Effectiveness of Simulation Based Training in Implementing One Hour Bundle Sepsis

The Role of Simulation-Based Training to Improve Team Performance in Implementing One Sepsis Hour Bundle in Intensive Care Unit

This study aimed to compare simulation training with conventional training (case-based discussion only) to improve team performance in implementing one-hour sepsis bundle in the intensive care unit

This was an experimental randomized single-blind study to examine the role of simulation-based training in improving team performance in conducting sepsis management. Subjects were sixteen doctors and twenty-four nurses working in the intensive care unit. The subjects were randomly divided into two treatment groups: the discussion group and the simulation group. Each treatment group was further divided into four small groups consisting of two doctors and three nurses. Prior to the training, every subject received a pretest for cognitive evaluation and a posttest at the end of the training. The performance of both groups in implementing one-hour sepsis bundle was assessed by solving a sepsis case in high fidelity manikin.

The simulation training group will receive a simulation training of a sepsis case which will see the participants implementing one-hour bundle sepsis with a high-fidelity manikin.

The conventional training group will receive a case-based discussion of a sepsis case which will see the participants implementing one-hour bundle sepsis.

The participants in the simulation group will receive simulation training with high-fidelity manikin to practice and implement one-hour bundle sepsis

The participants in the conventional group will only do a case-based discussion in implementing one-hour bundle sepsis

Differences in score of skills in implementing one-hour bundle sepsis in the intensive care unit assessed with checklist which were designed by four anesthesiologist-intensivists

Measured by checklist which were designed by four anesthesiologist-intensivists before the study was conducted and validated by Aiken coefficient. The Aiken coefficient for this checklist were all >0.3 which is declared valid.

Differences in intrateam communication's score in implementing one hour sepsis bundle assessed with checklist which were designed by four anesthsiologist-intensivists

Measured by checklist which were designed by four anesthesiologist-intensivists before the study was conducted and validated by Aiken coefficient. The Aiken coefficient for this checklist were all >0.3 which is declared valid.

Inclusion Criteria: Doctors working in Dr. Cipto Mangunkusumo Public Hospital's ICU Nurses working in Dr. Cipto Mangunkusumo Public Hospital's ICU Exclusion Criteria: Doctors and nurses who are not fit or healthy to undergo this training