Excellence in performance and stress reduction during two different full scale simulator training courses: A pilot study

Müller, Michael; Hänsel, Mike; Fichtner, Andreas; Hardt, Florian; Weber, Sören; Kirschbaum, Clemens; Rüder, Sebastian; Walcher, Felix; Koch, Thea; Eich, Christoph

doi:10.1016/j.resuscitation.2009.04.027

Cited by 113 publications

(111 citation statements)

References 16 publications

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“…Thus, despite the presence of an older group (IDE, AD) in the present study, analysis of biological stress was possible as well as comparisons among MDTs. SC and its relative variation increased after simulation scenario has been acted as suggested in high-fidelity simulation [7][8][9][10] and decreased after debriefing [35]. Debriefing using the good-judgment debriefing technique [36] could induce a lowering level of SC.…”

Section: Discussion About the Primary Objectivementioning

confidence: 98%

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Salivary Cortisol Increases after One Immersive Simulation but the Repetition of Sessions does not Blunt it

Ghazali¹

2016

Ann Clin Lab Res

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Objective: Simulated life-threatening medical emergencies generate stress that can be apprehended by measurement of salivary cortisol (SC). The aim of this study was to analyze SC level in multidisciplinary teams (MDTs) members during immersive simulation and to study its evolution over time with repetition of simulation sessions in all team members.Methods: 48 participants constituted 12 Emergency Medical Service MDTs made up of 4 members each. Six MDTs underwent 9 simulations (experimental group) and 6 underwent 3 simulations over one year (control group). SC was assessed the day prior to simulation (T0), before simulation (T1), after simulation (T2) and after debriefing (T3). 1152 samples were analyzed by ELISA. Variation over time was analyzed using ANOVA for repeated measures. Mann-Whitney test was used for comparison between groups at two times and Kruskal-Wallis test was used to study stress response in the different status of teams. A p value <0.05 was considered significant.Results: SC increased from 0.16 ± 0.12 (T0) to 0.26 ± 0.14 (T1). SC level continued to rise up to 0.39 ± 0.27 at T2 before decreasing to 0.21 ± 0.12 at T3, p<0.0001. SC increase was found in all team members with no status effect. SC level was not blunt after repetition of sessions regardless of the frequency of sessions.Conclusion: SC raised during immersive simulation and this variation was not blunt after repetition of simulation sessions. No status effect was found among the MDTs' members. Future study should investigate on other markers of stress response and correlate them to team performance.Trial registration: ClinicalTrials.gov registration number NCT02424890

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Section: Discussion About the Primary Objectivementioning

confidence: 98%

“…Simulation-based education is commonly used to train multidisciplinary teams (MDTs) in the management of lifethreatening situations [4][5][6]. Stress has been reported during simulation and assessed by various means [7][8][9][10]. HPA activity can be apprehended by the non-invasive measurement of salivary cortisol (SC) [11].…”

Section: Introductionmentioning

confidence: 99%

Salivary Cortisol Increases after One Immersive Simulation but the Repetition of Sessions does not Blunt it

Ghazali¹

2016

Ann Clin Lab Res

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“…High risk industries (in the sense given by Amalberti [1]: systems of high technology operated by human beings and involving risks like accidents as well as human errors (11)(12)) are usually designed from a simple technical idea to answer a basic need. For example, the purpose of a nuclear power plant is to produce electric energy from nuclear energy.…”

Section: Introductionmentioning

confidence: 99%

“…Here, professional training must be understand in the sense suggested by Van der Heiden et al [7] based on the work of Genderen (who outlined the differences between education and training) [8]: "the objectives of training are primarily to teach individuals to carry out specific tasks based upon an accepted methodology and for which known techniques are available" (44). Many professions are concerned such as Nurses [9], Anesthetists [10][11][12][13][14][15], Surgeons [16][17][18], Aircraft pilots [19], Flight fighters [20], Nuclear reactor pilots [21][22][23][24][25], Robotic pilots [26][27], Merchant navy captains [28]. In early times, full scale simulator designers were focusing on technical aspects and therefore conceived simulators with high fidelity as close as possible to the real operational situation.…”

Section: Introductionmentioning

confidence: 99%

Decontextualization Effect in Simulation Training for Transverse Professional Practices

Fauquet-Alekhine

Boucherand²

2016

BJESBS

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Whereas full scale simulators operated for contextualized simulated training sessions are widely used for occupational training, studies undertaken regarding virtual applications have shown that decontextualized simulated situations could be used as a relevant lever to help trainees improving professional skills. This was here quantified and analyzed through three different experimental conditions (two included virtual training, contextualized and decontextualized) summoning N=33 experienced workers. A pre-analysis for experiment design helped us to define necessary features for decontextualized design with the objective of successful occupational training. Analysis of the benefits induced by each experimental condition was undertaken through comparative assessment of trainees' performance after training. Results showed that, when respecting aforementioned specified features for experienced workers, decontextualized simulation training could significantly increase performance compared to contextualized training. This phenomenon was discussed both from the psychological and neurophysiologic standpoints.

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“…The physical and psychological fidelity of these simulations has the potential to train learners in managing their emotions and in coping with stress when they encounter the same situations in actual practice (Müller, et al, 2009). The use of simulations, therefore, as a modality to train emotional responses, such as stress, is definitely of value.…”

Section: Stress Management In Crisis Event Simulations For Enhancingmentioning

confidence: 99%

Stress management in crisis event simulations for enhancing performance

Ignacio

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Excellence in performance and stress reduction during two different full scale simulator training courses: A pilot study

Cited by 113 publications

References 16 publications

Salivary Cortisol Increases after One Immersive Simulation but the Repetition of Sessions does not Blunt it

Salivary Cortisol Increases after One Immersive Simulation but the Repetition of Sessions does not Blunt it

Decontextualization Effect in Simulation Training for Transverse Professional Practices

Stress management in crisis event simulations for enhancing performance

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