Cognitive appraisals and team performance under stress: A simulation study

Autor: Martin J. Turner, Fabio Carfagna, Jeffrey Michael Franc, Marc V. Jones, Elizabeth Braithwaite, Luca Carenzo, Matthew J. Slater, Pier Luigi Ingrassia
Rok vydání: 2020
Předmět:
Zdroj: Medical Education. 54:254-263
ISSN: 1365-2923
0308-0110
Popis: Objective: The present study explored how challenge and threat responses to stress\ud relate to performance, anxiety, confidence, team identity and team characteristics (time spent training and postgraduate experience) in a team-based medical simulation competition.\ud Design: Cross-sectional data were collected prior to three days of competition.\ud Setting: The study was conducted during a national simulation-based training event for\ud residents, the SIMCUP Italia 2018. SIMCUP is a simulation competition where teams of four compete in simulated, medical emergency scenarios.\ud Subjects: 95 participants from 24 teams.\ud Measurements and Main Results: Each day prior to the competition, participants completed brief self-report measures which assessed demands and resources (which underpin challenge and threat responses to stress), cognitive and somatic anxiety, self-confidence and team identification. Participants also reported time (hours) spent practicing as a team and years of postgraduate experience. A team of referees judged each scenario for performance and assigned a score. We built a linear mixed model using demands and resources to model performance. The data showed that both demands and resources have a positive effect on performance (31 [11 - 50.3] p
Databáze: OpenAIRE
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