Task Focusing Strategy During a Simulated Cardiopulmonary Resuscitation

• ClinicalTrials.gov Identifier: NCT01645566
• Recruitment Status: Completed
• First Posted: July 20, 2012
• Last Update Posted: July 20, 2012
• Sponsor: University Hospital, Basel, Switzerland
• Information provided by (Responsible Party): Philipp Schuetz, University Hospital, Basel, Switzerland

Study Description

Brief Summary:

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

1. describe the stress patterns experienced during a CPR situation;
2. investigate whether the perceived stress was associated with CPR performance in terms of hands-on time and time to start CPR;
3. to investigate whether this task focusing strategy reduces perceived stress levels, and
4. 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 or disease	Intervention/treatment	Phase
Mental Stress	Behavioral: instruction	Not Applicable

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 124 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Participant)
• Official Title: Impact of a Task Focusing Strategy on Perceived Stress Levels and Performance During a Simulated Cardiopulmonary Resuscitation: A Randomized Controlled Trial
• Study Start Date: December 2007
• Actual Primary Completion Date: May 2008
• Actual Study Completion Date: July 2008

Arms and Interventions

Arm	Intervention/treatment
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

Outcome Measures

Primary Outcome Measures :

1. perceived levels of stress and feeling overwhelmed (stress/overload) [ Time Frame: time from start of CPR until scenario is finished (usually 5-10min) ]
   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 :

1. hands-on time [ Time Frame: time from start of CPR until scenario is finished (usually 5-10min) ]
   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
2. time to start CPR [ Time Frame: time from start of CPR until scenario is finished (usually 5-10min) ]
3. Number of leadership statements [ Time Frame: time from start of CPR until scenario is finished (usually 5-10min) ]

Eligibility Criteria

• Ages Eligible for Study: 18 Years and older (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

• 4th year medical students

Exclusion Criteria:

• No informed consent

Contacts and Locations

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.

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
• Other Study ID Numbers: BS1330978
• First Posted: July 20, 2012
• Last Update Posted: July 20, 2012
• Last Verified: July 2012

Keywords provided by Philipp Schuetz, University Hospital, Basel, Switzerland:

cardiopulmonary resuscitation; stress; intervention

Additional relevant MeSH terms:

Stress, Psychological; Behavioral Symptoms