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OpenTrials
Completed

NCT Number: NCT05628519

Captain Sonar Impact on Trauma Patient Management

Trauma patient care requires collaboration and interaction with close relationship between many stakeholders from different professions (senior doctor, intern, nurse, nurse helpers, surgeons, etc).

This is a stressful situation where decision and action need to be quick, decisive and coordinate.

In this situation, quality of care and patient safety depends on a good interprofessional communication.

The acquisition of advanced communication skills, team management and leadership, stress management are essentials elements in the practice of Intensive and trauma care. However, advanced structured training or assessment of theses skills is lacking in medical education or Healthcare professionals training. The study therefore, aimed to develop a global and attractive training to help healthcare professionals to improve their skills.

Captain SonarTM is a naval battle game where two teams each composed of four participants clash. Each player has a well-defined role and it is imperative to communicate in a closed loop to advance in the game. This game also includes components similar to support for shock management: stress, speed of action, central communication and teamwork of four protagonists (Team Leader-Captain, intern-Second, nurse-Mechanic, Nurse help-Detector). It may improve team building, team leadership, interprofessional work, communication, stress management. The study hypothesis is that this board game would have an impact on the performance of professionals when facing a multiple trauma simulated patient. (differences in terms of technical and non-technical performance. Different use of closed loop communication, Different stress management, different efficiency and interprofessional collaboration with potentially a reduction in the timing of treatment being delivered in trauma room)

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Key information

Conditions

Trauma Injury Accidental Injuries Wounds and Injuries

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Anesthesiology and Intensive care medicine, H Building, Hopital Edouard Herriot, Hospices Civils de Lyon

Lyon, Rhone, 69008, France

About this study

All the teams of 4 participants and 1 medical Student previously trained will then benefit from a training session either exposed to captain sonar or into the control arm with monopoly.

High-fidelity and multiprofessional simulation session based on the incoming of a severe traumatized patient will be held. These sessions will take place on high-fidelity mannequins lent by the CLESS (Lyonnais Center for Health Simulation Education) in pavilion H of Édouard Herriot Hospital, within the Trauma Center (in situ).

The same scenario will be presented for all groups (exposed and controls) with the same objectives of realization and the same complexity. An audio-visual recording will take place during each session in order to allow the evaluation of the study criteria on technical and non technical skills between the participants a posteriori of the simulation session.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Professional working at the Unit

Exclusion criteria

None

Treatment and study plan

Captain Sonar Exposition

Behavioral

Captain SonarTM is a naval battle game where two teams each composed of four participants clash. Each player has a well-defined role and it is imperative to communicate in a closed loop to advance in the game. This game also includes components similar to support for Trauma care: stress, speed of action, central communication and teamwork of four protagonists (Team Leader- Captain, intern-Second, nurse-Mechanic, Caregiver-Detector). This short video describes the rules and the Game progress: https://vimeo.com/173614346.

Monopoly Exposition

Behavioral

Participant will be invited to play to Monopoly during 60 min

Primary outcomes

  1. Technical skills

    Time frame: Measured during simulation session. Within 20 minutes of the simulation

    Total time of care in the trauma room, in seconds

  2. Non technical skills

    Time frame: Measured during simulation session. Within 20 minutes of the simulation

    use of closed loop communications:

    • count of the number of closed loops/minute

  3. Stress profile and stress management

    Time frame: immediately after simulation

    Visual Analog Scale of Stress, from 0 to 100 maximum

Secondary outcomes

  1. Demographic data

    Time frame: At Baseline

    Demographic data (sex, age, previous experience as health care professional, experience in simulation, experience in gaming, experience in stress management)

  2. Debriefing Evaluation

    Time frame: immediately After Debriefing

    Debriefing Assessment in Simulation in Healthcare (DASH) evaluated by team leader, nurse and facilitator, from 6 to 42 maximum

  3. Influence of exposure on Performance, communication and stress management

    Time frame: immediately After simulation

    Visual analogic Scale, from 0 to 100 maximum

  4. Technical skills grid

    Time frame: Measured during simulation session. Within 20 minutes of the simulation.

    Technical performance score (Grid out of 100 points); from 0 to 100 maximum

  5. Technical skills key tasks

    Time frame: Measured during simulation session. Within 20 minutes of the simulation.

    Completion time for 5 key tasks (Hemocue result, blood pressure result, sample) in seconds Blood, realization of the FAST Ultrasound, Departure for OR/CT).

  6. Technical skills self efficacy

    Time frame: Measured during simulation session. Within 20 minutes of the simulation.

    Self Efficacy estimation on Several cases, from 0 to 100 maximum Visual analog scale of support performance felt after the simulation session;

  7. Non technical skills crew ressource 1

    Time frame: Measured during simulation session. Within 20 minutes of the simulation.

    Non technical skills score : from 0 to 54 maximum

  8. Non technical skills crew ressource 2

    Time frame: Measured during simulation session. Within 20 minutes of the simulation.

    Non technical skills Score 2: from 1 to 5 maximum

  9. Non technical skills communication anticipation

    Time frame: Measured during simulation session. Within 20 minutes of the simulation.

    Rate of anticipation of each participation (initiation of an act without prior request by the Team leader);

  10. Non technical skills quality of team communication

    Time frame: immediately after simulation

    Visual Analog Scale quality of team communication, from 0 to 100 maximum.

  11. Non technical skills confidence for team leader

    Time frame: immediately after simulation

    Visual Analog Scale of confidence in the team and the team leader , from 0 to 100 maximum.

  12. Visual Analog Scale type of stress

    Time frame: immediately after the simulation session

    Visual Analog Scale of stress

  13. Anxiety profile

    Time frame: immediately after the simulation session;

    Stait Trait Anxiety Inventory Trait, from 20 to 80 maximum.

  14. Stress profiles and stress management physiological measurement heart rate variability

    Time frame: During Simulation within the 20 minutes of simulation

    Physiological stress assessment of 2 of each team members will be performed throughout inclusion (during exposure and during simulation) and measured by non-invasive and continuous recording:

    • Heart and respiratory rates and heart rate variability (Hexoskin® t-shirt)

  15. Stress profiles and stress management electrodermal activity

    Time frame: During Simulation within the 20 minutes of simulation

    Electrodermal activity, reflecting the stress and activation of individuals (Empatica E4 watch on the wrist non-dominant)

Sponsors and collaborators

Lead sponsor

Claude Bernard University

Other

Collaborators

  • Laboratoire Interuniversitaire de Biologie de la Motricité
  • Research on Healthcare Performance Lab U1290

Registry information

Acronym: CAST2

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Nov 28, 2022
Registry last updated
Nov 28, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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