Registered nurses psychophysiological stress and confidence during high-fidelity emergency simulation: Effects on performance

Judd, Belinda; Currie, Jane; Dodds, Kirsty L.; Fethney, Judith; Gordon, Christopher J.

doi:10.1016/j.nedt.2019.04.005

Cited by 36 publications

(29 citation statements)

References 30 publications

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“…As a result, we observed a decrease in the feeling of stress and stress perceived as more mobilizing by the participants. Similar positive results were obtained in nurses: repeating simulations with the same team reduced stress and anxiety and increased self-confidence in life-threatening situations [20]. However, one should remember that when dealing with, seriously, a child, there will always be a difference in stress between simulated and real cases.…”

Section: Discussionsupporting

confidence: 60%

Relationship between Executive Functions, Mindfulness, Stress, and Performance in Pediatric Emergency Simulations

Łoś

Chmielewski

Łuczyński

2020

IJERPH

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Over the past decade, high-fidelity medical simulation has become an accepted and widely used teaching method in pediatrics. Both simulation and work in the real conditions of emergency departments are accompanied by stress that affects the executive functions of participants. One of the methods for reducing stress among medical students and healthcare professionals is the practice of mindfulness. The aim of this study was to examine whether executive functions, mindfulness, and stress are related to the technical and non-technical skills of medical students participating in medical simulations in pediatrics. The study included 153 final-year medical students. A total of 306 high-fidelity simulations of life-threatening situations involving children were conducted. Results: Stress and the coping mechanism of the participants were correlated to their skills during pediatric simulations. Some components of mindfulness, such as non-judgment and conscious action, were positively related to the skills of medical team leaders. Executive functions correlated with the non-technical skills and mindfulness of the medical students. Conclusions: Stress, mindfulness, and executive functions modeled the behavior and skills of medical students during pediatric simulations of life-threatening events. Further research in this area may prove whether mindfulness training will improve learning outcomes in pediatric emergency medicine.

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Section: Discussionsupporting

confidence: 60%

Relationship between Executive Functions, Mindfulness, Stress, and Performance in Pediatric Emergency Simulations

Łoś

Chmielewski

Łuczyński

2020

IJERPH

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“…This suggests that the 'order of events' may have had an impact on the data collected during simulation. Data obtained via the MRF, has important implications for future training design, as it indicated that the simulation environment failed to recreate the pressure of the DCD multi organ retrieval, [38].…”

Section: Resultsmentioning

confidence: 99%

Exploring the use of high and low demand simulation for human performance assessment during multiorgan retrieval with the joint scrub practitioner

Morozova

Martindale

Richards

et al. 2020

BMJ Simul Technol Enhanc Learn

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IntroductionThe National Organ Retrieval Service (NORS) 2015 review recommended a Joint Scrub Practitioner for abdominal and cardiac teams during combined organ retrieval. To evaluate the feasibility of this role, and to understand the functional implications, this study explores the use of simulation and provides a novel and comprehensive approach to assess individual and team performance in simulated multiorgan retrievals.MethodsTwo high-fidelity simulations were conducted in an operating theatre with porcine organs, en bloc, placed in a mannequin. For donation after brainstem death (DBD) simulation, an anaesthetic machine provided simulated physiological output. Retrievals following donation after circulatory death (DCD) began with rapid arrival in theatre of the mannequin. Cardiothoracic (lead surgeon) and abdominal (lead and assistant surgeons; joint scrub practitioner, n=9) teams combined for the retrievals. Data collected before, during and after simulations used self-report and expert observers to assess: attitudinal expectations, mental readiness, mental effort, non-technical skills, teamwork, task workload and social validation perceptions.ResultsAttitudinal changes regarding feasibility of a joint scrub practitioner for DBD and DCD are displayed in the main body. There were no significant differences in mental readiness prior to simulations nor in mental effort indicated afterwards; however, variance was noted between simulations for individual team members. Non-technical skills were slightly lower in DCD than in DBD. Global ratings of teamwork were significantly (p<0.05) lower in DCD than in DBD. Measures of attitude indicated less support for the proposed joint scrub practitioner role for DCD than for DBD.DiscussionThe paper posits that the joint scrub practitioner role in DCD multiorgan retrieval may bring serious and unanticipated challenges. Further work to determine the feasibility of the NORS recommendation is required. Measures of team performance and individual psychological response can inform organ retrieval feasibility considerations nationally and internationally.

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“…Studies show that, as students experience scenes that approach reality and are able to perceive the progress in the acquisition of skills, the anxiety and stress response decreases and the assuredness in the development of activities brings satisfaction to students. 17 In this sense, the ability to communicate a critical situation is even more difficult, as the phrases need to be well placed to reduce the likelihood of being misunderstood or not understood by students. [18][19][20] Hence the importance and organization of strategies for coping and willingness of the students to strengthen the means to deal with their own feelings and emotions and overcome their own weaknesses.…”

Section: Realistic Simulation In Communication In Palliative Carementioning

confidence: 99%

Simulação realística como ferramenta de ensino na comunicação de situação crítica em cuidados paliativos

et al. 2020

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RESUMO Objetivo Identificar a percepção, habilidades e competências dos estudantes de enfermagem frente à comunicação da situação crítica em cuidados paliativos por meio da simulação realística. Método Estudo descritivo quali-quantitativo, desenvolvido com 41 estudantes do Curso de Graduação em Enfermagem de uma universidade do sul do Brasil. Pesquisa realizada no laboratório de práticas simuladas, entre março e maio de 2019. Resultados A média de idade dos estudantes era 23,4 anos. Quanto à percepção deles sobre comunicação da situação crítica: 39% pontuam como difícil; 75,6% nunca participaram de uma comunicação em situações críticas e; 36,60% se sentem bastante estressados nesse contexto. Da análise dos dados qualitativos, emergiram duas categorias: Sentimentos e dificuldades do estudante frente à comunicação de situações críticas em cuidados paliativos e; Principais competências adquiridas por meio da ferramenta de ensino-simulação. Conclusão e implicações para a prática da enfermagem A simulação clínica é importante ferramenta no processo ensino-aprendizagem, faz emergir a observação e torna os estudantes confiantes na habilidade de manter diálogos interprofissionais e com a família. Implica, desta maneira, na prática profissional no tocante às tomadas de decisão, na comunicação de más notícias.

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Registered nurses psychophysiological stress and confidence during high-fidelity emergency simulation: Effects on performance

Cited by 36 publications

References 30 publications

Relationship between Executive Functions, Mindfulness, Stress, and Performance in Pediatric Emergency Simulations

Relationship between Executive Functions, Mindfulness, Stress, and Performance in Pediatric Emergency Simulations

Exploring the use of high and low demand simulation for human performance assessment during multiorgan retrieval with the joint scrub practitioner

Simulação realística como ferramenta de ensino na comunicação de situação crítica em cuidados paliativos

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