High-Fidelity Simulation

NCT ID: NCT06935773

Last Updated: 2025-04-20

Basic Information

• Recruitment Status: ENROLLING_BY_INVITATION
• Clinical Phase: NA
• Total Enrollment: 120 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-04-15
• Study Completion Date: 2025-12-31

Brief Summary

This study explores the impact of high-fidelity simulation-based training on critical care nurses' emergency knowledge, skills, and teamwork in emergency and intensive care units. Using a quasi-experimental design, the experimental group undergoes 20 minutes of cognitive education followed by 40 minutes of simulation training, while the control group receives standard training. The study aims to assess improvements in teamwork efficiency, clinical decision-making, and confidence, with expected outcomes including enhanced emergency response skills and patient safety. The findings will underscore the value of simulation training in improving nursing care quality in high-pressure clinical environments.

Detailed Description

Research Background: Emergency departments and intensive care units (ICUs) have a high incidence of emergency events, with nurses often being the first responders to cardiac arrest situations. Therefore, they must be equipped with proficient cardiopulmonary resuscitation (CPR) skills and the ability to work effectively in emergency teams to improve survival rates.

Research Objective: This study aims to explore the impact of high-fidelity simulation-based training on enhancing the first aid skills and teamwork efficiency of critical care nurses. Additionally, it seeks to evaluate the effects of this training on nurses' emergency knowledge, skills, and ability to collaborate in emergency situations.

Research Methods: This study adopts a quasi-experimental design, targeting the nursing staff in the emergency department and intensive care unit of Chang Bing Show Chwan Memorial Hospital for the high-fidelity simulated emergency scenario in-service training as the experimental group. The control group consists of nursing staff from the emergency and critical care units at Changhua Show Chwan Memorial Hospital. The study is conducted using a pre-test and post-test design for both groups. The measurement tools include the Team Resource Management (TRM) scale and the Emergency Knowledge scale, which are used to evaluate the training effectiveness. The experimental group is divided into subgroups based on their unit attributes and receives 20 minutes of cognitive education followed by 40 minutes of simulation training. The content includes rotating through emergency roles and post-training discussions to promote learning reflection and behavior improvement.

Expected Results: It is anticipated that the high-fidelity simulation training will significantly enhance the emergency knowledge, skills, teamwork capabilities, confidence, and clinical decision-making abilities of critical care nurses.

Clinical Practice Implications: High-fidelity simulation training offers nurses the opportunity to practice in a safe environment, allowing repeated learning experiences. This approach effectively strengthens emergency response skills and teamwork, ultimately leading to improved clinical nursing quality and patient safety.

Conditions

High-fidelity Simulation

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: SINGLE

Study Groups

Experimental - Chang Bing Show Chwan Memorial Hospital

Participants in this group will receive high-fidelity simulated emergency scenario in-service training.

Group Type: EXPERIMENTAL

High-Fidelity Simulated Emergency Training

Intervention Type: OTHER

A high-fidelity simulation-based in-service training program focusing on emergency scenarios. The training includes simulated resuscitation cases, teamwork drills, and post-simulation debriefings conducted at Chang Bing Show Chwan Memorial Hospital.

Placebo Comparator - Show Chwan Memorial Hospital

Participants in this group will not receive any simulation-based training during the study period.

Group Type: PLACEBO_COMPARATOR

No intervention (observational study)

Intervention Type: OTHER

Participants in this arm will not receive any training or simulation intervention during the study period.

Interventions

High-Fidelity Simulated Emergency Training

A high-fidelity simulation-based in-service training program focusing on emergency scenarios. The training includes simulated resuscitation cases, teamwork drills, and post-simulation debriefings conducted at Chang Bing Show Chwan Memorial Hospital.

Intervention Type: OTHER

No intervention (observational study)

Participants in this arm will not receive any training or simulation intervention during the study period.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Age 20-65 years old.

2. At least three months of work experience in acute and critical care units.

3. Have received Advanced Cardiac Life Support(ACLS) training courses in hospitals.

4. Willing participants after explaining the purpose of the study.

Exclusion Criteria

1. Nurses who are newly hired within 3 months.

2. Have not received ACLS training courses in hospitals.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Pei Yu Huang

OTHER

Sponsor Role: lead

Responsible Party

Pei Yu Huang

Research Nurse Practitioner

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Chang Bing Show Chwan Memorial Hospital

Changhua, Lukang, Taiwan

Countries

Taiwan

Other Identifiers

ChangBingSCMH

Identifier Type: -

Identifier Source: org_study_id