This multicenter randomized controlled study aims to evaluate the impact of temporary visual deprivation of the medical team leader on non-technical skills and team performance during high-fidelity simulated medical emergencies. The intervention is based on principles of crisis resource management and cognitive load theory. Team performance will be assessed using validated scoring tools immediately after the intervention and at three months follow-up.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
54
The designated team leader performs the simulated scenario while wearing visual deprivation mask
Rennes University Hospital
Rennes, France
RECRUITINGEvolution of team performance on non-technicals skills
Team performance on non-technicals skills measured using the validated Team emergency Assessment Measure (TEAM) score assessed by blinded independent evaluators based on video recordings. TEAM score goes from 0 to 54 : 0 being the lowest level of non-technical competence (worst outcome) and 54 being the highest (better outcome)
Time frame: Before intervention (scenario 1) at day 1, immediately after (scenario 3) at day 1 and after the procedure (scenario 4) at 3 month
Evolution of team's clinical performance
Rating with objective markers of quality of care. Five objective and measurable criteria for each scenario are defined by a panel of three experts in anaesthesia and intensive care using the DELPHI method.
Time frame: Before intervention (scenario 1) at day 1, immediately after (scenario 3) at day 1 and after the procedure (scenario 4) at 3 month
Evolution of medical leadership skills
the change in the score for items 1 and 2 of the TEAM grid obtained by the medical leader of each team
Time frame: Before intervention (scenario 1) at day 1, immediately after (scenario 3) at day 1 and after the procedure (scenario 4) at 3 month
Clinical transferability of soft skills training in clinical practice
self-assessment questionnaire on perceived transfer to clinical practice and an open-ended narrative question completed individually by study participants.
Time frame: Immediately after the intervention at day 1 and at 3 month
Evolution of theoretical knowledge of soft skills
scores obtained by participants in the pre- and post-training questionnaires developed for this training course in accordance with the HAS (High Health Authority) recommendations for good practice in health simulation
Time frame: At the end of the intervention at day 1 and at 3 month
Assessment of anxiety induced by the intervention
Anxiety is assessed for all participants using a visual analogue scale and the State-Trait Anxiety Inventory-Form Y (STAI-Y) questionnaire. STAI-Y score ranges from 20 to 80 : * 20 to 37: low anxiety (better outcome) * 38 to 44: moderate anxiety * 44 to 80: high anxiety (worse outcome)
Time frame: At the end of the intervention at day 1
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