Anaesthesiology, Clinical Performance, High Fidelity Simulation, Positive Communication
Conditions
Brief summary
The emotional and cognitive impact of positive communication between caregivers remains uninvestigated. The investigators hypothesize that positive communication during medical transmission can increase clinical performance for managing a subsequent stressful unexpected adverse event.
Detailed description
When caregivers deal with acute stressful adverse events, cognitive overload and negative emotions can impair cognitive abilities and decrease clinical performance. The beneficial effect of positive communication on patients' emotions has widely been studied. However, the emotional and cognitive impact of positive communication between caregivers remains uninvestigated. The primary purpose of this trial is to study the impact of positive communication between anaesthetic teams during medical transmissions on clinical performance for managing a subsequent stressful unexpected adverse event. Secondary outcomes are to study the impact of positive communication on physiological (heart rate variability) and psychological (psychometric scales) levels of stress.
Interventions
OTHERPositive communication during medical transmission
Use of positive communication for medical transmission to the anaesthetic team who takes over the patient.
Sponsors
University Grenoble Alps
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
Randomized controlled trial, with a 1:1 allocation ratio
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Anaesthetic teams composed with : * 1 resident in anaesthesiology and critical care AND * 1 anaesthetic nursing student in second year OR 1 anaesthetic nurse graduated less than 5 years ago Non-inclusion criteria * Refusal to be videotaped * No consent to participate * Anaesthetic nurses working in a paediatric operating room.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical performance of the anaesthetic team | Each anaesthetic team will be involved once in the scenario. The scenario will last about 6 min (transmission not included). Both assessment of clinical performance will be made within 20 weeks of each simulation session | Clinical performance in a simulated scenario of laryngospasm occurring in a 7 year old child under general anaesthesia. Clinical performance will be scored from 0 to 100 by two independent blinded assessors, using video records and a pre-established scenario-specific checklist. The primary endpoint will be the mean of the two assessments for each performance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate variability | Before the scenario (during 5 min), during medical transmission (2 min), during the scenario before the laryngospasm (2 min), during the laryngospasm (4 min), during the debriefing (20 min), after the debriefing (5 min) | Standard deviation of the average of RR intervals (SDNN in milliseconds) in participants |
| Self-reported stress | Before the scenario (at 5 min), after medical transmission (at 7 min), after the scenario (at 13 min), after debriefing (at 33 min) | Stress level self reported by participants on visual analogical scale (VAS from 0 to 100); One end of the scale represents the maximum conceivable symptom strength (i. e., 100%), the other end no symptoms whatsoever (i. e., 0%). |
Countries
France
Outcome results
None listed