Task Focusing Strategy During a Simulated Cardiopulmonary Resuscitation - Full Text View

Purpose

This is a prospective randomized controlled study. The aim of this study is to

describe the stress patterns experienced during a CPR situation;
investigate whether the perceived stress was associated with CPR performance in terms of hands-on time and time to start CPR;
to investigate whether this task focusing strategy reduces perceived stress levels, and
whether this translates into better CPR performance. Based on findings that clear, directive leadership can enhance performance in cardiac resuscitation, we further 5) investigate if stress was associated with fewer leadership statements.

Condition	Intervention
Mental Stress	Behavioral: instruction


Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject)
Official Title:	Impact of a Task Focusing Strategy on Perceived Stress Levels and Performance During a Simulated Cardiopulmonary Resuscitation: A Randomized Controlled Trial

Resource links provided by NLM:

MedlinePlus related topics: CPR

U.S. FDA Resources

Further study details as provided by University Hospital, Basel, Switzerland:

Primary Outcome Measures:

perceived levels of stress and feeling overwhelmed (stress/overload) [ Time Frame: time from start of CPR until scenario is finished (usually 5-10min) ] [ Designated as safety issue: No ]
This is a simulator study and the study starts after students entered the simulator and the manikin has a cardiac arrest. The scenarios usually last for not more than 5-10 min at which time point the study is finished

Secondary Outcome Measures:

hands-on time [ Time Frame: time from start of CPR until scenario is finished (usually 5-10min) ] [ Designated as safety issue: No ]
This is a simulator study and the study starts after students entered the simulator and the manikin has a cardiac arrest. The scenarios usually last for not more than 5-10 min at which time point the study is finished
time to start CPR [ Time Frame: time from start of CPR until scenario is finished (usually 5-10min) ] [ Designated as safety issue: No ]
Number of leadership statements [ Time Frame: time from start of CPR until scenario is finished (usually 5-10min) ] [ Designated as safety issue: No ]


Enrollment:	124
Study Start Date:	December 2007
Study Completion Date:	July 2008
Primary Completion Date:	May 2008 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: intervention instructions about focusing on relevant task elements by posing two task-focusing questions ("what is the patient's condition?", "what immediate action is needed?") when feeling overwhelmed by stress (intervention-group)	Behavioral: instruction instructions about focusing on relevant task elements by posing two task-focusing questions ("what is the patient's condition?", "what immediate action is needed?") when feeling overwhelmed by stress (intervention-group)
No Intervention: Control No instructions

Eligibility


Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

4th year medical students

Exclusion Criteria:

No informed consent

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01645566

Locations


Switzerland
University Hospital Basel
Basel, BS, Switzerland, 4031

Sponsors and Collaborators

University Hospital, Basel, Switzerland

Investigators


Principal Investigator:	Sabina Hunziker, MD, MPH	University Hospital Basel, Medical Intensive Care Unit

More Information

Publications:

Hunziker S, Semmer NK, Tschan F, Schuetz P, Mueller B, Marsch S. Dynamics and association of different acute stress markers with performance during a simulated resuscitation. Resuscitation. 2012 May;83(5):572-8. doi: 10.1016/j.resuscitation.2011.11.013. Epub 2011 Nov 22.

Hunziker S, Laschinger L, Portmann-Schwarz S, Semmer NK, Tschan F, Marsch S. Perceived stress and team performance during a simulated resuscitation. Intensive Care Med. 2011 Sep;37(9):1473-9. doi: 10.1007/s00134-011-2277-2. Epub 2011 Jun 22.

Hunziker S, Johansson AC, Tschan F, Semmer NK, Rock L, Howell MD, Marsch S. Teamwork and leadership in cardiopulmonary resuscitation. J Am Coll Cardiol. 2011 Jun 14;57(24):2381-8. doi: 10.1016/j.jacc.2011.03.017. Review.

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Hunziker S, Pagani S, Fasler K, Tschan F, Semmer NK, Marsch S. Impact of a stress coping strategy on perceived stress levels and performance during a simulated cardiopulmonary resuscitation: a randomized controlled trial. BMC Emerg Med. 2013 Apr 22;13:8. doi: 10.1186/1471-227X-13-8.


Responsible Party:	Philipp Schuetz, Dr., University Hospital, Basel, Switzerland
ClinicalTrials.gov Identifier:	NCT01645566 History of Changes
Other Study ID Numbers:	BS1330978
Study First Received:	July 15, 2012
Last Updated:	July 19, 2012
Health Authority:	Switzerland: EKBB

Keywords provided by University Hospital, Basel, Switzerland:


cardiopulmonary resuscitation stress intervention

ClinicalTrials.gov processed this record on February 27, 2015