Acute stress in residents playing different roles during emergency simulations: a preliminary study
| Autor: | Roger D. Dias, Augusto Scalabrini-Neto |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
acute stress
Adult Male medicine.medical_specialty 020205 medical informatics Blood Pressure 02 engineering and technology Anxiety Emergency Simulations Statistics Nonparametric Fight-or-flight response 03 medical and health sciences 0302 clinical medicine Heart Rate Interquartile range Internal medicine Heart rate 0202 electrical engineering electronic engineering information engineering Humans Medicine 030212 general & internal medicine Acute stress Saliva Simulation Training Salivary cortisol Original Research Education Medical business.industry Internship and Residency multidisciplinary training General Medicine Cross-Sectional Studies Blood pressure Emergency medicine Mann–Whitney U test Female role-play Emergencies medicine.symptom business Simulation Stress Psychological |
| Zdroj: | International Journal of Medical Education |
| ISSN: | 2042-6372 |
| DOI: | 10.5116/ijme.5929.60f1 |
| Popis: | Objectives To investigate acute stress response in residents playing nurse and physician roles during emergency simulations. Methods Sixteen second-year internal medicine residents participated in teams of four (two playing physician roles and two playing nurse roles). Stress markers were assessed in 24 simulations at baseline (T1) and immediately after the scenario (T2), using heart rate, systolic and diastolic blood pressure, salivary α-amylase, salivary cortisol and salivary interleukin-1β. The State-Trait Anxiety Inventory was applied at T2. Continuous data were summarized for the median (1st-3rd interquartile ranges), and the Mann-Whitney U Test was used to compare the groups. Results The percent variations of the stress markers in the physician and nurse roles, respectively, were the following: heart rate: 70.5% (46.0-136.5) versus 53.0% (29.5-117.0), U=89.00, p=0.35; systolic blood pressure: 3.0% (0.0-10.0) versus 2.0% (-2.0-9.0), U=59.50, p=0.46; diastolic blood pressure: 5.5% (0.0-13.5) versus 0.0% (0.0-11.5), U=91.50, p=0.27; α-amylase: -5.35% (-62.70-73.90) versus 42.3% (12.4-133.8), U=23.00, p=0.08; cortisol: 35.3% (22.2-83.5) versus 42.3% (12.4-133.8), U=64.00, p=0.08); and interleukin-1β: 54.4% (21.9-109.3) versus 112.55% (29.7-263.3), U= 24.00, p=0.277. For the physician and nurse roles, respectively, the average heart rate was 101.5 (92.0-104.0) versus 91.0 (83.0-99.5) beats per minute, U=96.50, p=0.160; and the state anxiety inventory score was 44.0 (40.0-50.0) versus 42.0 (37.50-48.0) points, U= 89.50, p=0.319. Conclusions Different roles during emergency simulations evoked similar participants’ engagement, as indicated by acute stress levels. Role-play strategies can provide high psychological fidelity for simulation-based training, and these results reinforce the potential of role-play methodologies in medical education. |
| Databáze: | OpenAIRE |
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