High-Fidelity Patient Simulation on Clinical Reasoning Skills and Interprofessional Competencies
NCT Number: NCT06549998
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Healthy
Interventions: OTHER: Interprofessional Simulation Experience
Sponsor: Youngstown State University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 72
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (INVESTIGATOR, OUTCOMES_ASSESSOR)|Primary Purpose: HEALTH_SERVICES_RESEARCH
Start Date: 2024-08-26
Completion Date: 2025-05-17
Locations: Youngstown State University, Youngstown, Ohio, 44555, United States

Summary:
The proposed study is looking to examine the effects of High-Fidelity Patient Simulation (HFPS) on clinical reasoning skills and interprofessional competencies in Physical Therapy and Nursing students.

The proposed study will have two objectives:

1. Assess the volume of HFPS delivered and whether it has an additive effect of improving physical therapy and nursing student performance related to clinical reasoning skills during simulated clinical situations.
2. Assess the volume of HFPS and whether it has an additive effect of improving physical therapy and nursing student self-reported changes in team work and communication based on the IPEC core competencies

Researchers will compare students who do not receive a simulation (Control) to those who receive 1 simulation (Group 1) and two simulations (Group 2).

Participants will:

1. Be assigned to one of 3 groups (control, group 1, group 2)
2. Based on group assignment receive no simulation, one simulation, or 2 simulations
3. Each group will be assessed at the end for their inter-professional attitudes and clinical reasoning skills

Primary Outcome Measures: Interprofessional Attitudes Scale (IPAS), The tool measures 5 subscales that include: Teamwork roles and responsibilities, Patient centeredness, Interprofessional biases, Diversity and ethics, Community centeredness. The IPAS is based off of the 4 competencies for interprofessional education.

The tool is a 27 item 5-point agreement scale ranging from strongly disagree to strongly agree. Internal consistency reliability for the sub-scales were good (i.e., Cronbach alpha = 0.62 to 0.92). Exploratory factor analysis revealed that items loaded sufficiently (i.e., loading greater than 0.30) on only one of five factors (i.e., did not cross-load). Confirmatory factor analysis supported the sub-scale structure, Goodness of Fit Index (GFI) = 0.86 and Root Mean Squared Error of Approximation (RMSEA) = 0.90., baseline and through study completion (an average of 8 months)|Lasater Clinical Judgment Rubric (LCJR), The rubric's 11 dimensions of student performance are grouped into 4 subscales (Noticing, Interpreting, Responding, and Reflecting), with clear performance descriptions for dimension scores between 1 (beginning) and 4 (exemplary), and LCJR totals between 11 and 44 points. The LCJR is considered a valid and reliable instrument with the Cronbach α for total scores between 0.80 and 0.97 and subscale results of 0.89 to 0.93. Although it has been mainly used in simulation, use of the LCJR in clinically focused studies has been successful with Manetti reporting reliability of 0.89., baseline and through study completion (an average of 8 months)|Performance Assessment Communication and Teamwork Tool Set (PACT), The PACT tools are designed to provide assessment feedback for learners, and evaluation information for program faculty. For this study, only the expert observation rating tool will be used. The overall inter-rater reliability of the novice, expert, and video observational tools was good (Intraclass Correlation Coefficient (ICC) = 0.85, 0.76, and 0.90, respectively). The inter-rater reliability for four of the five domains in the expert observational tool were acceptable (ICC = 0.44-0.66); the exception was the team structure domain (ICC = 0.21). The inter-rater reliability for all five domains in the video observational tool were acceptable (ICC = 0.54-0.84)., baseline and through study completion (an average of 8 months)