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Comparing active participants and guided observers on measures of self efficacy and task load when undertaking simulation education during induction training at Greater Sydney Area Helicopter Emergency Medical Service

Evaluation of self-efficacy and perceived task load in senior clinicians undertaking simulation education at Greater Sydney Area Helicopter Emergency Medical Service induction training: is there comparable benefit between active participants and observers and does this translate to clinical performance?

Status
Completed
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12619000048189
Enrollment
77
Registered
2019-01-15
Start date
2019-02-11
Completion date
2020-08-03
Last updated
2025-09-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

High fidelity simulation education (HFSE) is a commonly employed tool within critical care medicine, however, in practice, simulation education is cost and resource intensive This has resulted in the necessary incorporation of observers in HFSE, and increased interest in whether observers can be expected to benefit from this experience, and what factors might increase the benefit of observer participation. Consequently, this study seeks to answer two questions. First, are the experiences in simulation similar for directed observers and active participants? Second, does the HFSE provide a similar experience to clinical work? We will asses this using two qualitative measuring tools, the NASA Task Load Index and a self efficacy questionnaire, in a repeated measures design with these instruments used in induction and also after a period of clinical work.

Interventions

Active participants in high fidelity simulation exercises that are a routine component of NSW Aeromedical Operations 6-monthly induction training. These exercises are of 45 to 60 minutes duration. They involve the use of actors as patients, or mannakins if procedures are required to be performed; as well as paramedics or paramedic students as ambulance staff. Real-time patient observations (ECG, HR, SBP, ETCO2) are provided to teams through an i-simulate patient monitor. Scenarios include interh

Active participants in high fidelity simulation exercises that are a routine component of NSW Aeromedical Operations 6-monthly induction training. These exercises are of 45 to 60 minutes duration. They involve the use of actors as patients, or mannakins if procedures are required to be performed; as well as paramedics or paramedic students as ambulance staff. Real-time patient observations (ECG, HR, SBP, ETCO2) are provided to teams through an i-simulate patient monitor. Scenarios include interhospital transport scenarios such as difficult staff interaction, unanticipated airway problems, as well as prehospital exercises such as severe combative head injuries, trapped patients and traumatic cardiac arrest. Participants are expected to behave as they would in real-time (eg no sudden jumps in time or forced urgency)

Sponsors

NSW Ambulance Aeromedical Operations
Lead SponsorGovernment body

Eligibility

Sex/Gender
All
Age
20 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

All consenting students undertaking the GSA-HEMS induction course

Exclusion criteria

nil

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026