Transfer of urethral catheterization (UC) skills from simulation training to performance on real clinical

ISRCTN ISRCTN90745002
DOI https://doi.org/10.1186/ISRCTN90745002
Secondary identifying numbers H-1-2010-075
Submission date
01/02/2012
Registration date
20/02/2012
Last edited
08/12/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Urethral catheterisation (UC) is a procedure where a flexible tube called a catheter is inserted into a patient's bladder to collect urine. Inexperienced interns are responsible for most complications after UC. Although it is common to train using simulators, little is known about the transfer of learned skills to real clinical practice. The aim of this study is to evaluate the short- and long-term effects of a UC simulated skills training course on performance on real patients and to examine whether watching a video of the procedure immediately before assessment enhances performance.

Who can participate?
Third year students at University of Copenhagen medical school.

What does the study involve?
Participants attend a simulated skills training course covering the essential knowledge and skills needed to perform a UC. An experienced student teacher teaches the students in groups of maximum six. After a theoretical introduction, the major part of the course consists of practical training of UC on a mannequin with feedback from the teacher. After the UC course the students are tested using a mannequin. Their performance is videotaped and assessed afterwards. One to six weeks later, participants are scheduled to perform a UC on a real patient from a urological department. The UC procedure is assessed by direct observation by an experienced urology nurse, who could interrupt if anything potential harmful for the patient was going to happen.

What are the possible benefits and risks of participating?
There were no additional risks for the participants in our study.

When is the study starting and how long is it expected to run for?
May 2010 to March 2011

Where is the study run from?
University of Copenhagen (Denmark)

Who is funding the study?
University of Copenhagen (Denmark)

Who is the main contact?
Prof Charlotte Ringsted
charlotte.ringsted@rh.regionh.dk

Contact information

Prof Charlotte Ringsted
Scientific

Bomhoffs Have 8, 4. tv.
Copenhagen
1872
Denmark

Email charlotte.ringsted@rh.regionh.dk

Study information

Study designSingle-centre randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleTransfer of urethral catheterization (UC) skills from simulation training to performance on real clinical: a randomized controlled trial of the additional effect of video instruction
Study objectivesThe aims of the study were to investigate short- and long-term effects of simulated UC skills training on performance on real patients and the effect of watching an instructional video of the UC procedure immediately before the first clinical performance.
Ethics approval(s)The National Committee on Health Research Ethics, Copenhagen, Denmark, 13/08/2012, ref: H-1-2010-075
Health condition(s) or problem(s) studiedMedical education
InterventionThe participants were randomised to a video group or a control group when they arrived at the hospital for the transfer-test.

The video group watched a five minutes long video instruction of urethral catheterization while the control group did not get any preparation before the test. The video illustrated a physician performing urethral catheterization on a real patient and a voice over to explain the difficult steps.
Intervention typeProcedure/Surgery
Primary outcome measureUrethral catheterization performance on patients were assessed using a form with 15 items, each to be scored on a scale of 0-4, where 4 indicated best performance
Secondary outcome measuresAn overall assessment in the form including five categories: poor, unacceptable, acceptable, good, and excellent performance
Overall study start date01/05/2010
Completion date01/03/2011

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsSeventy-six medical students were enrolled in the main study. Twenty-eight medical students were invited to participate in the pilot study.
Key inclusion criteriaThe participants were a volunteer sample of third year medical students at Copenhagen University. All students were invited by email to participate in the study and were included on a first come, first served principle
Key exclusion criteriaStudents with previous clinical experience in performing UC
Date of first enrolment01/05/2010
Date of final enrolment01/03/2011

Locations

Countries of recruitment

  • Denmark

Study participating centre

Bomhoffs Have 8, 4. tv.
Copenhagen
1872
Denmark

Sponsor information

University of Copenhagen (Denmark)
University/education

Faculty of Health and Medical Sciences
Undervisningskvalitetspulje for den kliniske undervisning
3B, Blegdamsvej
Copenhagen
2200
Denmark

Email email@sund.ku.dk
Website http://sund.ku.dk/uddannelse/undervisningskvalitetspulje/
ROR logo "ROR" https://ror.org/035b05819

Funders

Funder type

University/education

Københavns Universitet
Government organisation / Universities (academic only)
Alternative name(s)
university_of_copenhagen, Københavns Universitet - University of Copenhagen, University of Copenhagen (UCPH), Copenhagen University, Københavns Universitet – Københavns Universitet, University of Copenhagen (KU), Denmark, Københavns Universitet – University of Copenaghen (UCPH), koebenhavns_uni, Københavns Uni, University of Copenhagen, KU, UCPH
Location
Denmark

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 25/02/2013 Yes No