Exploring Self-regulatory Processes in Anesthesiologists During Massive Transfusion

Unity Health Toronto

Status: Unknown

Conditions: Performance; Forethought; Self-regulation

Treatments: Other: Prompting forethought

Study type: Interventional

Funder types: Other

Identifiers

NCT02199210

SIMPROJECT-MT

Details and patient eligibility

About

The purpose of the project is to investigate the function of self-regulatory processes in anesthesiologists and how application of these processes influence performance in a crisis situation.The investigators intend to explore specifically the first phase of self-regulation, i.e. the forethought phase which describes processes related to strategic planning, goal setting, goal orientation, and outcome expectation. The investigators hypothesize that prompting forethought before engaging in a simulated massive transfusion crisis situation will result in better task performance in anesthesiologists.

Full description

The investigators will conduct 3 studies building on each other.

• Pilot Study: the purpose of this study is to develop measurement tools for forethought, performance and a tool for prompting forethought. This study will include 2 attending anesthesiologists and 2 anesthesia residents (PGY2, 5).
• Study I: the purpose of this study is to validate the measurement tools for forethought, performance and the tool for prompting forethought. This will include 6 attending anesthesiologists, 6 PGY5 and 6 PGY2 anesthesia residents.
• Study II: the purpose of this study is to investigate if prompting forethought in anesthesia residents will result in better performance in a simulated massive transfusion than no prompting.

Enrollment: 40 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pilot study: attending anesthesiologists at St. Michael's Hospital , PGY5, PGY2 anesthesia residents at University of Toronto
• Study I: attending anesthesiologists at St. Michael's Hospital, PGY5, PGY2 anesthesia residents at University of Toronto
• Study II: PGY2, PGY3, PGY4 anesthesia residents at University of Toronto

Exclusion criteria

• Refusal to take part in the study

Trial design

40 participants in 2 patient groups

Prompting forethought

Experimental group

Description:

A demographic questionnaire will be filled out by each participant. After randomization, participants will be presented with the background information of the simulated scenario.Subsequently: * participants forethought will be prompted and each participant will be asked to report his/her forethought, * participants then will be asked to manage a simulated massive transfusion scenario, * at completion of the scenario, each participant will undergo individualized debriefing and a syllabus on massive transfusion will be briefly discussed with them and also provided as a reading material for learning.

Treatment:

Other: Prompting forethought

No prompting

No Intervention group

Description:

A demographic questionnaire will be filled out by each participants. After randomization, participants will be presented with the background information of the simulated scenario.Subsequently: * participants will sit and wait for a predetermined time before entering into the simulator, * participants then will be asked to manage a simulated massive transfusion scenario, * at completion of the scenario, each participant will be interviewed about their thought process before entering to the simulation room, * each participant will undergo individualized debriefing and a syllabus on massive transfusion will be briefly discussed with them and also provided as a reading material for learning.