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Objective and Subjective Stress Parameters in Response to High and Low-Fidelity Simulation Activities

Author

Listed:
  • Marta Czekirda

    (Faculty of Human Sciences, University of Economics and Innovation, 20-209 Lublin, Poland)

  • Patrycja Misztal-Okońska

    (Department of Emergency Medicine, Faculty of Medical Sciences, Medical University of Lublin, 20-093 Lublin, Poland)

  • Anna Włoszczak-Szubzda

    (Faculty of Human Sciences, University of Economics and Innovation, 20-209 Lublin, Poland)

  • Mariusz Goniewicz

    (Department of Emergency Medicine, Faculty of Medical Sciences, Medical University of Lublin, 20-093 Lublin, Poland)

  • Mateusz Cybulski

    (Department of Integrated Medical Care, Faculty of Health Sciences, Medical University of Białystok, 15-096 Białystok, Poland)

  • Krystyna Kowalczuk

    (Department of Integrated Medical Care, Faculty of Health Sciences, Medical University of Białystok, 15-096 Białystok, Poland)

  • Noemi Jaszyna

    (Faculty of Human Sciences, University of Economics and Innovation, 20-209 Lublin, Poland)

  • Maria Pyć

    (Faculty of Human Sciences, University of Economics and Innovation, 20-209 Lublin, Poland)

  • Mariusz Gnat

    (Faculty of Human Sciences, University of Economics and Innovation, 20-209 Lublin, Poland)

  • Joanna Girzelska

    (Faculty of Human Sciences, University of Economics and Innovation, 20-209 Lublin, Poland)

  • Ewa Guz

    (Faculty of Human Sciences, University of Economics and Innovation, 20-209 Lublin, Poland)

  • Mariusz Sutryk

    (Faculty of Human Sciences, University of Economics and Innovation, 20-209 Lublin, Poland)

  • Wioletta Tuszyńska-Bogucka

    (Faculty of Human Sciences, University of Economics and Innovation, 20-209 Lublin, Poland)

  • Krzysztof Goniewicz

    (Department of Aviation Security, Military University of Aviation, 08-521 Dęblin, Poland)

  • Ahmed M. Al-Wathinani

    (Department of Emergency Medical Services, Prince Sultan Bin Abdulaziz College Emergency Medical Services, King Saud University, Riyadh 11451, Saudi Arabia)

  • Amir Khorram-Manesh

    (Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 41345 Gothenburg, Sweden
    Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, Gothenburg University, 41305 Gothenburg, Sweden)

Abstract

Nursing graduates are required to have both excellent theoretical and practical skills that should be used during stressful emergency interventions. Since the received knowledge should be practiced to gain skills and trained to achieve competences, simulation exercises can be beneficial to even reduce the stress that each individual may face during emergency management of patients. A total of 146 first-year nursing students participated in the study, including 124 women and 22 men aged between 19 and 50 years, with a mean age of 32 years. The objective method estimated psychophysiological parameters (serum cortisol). Objective and subjective methods were used. The subjective method assessed stress experienced by students based on the standardized Stress Appraisal Questionnaire Version B for dispositional assessment. The study was conducted in the Monoprofile Medical Simulation Centre at the University of Economics and Innovation in Lublin, Poland and was approved by the University Research Ethics Committee. Both participants under and over 25 years of age showed increased levels of stress after low and high-fidelity simulations, with statistically significantly higher stress levels found for the low fidelity method. Low-fidelity simulation methods generated a greater increase in cortisol levels, indicating a higher stress level than the high-fidelity methods. The analysis of the scores obtained in the Stress Appraisal Questionnaire (KOS-B) showed that higher cortisol levels after the low-fidelity simulation reduced the subjective perception of a threat, while higher cortisol levels before the high-fidelity simulation promoted higher intellectual activity among the students. Levels of stress in the education of nursing students using low and high-fidelity methods can limit the sense of threat and activate professional task performance. The use of low and high-fidelity simulation does not generate destructive stress levels.

Suggested Citation

  • Marta Czekirda & Patrycja Misztal-Okońska & Anna Włoszczak-Szubzda & Mariusz Goniewicz & Mateusz Cybulski & Krystyna Kowalczuk & Noemi Jaszyna & Maria Pyć & Mariusz Gnat & Joanna Girzelska & Ewa Guz &, 2022. "Objective and Subjective Stress Parameters in Response to High and Low-Fidelity Simulation Activities," IJERPH, MDPI, vol. 19(5), pages 1-12, March.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2980-:d:763666
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    References listed on IDEAS

    as
    1. Cheng-Yi Huang & Ya-huei Wang, 2020. "Toward an Integrative Nursing Curriculum: Combining Team-Based and Problem-Based Learning with Emergency-Care Scenario Simulation," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    2. Krzysztof Goniewicz & Mariusz Goniewicz, 2020. "Disaster Preparedness and Professional Competence Among Healthcare Providers: Pilot Study Results," Sustainability, MDPI, vol. 12(12), pages 1-12, June.
    3. Andrew Denovan & Ann Macaskill, 2017. "Stress and Subjective Well-Being Among First Year UK Undergraduate Students," Journal of Happiness Studies, Springer, vol. 18(2), pages 505-525, April.
    4. Patrycja Misztal-Okońska & Krzysztof Goniewicz & Mariusz Goniewicz & Jamie Ranse & Attila J. Hertelendy & Lesley Gray & Eric Carlström & Jarle Løwe Sørensen & Amir Khorram-Manesh, 2021. "Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees," IJERPH, MDPI, vol. 18(8), pages 1-15, April.
    5. Krzysztof Goniewicz & Mariusz Goniewicz & Frederick M Burkle & Amir Khorram-Manesh, 2021. "Cohort research analysis of disaster experience, preparedness, and competency-based training among nurses," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-12, January.
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