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CompletedNCT06944821EFFIQUASSUpdated May 29, 2026

Effect of in Situ Simulation on Quality of Work Life and Multiprofessional Team Effectiveness in the Intensive Care Unit

An interventional study of In-situ simulation and Role-playing using a simulation scenario in Quality of Work Life, Burn-out and Simulation, sponsored by University Hospital, Montpellier. Completed at 2 sites in France. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-29.

Sponsored by University Hospital, Montpellier · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The lack of specific, personalized training for intensive care workers can lead to a deterioration in quality of life at work, and can result in burnout, absenteeism or wanting to leave the service. The aim of this study is to assess the impact of in situ simulation on quality of work life and the effectiveness of multi-professional teamwork in intensive care.

Read the detailed description

Paramedics in intensive care are particularly exposed to the risk of burnout, which is multifactorial (psychologically and physically challenging environment, life-threatening emergency context, etc.). Personal assistance professions require a high level of compassion, leading to a positive feeling of compassionate satisfaction, i.e. the satisfaction of helping others. Compassion fatigue leads to a reduction in job satisfaction, culminating in burnout. Factors negatively influencing compassion satisfaction are the absence of specific and adapted training, or the lack of support from the hierarchy. Among the pedagogical tools available, in situ simulation could be used to respond to a specific and personalized training request from a care department. The study will be carried out in the cardio-thoracic intensive care unit at Montpellier University Hospital, comparing 2 groups to assess the effect of simulation on paramedics. Paramedics will be randomized into 2 groups, with stratification on diploma (nursing assistant or nurse): group A benefiting from a simulation program, and group B not benefiting from it during the study.

02

Conditions studied

  • Quality of Work Life
  • Burn-out
  • Simulation

Keywords

  • In-situ simulation
  • Intensive care
  • Stress
  • Quality of working life
  • Quality of care
  • Performance
  • Caregivers
  • Teamwork
03

In context

Burnout, Psychological

442 studies on the registry are indexed under Burnout, Psychological; 106 are open to participants now.

This study's enrollment of 90 is above the median of 80 across 319 interventional studies indexed under Burnout, Psychological.

Browse Burnout, Psychological studies →

Lead sponsor

University Hospital, Montpellier is the lead sponsor of 1,244 studies on the registry; 225 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Paramedical staff (nurse and nursing assistant) in the cardiothoracic intensive care unit at Montpellier University Hospital.
  • Acceptance of being filmed for direct video transcription during the intervention

Exclusion criteria

Exclusion Criteria:

  • Refusal of consent or inability to give consent (guardianship, curatorship)
  • Paramedics intending to leave the department before the end of the study.
  • Not affiliated to a French social security scheme or not a beneficiary of such a scheme
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
90 participants (actual)

Study arms

  • Experimental
    In-situ stimulation

    Procedure: In-situ simulation · Other: Role-playing using a simulation scenario · Other: Questionnaires

  • Other
    Control

    Other: Role-playing using a simulation scenario · Other: Questionnaires

Interventions

  • ProcedureIn-situ simulation

    Each simulation session takes place over one day, with 4 scenarios recreating life-threatening emergency situations (cardiorespiratory arrest, hemorrhagic shock, etc.). Each scenario is designed to meet specific pedagogical objectives, which will be debriefed by simulation trainers: crisis resource management (communication, alerting, etc.) or organization of multi-professional teamwork

  • OtherRole-playing using a simulation scenario

    Team performance in critical situations, assessed during a simulation scenario for all participants. The assessment will be carried out blind by 1 examiner, trained in CRM (Crisis Resource Management) analysis in simulation and debriefing.

  • OtherQuestionnaires

    Quality of lige questionnaire Pro-QOL, Karasek questionnaire, Satisfaction questionnaire at work : WRQoL, Work Life Balance scale, Mayo Hight Team Performance scale will be completed at baseline and at 6 months

06

What researchers measure

Primary outcomes

  1. Subscale of compassion satisfaction of ProQOL-5 (Professional Quality of Life Scale version 5

    The ProQOL is composed of 30 questions with 3 subscales : compassion satisfaction, burnout and vicarious trauma. Each response are scored from 1 to 5 . The subscale Compassion Satisfaction is composed of 10 questions. A score ≤ 22 indicates a deterioration in compassion satisfaction.

    Time frame: From baseline to the end of the follow up at 6 months

Secondary outcomes

  1. Burnout subscale of ProQOL-5

    The ProQOL is composed of 30 questions with 3 subscales : compassion satisfaction, burnout and vicarious trauma. Each response are scored from 1 to 5 . The subscale Burnout is composed of 10 questions. A score ≥42 indicates a hight burnout level

    Time frame: From baseline to the end of the follow up at 6 months

  2. Vicarious trauma subscale of ProQOL

    The ProQOL is composed of 30 questions with 3 subscales : compassion satisfaction, burnout and vicarious trauma. Each response are scored from 1 to 5 . The subscale " Vicarious Trauma " is composed of 10 questions. A score ≥42 indicates a hight vicarious trauma level

    Time frame: From baseline to the end of the follow up at 6 months

  3. Karasek

    The Karasek self-questionnaire assess the "job strain ". It is composed of 3 susbscales : the psychological demand, the Decision latitude and the Social support at work. A decision-making latitude score \< 72 and a Psychological Demand score ≥ 21 is associated with a Job Strain

    Time frame: From baseline to the end of the follow up at 6 months

  4. WRQoL (QwOL)

    The Work-related Quality of Life is composed of 23 questions. It evaluates 6 dimensions: the feeling of being involved in decisions (3 assertions), appreciation of work organization and general satisfaction (7), help with external demands (3), satisfaction with working conditions (3), satisfaction with the ability to do one's job (6) and stress at work (2). A higher score is associated to a highter quality of life at work.

    Time frame: From baseline to the end of the follow up at 6 months

  5. Work-Life Balance scale questionnaire

    The Work-Life Balance scale assess the impact of work on personal quality of life. It is composed of 3 subscales about : Work interferes with personal life (WIPL), Personal interferes with work (PLIW), Satisfaction with quality of personal and work life (WPLE). A high score is associated with significant interference of work with private life

    Time frame: From baseline to the end of the follow up at 6 months

  6. Mayo High Performance Team Scale

    The Mayo High Performance Team Scale is a standardized evaluation scale, designed to meet non-technical teaching objectives named CRM (Crisis Resource Management). This scale assess the effectiveness and performance of teams of emergency care workers

    Time frame: From baseline to the end of the follow up at 6 months

  7. Adverse event

    Occurrence of adverse events or errors linked to a lack of interprofessional communication

    Time frame: From baseline to the end of the follow up at 6 months

07

Study locations

2 sites
  • Departement of anesthesia cardio-thoracic and vascular resuscitation Arnaud de Vinelleuve Hospital CHU of Montpellier.
    Montpellier, Occitanie 34090, France
  • University Hospital of Montpellier
    Montpellier, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06944821
Lead sponsor
University Hospital, Montpellier
Responsible party
Sponsor
First posted
Apr 25, 2025
Start date
May 19, 2025
Primary completion
Apr 17, 2026
Completion
Apr 17, 2026
Last update
May 29, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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