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A Comparison Between Physical and Virtual Simulation: A Randomized Controlled Trial

N

National University of Singapore

Status

Completed

Conditions

Interdisciplinary Communication

Treatments

Other: Create Real-life Experience And Teamwork In Virtual Environment (CREATIVE)

Study type

Interventional

Funder types

Other

Identifiers

NCT04330924
S-17-107

Details and patient eligibility

About

Nurse-physician communication skills can be improve through inter-professional team training. Simulation is often used to conduct these training. However, constraints to conduct these sessions such as scheduling and logistic arrangements have been widely reported. Thus with the advancement of technology in education, the use of virtual environment to conduct the team training is being explored and evaluated.

Full description

All recruited participants underwent a 3-hour nurse-physician communication training prior to the simulation session. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) curriculum and pre-learning videos were introduced to the participants. Pre-test questionnaires were administered after the training. Participants were then randomized to the control (live simulation) or intervention group (virtual simulation).

Intervention group participants will undergo a virtual simulation session training via the multi-user virtual world by logging in into the 3D virtual environment while participants in the control group performed the simulations in a physical simulated ward setting. Each pair of 1 medical student and 1 nursing student participate in two role-playing simulation scenarios (15-20 minutes each) along with a facilitator who will provide a debrief (30-minutes). Prior to the simulation, participants were given a smart-watch to monitor their physiological parameters such as heart rate. Post-test questionnaires were administered after the simulation sessions.

After the simulation training, a 30-minutes team-based assessments were conducted based on a inter-professional bedside care scenario in pairs of one medical and one nursing student within their randomized group. The assessments were video recorded for evaluation by assessors who are blinded to the groupings. All participants were then invited to complete a follow-up questionnaire 2 months after the simulation training.

Enrollment

120 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

i) Full time students undertaking National University of Singapore's

  • Third or fourth year Bachelor of Science (Nursing)
  • Third or fourth year Bachelor of Medicine & Bachelor of Surgery

ii) Completed acute care management modules

Exclusion criteria

i) Does not voluntarily agree to join the study

ii) Does not want their performance to be video-recorded

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

120 participants in 2 patient groups

Virtual Reality
Experimental group
Description:
3D avatar in a virtual simulation environment
Treatment:
Other: Create Real-life Experience And Teamwork In Virtual Environment (CREATIVE)
Live Simulation
No Intervention group
Description:
Live-based simulation in a simulation ward

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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