Evaluating the Impact of In-Situ Simulation on Interprofessional Healthcare Team Training

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversidade do Porto

About this trial

Clinical simulation has established itself as an essential methodology in healthcare training, enabling the development of technical and non-technical skills in controlled and safe environments. This study proposes a randomized trial that compares the impact of two learning contexts-a simulation center and the in situ simulation (ISS) environment in the operating room-on the training of interprofessional teams. The aim is to evaluate the effectiveness and efficiency of each context in the acquisition and performance of technical and non-technical skills, as well as participants' perceptions of realism, teamwork, and patient safety. The randomized experimental design reinforces the methodological rigor and internal validity of the results, allowing the identification of important differences between the two approaches. The scarcity of studies on interprofessional simulation in a real clinical context underscores the relevance of this research, which may provide scientific evidence to guide training policies and promote safer, more collaborative practices. It is expected that the results will contribute to improving interprofessional training programs and supporting the systematic integration of ISS in the healthcare field, especially in high-complexity environments.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Professionals working in the surgical center of ULSM-HPH with at least 6 months of experience in the role.

Availability to participate in the simulation group assigned to them.

Disqualifiers

Professionals who do not work in the surgical center.

Participants who cannot complete all phases of the study due to scheduling or health restrictions.

Pregnant professionals.

Trial design

Design model

Parallel

Treatments tested in this trial

  • In Situ Simulation

    Other intervention

    Simulation scenario carried out in situ. The training team will consist of 3 facilitators (who will always be the same throughout the study), with each scenario having only 2 facilitators and the principal investigator. Each group will be subjected to the same simulation scenario, the process of which is approximately 60 minutes, divided into: Briefing - 10 min; Scenario Development - 15 minutes; Debriefing - 30/35 min.

  • Simulation Center

    Other intervention

    Simulation scenario carried out in the Simulation Center. The training team will consist of 3 facilitators (who will always be the same throughout the study), with each scenario having only 2 facilitators and the principal investigator. Each group will be subjected to the same simulation scenario, the process of which is approximately 60 minutes, divided into: Briefing - 10 min; Scenario Development - 15 minutes; Debriefing - 30/35 min.

Treatment groups

108 Participants
are divided into 2 treatment groups
Group A: In Situ SimulationExperimental treatment 1 intervention
Group B: Simulation CenterActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Simulation Effectiveness (SET-M)

Measured with Simulation Effectiveness Tool - Modified (SET-M). SET-M is a 19-item tool with a three-point Likert scale that measures effectiveness by capturing student feedback on three domains. The higher the score, the more effective the simulation training.

Time frame
Immediately after the simulation session (Day 1)
2

Simulation Effectiveness (ICCAS)

Measured with the Interprofessional Collaborative Competencies Attainment Survey (ICCAS). ICCAS is a 20-item self-report tool with a seven-point Likert scale that evaluates the participants' competencies in six dimensions before and after the simulation. Participants complete the tool after simulation training, but rate their abilities twice: once as they recall them before training, and after that training is done. The higher the score, the more effective the simulation training.

Time frame
Immediately after the simulation session (Day 1)
3

Simulation Design Evaluation

Evaluated using Simulation Design Scale (SDS) - Student version. SDS is a 20-item tool with a five-point Likert scale designed to evaluate five design features of instructor-developed simulations. The instrument has two parts: the presence of specific features in the simulation and the importance of those features to the learner. The higher the score, the higher the evaluation of the design feature.

Time frame
Immediately after the simulation session (Day 1)
4

Simulation Debriefing Assessment

Measured with the Debriefing Assessment for Simulation in Healthcare (DASH) Short version for students and for instructors. DASH for students has students evaluating the instructors in 6 elements with a seven-point Likert scale, while DASH for instructors is a self-assessment tool with the same structure. The higher the score, the higher the debriefing skill.

Time frame
Immediately after the simulation session (Day 1)

Secondary outcomes

Other outcomes

Sponsors and contacts

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Universidade do Porto

Lead sponsor

Hospital Pedro Hispano, ULS Matosinhos

Collaborator

This trial is not recruiting at the moment. You can still explore other options: