Cognitive Load and Stress Assessment of Medical High-Fidelity Simulations for Emergency Management

Brunzini, Agnese; Papetti, Alessandra; Formenti, Luca; Luciani, Aurora; Messi, Daniele; Adrario, Erica; Barbadoro, Pamela

doi:10.1007/978-3-030-51064-0_44

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…However, subjective user ratings can be misleading metrics of simulation effectiveness [10]. Examples of the application of physiological measurements exist in the literature [22], but they are not widespread. For this reason, it is evident the need of including a multi-dimensional assessment.…”

Section: Transdisciplinary Frameworkmentioning

confidence: 99%

A Transdisciplinary Approach for the Design Optimization of Medical Simulations

Brunzini

Peruzzini

Germani

et al. 2021

Advances in Transdisciplinary Engineering

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Simulation in healthcare is rapidly replacing more traditional educational methods, becoming a fundamental step in the medical training path. Medical simulations have a remarkable impact not only on learners’ competencies and skills but also on their attitudes, behaviors, and emotions such as anxiety, stress, mental effort, and frustration. All these aspects are transferred to the real practice and reflected on patients’ safety and outcomes. The design of medical simulations passes through a careful analysis of learning objectives, technology to be used, instructor’s and learners’ roles, performance assessment, and so on. However, an overall methodology for the simulation assessment and consequent optimization is still lacking. The present work proposes a transdisciplinary framework for the analysis of simulation effectiveness in terms of learners’ performance, ergonomics conditions, and emotional states. It involves collaboration among different professional figures such as engineers, clinicians, specialized trainers, and human factors specialists. The aim is to define specific guidelines for the simulation optimization, to obtain enhanced learners’ performance, improved ergonomics, and consequently positively affect the patient treatment, leading to cost savings for the healthcare system. The proposed framework has been tested on a low-fidelity simulation for the training of rachicentesis and has allowed the definition of general rules for its enhancement.

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Section: Transdisciplinary Frameworkmentioning

confidence: 99%

A Transdisciplinary Approach for the Design Optimization of Medical Simulations

Brunzini

Peruzzini

Germani

et al. 2021

Advances in Transdisciplinary Engineering

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, medical simulations could elicit stress, anxiety, and worry, compromising students' performance and psychological safety (Dias et al 2018). Indeed, it is important to avoid stress and cognitive overload of students to ensure productive learning (Brunzini et al 2021). For this reason, stress management education can be a key aspect to enhance technical performance (Goldberg et al 2018).…”

Section: Introductionmentioning

confidence: 99%

A comprehensive method to design and assess mixed reality simulations

et al. 2022

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The scientific literature highlights how Mixed Reality (MR) simulations allow obtaining several benefits in healthcare education. Simulation-based training, boosted by MR, offers an exciting and immersive learning experience that helps health professionals to acquire knowledge and skills, without exposing patients to unnecessary risks. High engagement, informational overload, and unfamiliarity with virtual elements could expose students to cognitive overload and acute stress. The implementation of effective simulation design strategies able to preserve the psychological safety of learners and the investigation of the impacts and effects of simulations are two open challenges to be faced. In this context, the present study proposes a method to design a medical simulation and evaluate its effectiveness, with the final aim to achieve the learning outcomes and do not compromise the students' psychological safety. The method has been applied in the design and development of an MR application to simulate the rachicentesis procedure for diagnostic purposes in adults. The MR application has been tested by involving twenty students of the 6th year of Medicine and Surgery of Università Politecnica delle Marche. Multiple measurement techniques such as self-report, physiological indices, and observer ratings of performance, cognitive and emotional states of learners have been implemented to improve the rigour of the study. Also, a user-experience analysis has been accomplished to discriminate between two different devices: Vox Gear Plus® and Microsoft Hololens®. To compare the results with a reference, students performed the simulation also without using the MR application. The use of MR resulted in increased stress measured by physiological parameters without a high increase in perceived workload. It satisfies the objective to enhance the realism of the simulation without generating cognitive overload, which favours productive learning. The user experience (UX) has found greater benefits in involvement, immersion, and realism; however, it has emphasized the technological limitations of devices such as obstruction, loss of depth (Vox Gear Plus), and narrow FOV (Microsoft Hololens).

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Cognitive Load and Stress Assessment of Medical High-Fidelity Simulations for Emergency Management

Cited by 2 publications

References 6 publications

A Transdisciplinary Approach for the Design Optimization of Medical Simulations

A Transdisciplinary Approach for the Design Optimization of Medical Simulations

A comprehensive method to design and assess mixed reality simulations

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