Bernard University
Sponsor class: OTHER
Collaborators: name: Research on Healthcare Performance Lab U1290
name: Laboratoire Interuniversitaire de Biologie de la Motricité
First posted: 2022-11-28
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized control Trial, double blind
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Trauma patient care requires collaboration and interaction with close relationship between many stakeholders from different professions (senior doctor, intern, nurse, nurse helpers, surgeons, etc).

This is a stressful situation where decision and action need to be quick, decisive and coordinate.

In this situation, quality of care and patient safety depends on a good interprofessional communication.

The acquisition of advanced communication skills, team management and leadership, stress management are essentials elements in the practice of Intensive and trauma care. However, advanced structured training or assessment of theses skills is lacking in medical education or Healthcare professionals training. The study therefore, aimed to develop a global and attractive training to help healthcare professionals to improve their skills.

Captain SonarTM is a naval battle game where two teams each composed of four participants clash. Each player has a well-defined role and it is imperative to communicate in a closed loop to advance in the game. This game also includes components similar to support for shock management: stress, speed of action, central communication and teamwork of four protagonists (Team Leader-Captain, intern-Second, nurse-Mechanic, Nurse help-Detector). It may improve team building, team leadership, interprofessional work, communication, stress management. The study hypothesis is that this board game would have an impact on the performance of professionals when facing a multiple trauma simulated patient. (differences in terms of technical and non-technical performance. Different use of closed loop communication, Different stress management, different efficiency and interprofessional collaboration with potentially a reduction in the timing of treatment being delivered in trauma room)

Detailed description: All the teams of 4 participants and 1 medical Student previously trained will then benefit from a training session either exposed to captain sonar or into the control arm with monopoly.

High-fidelity and multiprofessional simulation session based on the incoming of a severe traumatized patient will be held. These sessions will take place on high-fidelity mannequins lent by the CLESS (Lyonnais Center for Health Simulation Education) in pavilion H of Édouard Herriot Hospital, within the Trauma Center (in situ).

The same scenario will be presented for all groups (exposed and controls) with the same objectives of realization and the same complexity. An audio-visual recording will take place during each session in order to allow the evaluation of the study criteria on technical and non technical skills between the participants a posteriori of the simulation session.

Eligibility criteria: Inclusion Criteria:

Professional working at the Unit

Exclusion Criteria:

None

Primary outcomes:
measure: Technical skills
timeFrame: Measured during simulation session. Within 20 minutes of the simulation
measure: Non technical skills
timeFrame: Measured during simulation session. Within 20 minutes of the simulation
measure: Stress profile and stress management
timeFrame: immediately after simulation
Secondary outcomes:
measure: Demographic data
timeFrame: At Baseline
measure: Debriefing Evaluation
timeFrame: immediately After Debriefing
measure: Influence of exposure on Performance, communication and stress management
timeFrame: immediately After simulation
measure: Technical skills grid
timeFrame: Measured during simulation session. Within 20 minutes of the simulation.
measure: Technical skills key tasks
timeFrame: Measured during simulation session. Within 20 minutes of the simulation.
measure: Technical skills self efficacy
timeFrame: Measured during simulation session. Within 20 minutes of the simulation.
measure: Non technical skills crew ressource 1
timeFrame: Measured during simulation session. Within 20 minutes of the simulation.
measure: Non technical skills crew ressource 2
timeFrame: Measured during simulation session. Within 20 minutes of the simulation.
measure: Non technical skills communication anticipation
timeFrame: Measured during simulation session. Within 20 minutes of the simulation.
measure: Non technical skills quality of team communication
timeFrame: immediately after simulation
measure: Non technical skills confidence for team leader
timeFrame: immediately after simulation
measure: Visual Analog Scale type of stress
timeFrame: immediately after the simulation session
measure: Anxiety profile
timeFrame: immediately after the simulation session;
measure: Stress profiles and stress management physiological measurement heart rate variability
timeFrame: During Simulation within the 20 minutes of simulation
measure: Stress profiles and stress management electrodermal activity
timeFrame: During Simulation within the 20 minutes of simulation
Other outcomes:
Locations:
city: Lyon
country: France
facility: Anesthesiology and Intensive care medicine, H Building, Hopital Edouard Herriot, Hospices Civils de Lyon
state: Rhone
Study officials:
References:
citation: Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery. 2003 Jun;133(6):614-21. doi: 10.1067/msy.2003.169.
citation: Neily J, Mills PD, Young-Xu Y, Carney BT, West P, Berger DH, Mazzia LM, Paull DE, Bagian JP. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010 Oct 20;304(15):1693-700. doi: 10.1001/jama.2010.1506.
citation: El-Shafy IA, Delgado J, Akerman M, Bullaro F, Christopherson NAM, Prince JM. Closed-Loop Communication Improves Task Completion in Pediatric Trauma Resuscitation. J Surg Educ. 2018 Jan-Feb;75(1):58-64. doi: 10.1016/j.jsurg.2017.06.025. Epub 2017 Aug 2.