Simulation-based training for increasing health service board members' effectiveness: protocol for a cluster-randomised controlled trial

BMJ Open. 2019 Apr 20;9(4):e025170. doi: 10.1136/bmjopen-2018-025170.

Abstract

Introduction: Research indicates that health service boards can influence quality of care. However, government reviews have indicated that board members may not be as effective as possible in attaining this goal. Simulation-based training may help to increase board members' ability to effectively communicate and hold hospital staff to account during board meetings.

Methods and analysis: To test effectiveness and feasibility, a prospective, cluster-randomised controlled trial will be used to compare simulation-based training with no training. Primary outcome variables will include board members' perceived skill and confidence in communicating effectively during board meetings, and board members' perceptions of board meeting processes. These measures will be collected both immediately before training, and 3 months post-training, with boards randomly assigned to intervention or control arms. Primary analyses will comprise generalised estimating equations examining training effects on each of the primary outcomes. Secondary analyses will examine participants' feedback on the training.

Ethics and dissemination: Research ethics approval has been granted by Monash University (reference number: 2018-12076). We aim to disseminate results through peer-reviewed journal publication, conference presentation and social media.

Trial registration number: Open Science Framework: http://osf.io/jaxt6/; Pre-results.

Keywords: hospital boards; medical education and training.; organisation of health services; risk management; simulation-based training.

Publication types

  • Clinical Trial Protocol
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cluster Analysis
  • Governing Board*
  • Health Services / standards*
  • Humans
  • Prospective Studies
  • Randomized Controlled Trials as Topic*
  • Simulation Training / standards*