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Patient Care TeamNCT05302414

The Learning Outcome of Resuscitation Teamwork Training in Postgraduate Year Doctors and Nurses

A study testing Board game-based learning, Simulation-based learning and Lecture-based learning in people with Patient Care Team, run by Taipei Medical University Hospital at 1 site in Taiwan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

It is challenging for healthcare team to manage emergency patient effectively. Most of these critical patients have medical conditions and need complex medical managements. Research findings have shown that poor healthcare teamwork would result in poor communication, missing information, and insufficient situation… Read more about this study

Who is it for?
Ages 20 years and olderHealthy volunteers can take part
Conditions the study is for
Patient Care Team
What is being tested?
Board game-based learning, Simulation-based learning and Lecture-based learning
Could I receive a placebo?
No, everyone receives an active treatment
How many people
124 participants
Where
1 siteTaiwan
Study dates
7 Aug 2022to 13 Dec 2022
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Postgraduate Year doctors who is 20 years old and work in primary care.
  • Postgraduate Year nurses who is 20 years old and work in primary care

Who cannot join

  • Participant do not work in primary care provide.
  • Healthcare provider do not delivery in relative adult care department, such as pediatric department, obstetrics department, and psychiatry department so on.

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • Jen-Chieh Wu

    New Taipei City, 23442

Other trials in Taiwan

About this study

Official title: The Learning Outcome of Resuscitation Teamwork Training on Developing Teamwork Performance in Postgraduate Year Doctors and Nurses - Comparison of Board Game-based Learning, Simulation-based Learning and Lecture-based Learning.

It is challenging for healthcare team to manage emergency patient effectively. Most of these critical patients have medical conditions and need complex medical managements. Research findings have shown that poor healthcare teamwork would result in poor communication, missing information, and insufficient situation monitoring and thus compromise patient safety. Simulation has been proved as an effective method to develop teamwork competency. However, comparing to traditional training model, simulation requires more resources such as funding, spaces, time, administration staffs, schedule, facilitators, and equipment. It would not be easy to delivery in various professional departments. Game-based learning was a known effective and learner-centered learning model which required less resources. Researchers have shown that game-based learning has higher acceptance for the learners and can improve learners' knowledge, attitude, motivation, and performance. Therefore, the aim of this study was to explore the learning effectiveness of resuscitation teamwork training of board game-based learning, simulation-based learning and lecture-based learning in PGY doctors and nurses.

Read the detailed description

This will be a prospective, longitudinal, and randomized controlled trial design. A total number of 180 PGY doctors and nurses will be enrolled from a teaching hospital in northern Taipei City. They will be randomized into board game-based learning group, simulation-based learning group, and lecture-based learning group. Three groups will receive "Emergency Medical Response Teamwork" training and all of these contents were developed according to America Heart Association Guidelines for Cardiopulmonary Resuscitation and ECC and TeamSTEPPS curriculum from Agency for Healthcare Research and Quality. We will collect the professional demography, the professional medical knowledge for medical management, the concept of knowledge for teamwork, team performance, team attitude, medical management, course survey, and cognitive load scales. We will compare the learning effectiveness between three groups in pretest, posttest, and three-months follow up. Statistical methods used included descriptive and inferential statistics, χ2 chi-square tests, Kruskal-Wallis H test, Friedman test, Wilcoxon test, generalized estimating equations, and text mining.

Being tested
Board game-based learning, Simulation-based learning, Lecture-based learning
Keywords
Teamwork, Resuscitation, Team training

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Board game-based learningBehavioural

    Also called experience group-I

    The team of PGY doctors and nurses received 3 hours training intervention in resuscitation teamwork skills through a board game-based teaching approach.

  • Simulation-based learningBehavioural

    Also called experience group-II

    The team of PGY doctors and nurses received 3 hours training intervention in resuscitation teamwork skills through a simulation-based teaching approach.

  • Lecture-based learningBehavioural

    Also called control group

    The team of PGY doctors and nurses received 3 hours training intervention in resuscitation teamwork skills through an interactive lecture-based approach.

Study groups in NCT05302414
Study groupRoleWhat they receive
Board game-based learning (experience group-I)ExperimentalThe team of PGY doctors and nurses receive training in resuscitation teamwork skills through a board game-based teaching approach.
Receives: Behavioral: Board game-based learning
Simulation-based learning (experience group-II)ExperimentalThe team of PGY doctors and nurses receive training in resuscitation teamwork skills through a simulation-based teaching approach.
Receives: Behavioral: Simulation-based learning
Lecture-based learning (control group)OtherThe team of PGY doctors and nurses receive training in resuscitation teamwork skills through an interactive lecture-based learning approach.
Receives: Behavioral: Lecture-based learning

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Team Performance Observation Tool

    The assessment of the medical team's teamwork performance was conducted using the Team Performance Observation Tool, which includes a 23-item rating checklist. This checklist is divided into five categories: team structure (four items), leadership (six items), communication (four items), situation monitoring (five items), and mutual support (four items). Scores for each item range from 1 (Very Poor) to 5 (Excellent), resulting in a cumulative score between 23 and 115. A higher score indicates better teamwork performance.

    Measured: Pretest at the 0 week, posttest right after intervention at the 4 weeks, and follow-up test at the 16 weeks.

  2. Knowledge of Teamwork Assessment

    The "Knowledge of Teamwork" assessment, aimed at evaluating healthcare professionals' understanding of teamwork knowledge, consists of 23 multiple-choice items based on the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) Learning Benchmarks provided by the Agency for Healthcare Research and Quality. Each item is formulated as a statement that participants must evaluate as true or false, choosing from five available answer options, of which only one is correct. Participants earn one point for each correct response, with no points awarded for incorrect answers, resulting in a total possible score of 0 to 23. A higher score signifies a more comprehensive understanding of the principles of teamwork knowledge.

    Measured: Pretest at the 0 week, posttest right after intervention at the 4 weeks, and follow-up test at the 16 weeks.

Secondary outcomes (4)
  1. Interprofessional Collaboration Scale

    The attitudes of healthcare professionals toward interprofessional collaboration were assessed using the 'Interprofessional Collaboration Scale' (IPC), which consists of 26 items. The Interprofessional Collaboration Scale covers three main aspects: communication, accommodation, and isolation. We adopted the first 13 items because they are relevant to medical and nursing professional backgrounds. The scale ranges from 1 (strongly disagree) to 4 (strongly agree), with total scores ranging from 13 to 52. A higher score indicates a more positive attitude toward interprofessional collaboration.

    Measured: Pretest at the 0 week, posttest right after intervention at the 4 weeks, and follow-up test at the 16 weeks.

  2. Resuscitation Knowledge Scale

    The healthcare professionals' resuscitation medical knowledge was assessed using the 'Adavance Cardiac Life Support Precourse Self-Assessment,' which consisted of 60 items. The assessment covered three main aspects: rhythm identification, pharmacology, and practical application. We selected 20 items related to resuscitation medical management (ventricular tachycardia, ventricular fibrilation, asystole, pulseless electrical activity). The total score ranged from 0 (minimum) to 20 (maximum), with higher scores indicating a better understanding of resuscitation medical knowledge.

    Measured: Pretest at the 0 week, posttest right after intervention at the 4 weeks, and follow-up test at the 16 weeks.

  3. Medical Task Performance

    The medical team's resuscitation management performance was assessed using the "Medical Task Performance" checklist. The checklist items were referenced from the 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Twenty items were identified by an expert panel based on the resuscitation guidelines, including applying adequate oxygen according to the patient's dynamic condition, timely identification of cardiac arrest and provision of high-quality cardiopulmonary resuscitation, identification of shockable rhythms and delivery of timely and correct shocks, and correct administration of resuscitation medication. The checklist was rated on a dichotomous scale with scores of 2 (complete), 1 (partial), and 0 (incomplete). The total score ranged from 0 (minimum) to 40 (maximum), with higher scores indicating better resuscitation management performance by the medical team.

    Measured: Pretest at the 0 week, posttest right after intervention at the 4 weeks, and follow-up test at the 16 weeks.

  4. Learning Cognitive Load

    The learning cognitive load of healthcare professionals was assessed using the 'Chinese Version of the Learning Cognitive Load Questionnaire,' which consists of 8 items. The questionnaire encompasses two main aspects: mental load and mental effort. The scale ranges from 1 (Strongly Disagree) to 6 (Strongly Agree), with a total score from 6 (minimun) to 48 (maximun). A higher score indicates a higher learning cognitive load.

    Measured: The posttest right after intervention at the 4 weeks.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Mar 2022
  2. Study start7 Aug 2022
  3. Primary completion13 Dec 2022
  4. Study completion13 Dec 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
three arms
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
124 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05302414
Sponsor's protocol ID
N202201126
Status last verified
Aug 2022
First submitted
9 Mar 2022
Last updated
22 Nov 2024
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Aboalshamat K, Khayat A, Halwani R, Bitan A, Alansari R. The effects of gamification on antimicrobial resistance knowledge and its relationship to dentistry in Saudi Arabia: a randomized controlled trial. BMC Public Health. 2020 May 13;20(1):680. doi: 10.1186/s12889-020-08806-2.

    PubMed 32404076
  • Al-Ghareeb AZ, Cooper SJ. Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: an integrative review. Nurse Educ Today. 2016 Jan;36:281-6. doi: 10.1016/j.nedt.2015.08.005. Epub 2015 Aug 19.

    PubMed 26323885
  • Buijs-Spanjers KR, Harmsen A, Hegge HH, Spook JE, de Rooij SE, Jaarsma DADC. The influence of a serious game's narrative on students' attitudes and learning experiences regarding delirium: an interview study. BMC Med Educ. 2020 Sep 1;20(1):289. doi: 10.1186/s12909-020-02210-5.

    PubMed 32873285
  • Capella J, Smith S, Philp A, Putnam T, Gilbert C, Fry W, Harvey E, Wright A, Henderson K, Baker D, Ranson S, Remine S. Teamwork training improves the clinical care of trauma patients. J Surg Educ. 2010 Nov-Dec;67(6):439-43. doi: 10.1016/j.jsurg.2010.06.006. Epub 2010 Nov 5.

    PubMed 21156305
  • Fernandez R, Kozlowski SW, Shapiro MJ, Salas E. Toward a definition of teamwork in emergency medicine. Acad Emerg Med. 2008 Nov;15(11):1104-12. doi: 10.1111/j.1553-2712.2008.00250.x. Epub 2008 Oct 1.

    PubMed 18828831
  • Eddy K, Jordan Z, Stephenson M. Health professionals' experience of teamwork education in acute hospital settings: a systematic review of qualitative literature. JBI Database System Rev Implement Rep. 2016 Apr;14(4):96-137. doi: 10.11124/JBISRIR-2016-1843.

    PubMed 27532314
  • Cutumisu M, Patel SD, Brown MRG, Fray C, von Hauff P, Jeffery T, Schmolzer GM. RETAIN: A Board Game That Improves Neonatal Resuscitation Knowledge Retention. Front Pediatr. 2019 Jan 31;7:13. doi: 10.3389/fped.2019.00013. eCollection 2019.

    PubMed 30766862
  • Malmstrom B, Nohlert E, Ewald U, Widarsson M. Simulation-based team training improved the self-assessed ability of physicians, nurses and midwives to perform neonatal resuscitation. Acta Paediatr. 2017 Aug;106(8):1273-1279. doi: 10.1111/apa.13861. Epub 2017 May 3.

    PubMed 28370414
  • McEwan D, Ruissen GR, Eys MA, Zumbo BD, Beauchamp MR. The Effectiveness of Teamwork Training on Teamwork Behaviors and Team Performance: A Systematic Review and Meta-Analysis of Controlled Interventions. PLoS One. 2017 Jan 13;12(1):e0169604. doi: 10.1371/journal.pone.0169604. eCollection 2017.

    PubMed 28085922
  • Finer NN, Rich W. Neonatal resuscitation: toward improved performance. Resuscitation. 2002 Apr;53(1):47-51. doi: 10.1016/s0300-9572(01)00494-4.

    PubMed 11947979
  • Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, Perkins GD, Soar J, Truhlar A, Wyllie J, Zideman DA; ERC Guidelines 2015 Writing Group. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation. 2015 Oct;95:1-80. doi: 10.1016/j.resuscitation.2015.07.038. Epub 2015 Oct 15. No abstract available.

    PubMed 26477410
  • Rosqvist E, Lauritsalo S, Paloneva J. Short 2-H in Situ Trauma Team Simulation Training Effectively Improves Non-Technical Skills of Hospital Trauma Teams. Scand J Surg. 2019 Jun;108(2):117-123. doi: 10.1177/1457496918789006. Epub 2018 Jul 20.

    PubMed 30027817
  • Sawyer T, Laubach VA, Hudak J, Yamamura K, Pocrnich A. Improvements in teamwork during neonatal resuscitation after interprofessional TeamSTEPPS training. Neonatal Netw. 2013 Jan-Feb;32(1):26-33. doi: 10.1891/0730-0832.32.1.26.

    PubMed 23318204
  • Truta TS, Boeriu CM, Copotoiu SM, Petrisor M, Turucz E, Vatau D, Lazarovici M. Improving nontechnical skills of an interprofessional emergency medical team through a one day crisis resource management training. Medicine (Baltimore). 2018 Aug;97(32):e11828. doi: 10.1097/MD.0000000000011828.

    PubMed 30095658
  • Chen HW, Guo SL, Chen CY, Kang EY, Liu PC, Huang CC, Hu SH, Wu JC, O'Donnell JM. Comparing teaching methods on novice nurses' and medical residents' resuscitation teamwork knowledge and team performance: A longitudinal randomized controlled trial. Nurse Educ Pract. 2026 May;93:104827. doi: 10.1016/j.nepr.2026.104827. Epub 2026 Apr 5.

    PubMed 41966605

Questions about this trial

What is this clinical trial studying?

A study testing Board game-based learning, Simulation-based learning and Lecture-based learning in people with Patient Care Team, run by Taipei Medical University Hospital at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Nov 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Team Performance Observation Tool (time frame: Pretest at the 0 week, posttest right after intervention at the 4 weeks, and follow-up test at the 16 weeks.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05302414, which also lists 15 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Nov 2024.

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