Simulation Training for Clinical Skills in Healthy Subjects

Overseen By Edmund Ickert

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Youngstown State University

Disqualifiers: Not enrolled in program

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

72 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment High-Fidelity Patient Simulation (HFPS)?

Research shows that High-Fidelity Patient Simulation (HFPS) helps improve medical and nursing students' skills by providing a safe environment to practice and refine their abilities. It has been particularly effective in enhancing non-technical skills, like communication and teamwork, and improving performance in specific medical areas, such as pediatric cardiology. ^{1 2 3 4 5}

Is high-fidelity simulation training safe for participants?

High-fidelity simulation training is generally considered safe as it is used in controlled environments to train healthcare providers and students, helping them improve skills without real-world risks. ^{1 2 6 7 8}

How is High-Fidelity Patient Simulation (HFPS) different from other treatments for clinical skills training?

High-Fidelity Patient Simulation (HFPS) is unique because it uses advanced technology to create realistic patient scenarios, allowing medical students to practice and improve their skills in a safe and controlled environment without risk to real patients. Unlike traditional methods, HFPS provides hands-on experience and immediate feedback, which can enhance learning and retention of clinical skills. ^{1 2 4 9 10}

What is the purpose of this trial?

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 use of HFPS and whether it has an effect of improving physical therapy and nursing student performance related to clinical reasoning skills during simulated clinical situations. 2. Assess the use of HFPS and whether it has an 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 (Group C) to those who receive two simulations (Group E). Participants will: 1. Be assigned to one of 2 groups (Group C, Group E) 2. Based on group assignment receive no simulation or 2 simulations 3. Each group will be assessed at the end for their inter-professional attitudes and clinical reasoning skills

Eligibility Criteria

This trial is for Physical Therapy and Nursing students who are healthy. The study aims to see if practicing with high-tech patient simulators can improve their clinical reasoning and teamwork skills. Students will be randomly placed into groups, some of which will experience no simulations, while others will have one or two simulation sessions.

Inclusion Criteria

Must be a student currently enrolled in either the physical therapy or nursing program

Exclusion Criteria

Not currently enrolled as a student in the physical therapy or nursing program

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Simulation Intervention

Participants in the experimental group receive 2 high-fidelity patient simulations to assess clinical reasoning skills and interprofessional competencies.

8 months

Assessment

Participants are assessed for interprofessional attitudes and clinical reasoning skills using IPAS, LCJR, and PACT tools.

8 months

Follow-up

Participants are monitored for changes in interprofessional competencies and clinical reasoning skills post-intervention.

4 weeks

Treatment Details

Interventions

• High-Fidelity Patient Simulation

Trial Overview The trial is testing the impact of High-Fidelity Patient Simulation (HFPS) on developing clinical reasoning and interprofessional competencies in students. It compares the performance of those who undergo zero, one, or two simulation experiences against each other.

Participant Groups

Group I: Experimental Group Experimental Treatment 1 Intervention

This group will receive 2 simulations

Group II: Control Active Control 1 Intervention

This group will not receive any simulation intervention

Who Is Running the Clinical Trial?

Youngstown State University

Lead Sponsor

Trials

27

Recruited

2,000+

Findings from Research

The systematic review identified 19 instruments for assessing non-technical skills (NTS) in healthcare providers during high-fidelity simulations, with the Team Emergency Assessment Measure (TEAM) being the only one recommended for use due to its established validity.

Out of 26 studies included, most NTS instruments showed varying degrees of content validity, but further research is needed to confirm the reliability and effectiveness of these tools in evaluating NTS during training.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Instruments to evaluate non-technical skills during high fidelity simulation: A systematic review. Gawronski, O., Thekkan, KR., Genna, C., et al.[2022]

Pediatric residents who participated in high-fidelity patient simulation (HFPS) during their cardiology rotation scored significantly higher on a case quiz compared to those who did not have HFPS exposure, indicating improved clinical reasoning (P = .024).

Residents' confidence in managing pediatric cardiology patients increased significantly after HFPS, with average scores rising from 5.1 to 7.5 on a scale of 0-10 (P < .001), suggesting that simulation training enhances both confidence and knowledge retention.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Embedding patient simulation in a pediatric cardiology rotation: a unique opportunity for improving resident education. Mohan, S., Follansbee, C., Nwankwo, U., et al.[2022]

High-fidelity patient simulation (HFPS) significantly improves nursing students' knowledge and performance compared to other teaching methods, with effect sizes of 0.49 and 0.50 respectively, based on a systematic review of 33 studies.

The review highlights the need for further research to assess HFPS's impact on nursing competence and patient outcomes, as significant variability among studies was noted.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effects of high-fidelity simulation based on life-threatening clinical condition scenarios on learning outcomes of undergraduate and postgraduate nursing students: a systematic review and meta-analysis. La Cerra, C., Dante, A., Caponnetto, V., et al.[2020]

High-fidelity patient simulators (HFPSs) significantly improved toxicology knowledge among second-year medical students, with test scores increasing from 59% before training to 80% after simulation exercises.

The study suggests that incorporating HFPS into problem-based learning (PBL) curricula can enhance critical thinking and knowledge acquisition, making it a valuable tool for medical education, especially before clinical clerkships.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving toxicology knowledge in preclinical medical students using high-fidelity patient simulators. Halm, BM., Lee, MT., Franke, AA.[2021]

The Portable Pediatric Simulation Training and Assessment Program was developed to provide effective team training and skill assessment in pediatric anesthesia, demonstrating its utility at national meetings.

Feedback from participants was overwhelmingly positive, with 100% agreeing that the course was useful, enjoyable, and realistic, highlighting its effectiveness as a training tool in emergency response skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Affordable simulation for small-scale training and assessment. Edler, AA., Chen, M., Honkanen, A., et al.[2011]

High-fidelity simulation (HFS) education is crucial for new hospital nurses to improve their competencies and reduce medication errors, which are a significant threat to patient safety and hospital budgets.

Investing in HFS education is cost-effective, as most hospitals can recover their investment costs within 12 months, making it a practical solution for enhancing nursing training.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Medication Safety: Simulation Education for New RNs Promises an Excellent Return on Investment. Zimmerman, DM., House, P.[2016]

High fidelity simulation is an effective training tool for developing teamwork skills in high-risk industries like healthcare, aviation, and nuclear power, as it allows for controlled practice and feedback in a safe environment.

The authors emphasize that simulation fidelity should not be viewed as a one-size-fits-all solution; instead, the design and goals of the training are crucial for its effectiveness, and they provide guidelines to enhance the training process.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The use of simulation for training teamwork skills in health care: how low can you go? Beaubien, JM., Baker, DP.[2022]

Standardized participants (SPs) significantly improve the realism and educational value of high-fidelity medical simulations compared to using simulators alone.

The article outlines SP methodology and provides practical suggestions for effectively incorporating SPs into medical simulation scenarios, addressing a gap in the existing literature.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Integration of standardized patients into simulation. Cantrell, MJ., Deloney, LA.[2007]

Spain currently has 80 clinical centers equipped with high fidelity simulators (HFS), primarily located in university and hospital settings, indicating a significant investment in advanced training tools for healthcare professionals.

The integration of HFS into training programs is growing, with 56% of university centers incorporating it into their curricula, highlighting its importance in enhancing medical education and patient care skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[High fidelity simulation in Spain: from dreams to reality]. Durá, MJ., Merino, F., Abajas, R., et al.[2016]

High-fidelity simulation (HFS) significantly improved undergraduate nursing students' knowledge, self-confidence, satisfaction, and self-efficacy in managing oncology emergencies, as shown by a pre-test post-test study design with significant statistical results (p < 0.001).

The experimental group that underwent HFS scored notably higher in all measured areas compared to the control group, indicating that HFS is an effective teaching method for enhancing skills in critical situations like septic shock and infusion reactions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Implementing simulation in oncology emergencies education: A quasi- experimental design. Sharour, LA.[2019]

References

1. Switzerland pubmed.ncbi.nlm.nih.gov

Instruments to evaluate non-technical skills during high fidelity simulation: A systematic review. [2022]

2. United States pubmed.ncbi.nlm.nih.gov

Embedding patient simulation in a pediatric cardiology rotation: a unique opportunity for improving resident education. [2022]

3. England pubmed.ncbi.nlm.nih.gov

Effects of high-fidelity simulation based on life-threatening clinical condition scenarios on learning outcomes of undergraduate and postgraduate nursing students: a systematic review and meta-analysis. [2020]

4. United States pubmed.ncbi.nlm.nih.gov

Improving toxicology knowledge in preclinical medical students using high-fidelity patient simulators. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Affordable simulation for small-scale training and assessment. [2011]

6. United States pubmed.ncbi.nlm.nih.gov

Medication Safety: Simulation Education for New RNs Promises an Excellent Return on Investment. [2016]

7. England pubmed.ncbi.nlm.nih.gov

The use of simulation for training teamwork skills in health care: how low can you go? [2022]

8. United States pubmed.ncbi.nlm.nih.gov

Integration of standardized patients into simulation. [2007]

9. Spain pubmed.ncbi.nlm.nih.gov

[High fidelity simulation in Spain: from dreams to reality]. [2016]

10. Netherlands pubmed.ncbi.nlm.nih.gov

Implementing simulation in oncology emergencies education: A quasi- experimental design. [2019]