Simulation Training of Endoscopy Staff to Improve Patient Experience in Colonoscopy

NCT ID: NCT02428907

Last Updated: 2018-02-05

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 539 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2012-10-31
• Study Completion Date: 2013-04-30

Brief Summary

Some patients experience a degree of pain and discomfort during endoscopic examination of the large bowel. Sedatives and analgesics may be administered in low doses. Excessive dosage or intense pain may lead to hypotension and impaired level of consciousness. The purpose of the present study was to determine if simulation training of endoscopy staff in preventing pain and handling acute complications through effective teamwork could improve the quality of colonoscopy from the patients' perspective.

Detailed Description

The study was carried out in a surgical department, where colonoscopies were performed on an out-patient basis under minimal sedation. The intervention consisted of a simulation based course for endoscopy staff. All endoscopy nurses and doctors participated (n=43). The course consisted of three short lectures followed by simulation training. The lectures dealt with technical aspects of colonoscopy, usage of medication and management of unexpected emergency events during the procedure, and finally with interprofessional teamwork and team communication. The lectures were followed by in situ simulation in an endoscopy room. For 2 months before and after the course a questionnaire based survey was carried out. The respondents were consecutive patients who had undergone colonoscopy under minimal sedation or no sedation (according to their own preference ). The questionnaire was filled out when the patient was fully recovered after sedation and ready to go home. The relevant nursing staff and doctor for the procedure also filled out their part of the questionnaire. Patients were invited to participate and gave written consent after oral and written information according to the Helsinki declaration .

Conditions

Colorectal Cancer

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: PROSPECTIVE

Interventions

simulation training

teamtraining of endoscopy staff

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• All patients for colonoscopy under minimal sedation who are able to understand imformation

Exclusion Criteria

• Unable to understand information

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Aalborg University Hospital

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Karen L Larsen, m.d.

Role: PRINCIPAL_INVESTIGATOR

Medical Doctor and head of department at Aalborg University Hospital

Locations

NordSim, Aalborg University Hospital

Aalborg, , Denmark

Countries

Denmark

Other Identifiers

2008-58-0028

Identifier Type: -

Identifier Source: org_study_id