Physiological and self-assessed psychological stress induced by a high fidelity simulation course among third year anesthesia and critical care residents: An observational study - 29/11/17
, Philippe Roulleau b, Gaëlle Cheisson b, Fouad Marhar a, Karl Aidan b, Karim Lallali c, Morgan Leguen d, David Schnell b, Fabien Trabold b, Philippe Fauquet-Alekhine e, Jacques Duranteau b, Dan Benhamou bBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Introduction |
The use of high fidelity simulators in Medicine can improve knowledge, behaviour and practice but may be associated with significant stress. Our objective was to measure physiological and psychological self-assessed intensity of stress before and after a planned simulation training session among third year anaesthesia and critical care residents.
Methods |
A convenience sample of 27 residents participating in a simulation training course was studied. Stress was evaluated by self-assessment using a numerical scale and by salivary amylase concentration before and after the session. Technical and non-technical (using the Aberdeen Anaesthetists’ Non Technical Skills scale) performances were assessed through videotapes analysis.
Results |
The median stress score was 5 (2–8) before and 7 (2–10) after the simulation session (P<0.001). For 48% of residents studied, the stress score after the session was superior or equal to 8/10. Salivary amylase concentration increased significantly after the session compared to before the session, respectively (1,250,440±1,216,667 vs. 727,260±603,787IU/L, P=0.008). There was no significant correlation between stress parameters and non-technical performance.
Discussion |
Simulation-induced stress, as measured by self-assessment and biological parameter, is high before the session and increases significantly during the course. While this stress did not seem to impact performance negatively, it should be taken into account.
Le texte complet de cet article est disponible en PDF.Keywords : Anaesthesia, Crisis management, Performance, Simulation, Stress
Plan
Vol 36 - N° 6
P. 403-406 - décembre 2017 Retour au numéro
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