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Article Dans Une Revue Annals of Intensive Care Année : 2016

Effect of simulated patient death on emergency worker’s anxiety: a cluster randomized trial

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Objective: Simulation-based teaching offers promising and diverse teaching possibilities. We aim to assess whether the death of the manikin increased anxiety amongst learner compared to similar simulation-based course where the manikin stays alive. Methods: We conducted a cluster randomized study amongst multidisciplinary teams of emergency workers. Teams of physicians, nurses, and healthcare assistants were randomly assigned to participate in a simulation-based course where the simulated patient died (death group) or not (life group). We assessed anxiety at 1 month after the teaching using Spielberger STAI-state anxiety questionnaire. We compared reduction of anxiety when facing a life-threatening situation in both groups. Results: We included 25 teams for a total of 129 participants. We analysed 63 participants in the death group and 57 in the life group. Baseline characteristics were similar in both groups, including baseline anxiety (STAI-state score 39.6 (7.8) in the death group vs 38.6 (7.1) in the life group). We report a significant reduction in both groups 1 month after the training: 6.6 (7.8) vs 6 (8.0), mean difference 0.5 (−2.4; 3.4). At 3 months, we report a significant greater reduction of anxiety in the death group (mean difference 4 [0.1; 7.9]). Conclusion: We observed in our sample that unexpected simulated patient death did not increase anxiety amongst multidisciplinary emergency workers.
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hal-01347045 , version 1 (20-07-2016)

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A. L. Philippon, J. Bokobza, B. Bloom, A. Hurbault, A. Duguet, et al.. Effect of simulated patient death on emergency worker’s anxiety: a cluster randomized trial. Annals of Intensive Care, 2016, 6 (1), pp.60. ⟨10.1186/s13613-016-0163-3⟩. ⟨hal-01347045⟩
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