Background: First responders are among the first to respond to hazards casualties. They might operate in volatile, uncertain, complex, and ambiguous (VUCA) environments. While they have underlined the need to improve their knowledge and training to face these environments, there are few data regarding the stress induced by these trainings. Chemical, biological, radiological, and nuclear (CBRN) hazards casualties' trainings seem to be a good model of "" stress. First responders must operate in a hostile and encountered environment with a CBRN protective equipment that places demand on their psychological, cognitive, and physiological capacities. Current research recognizes that the activity of the parasympathetic system (PSS) can be used as an objective marker of stress adaptation, measured as heart rate variability (HRV).
Objectives: To compare between baseline and simulation the evolution of the parasympathetic activity (primary outcome), anxiety, emotions, cognitive load, and body posture awareness (secondary outcomes).
Methods: A total of 28 first responders attended to three simulated scenarios requiring CBRN management of casualties. One day before simulation, we collected HRV data (baseline). The simulations' day (pre-, post-simulation) we collected anxiety score (STAI-Y B), emotions (SPANE), cognitive load (NASA TLX), body posture awareness (PAS) and HRV. The morning after we collected the PAS score (recovery). We compare data' evolution between different times of the simulation.
Results: (i) A high level of anxiety at baseline [ 51 (46; 56)] which decreased between pre- and post-simulation ( = 0.04; = 2.93); (ii) a post-simulation decrease in negative feelings ( = 0.03); (iii) a decrease in body awareness after simulation which returned to the initial level at recovery ( = 0.03; = 3.48); (iv) a decrease in mean RR between baseline, pre- and post-simulation ( = 0.009; = 5.11). There were no significant difference between times on others analysis of HRV.
Conclusion: Prior to simulation, participants experienced anticipatory anxiety. Simulations training practiced regularly could be one way to combat anticipatory anxiety.
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http://dx.doi.org/10.3389/fpsyg.2024.1336701 | DOI Listing |
Rev Gaucha Enferm
December 2024
Universidade Federal de Santa Catarina (UFSC). Florianópolis, Santa Catarina, Brasil.
Objective: To analyze the knowledge and perceptions of the nursing team about arrest and cardiopulmonary resuscitation in adults before and after in situ simulation in emergency care.
Method: A sequential explanatory mixed methods study conducted in an Emergency Care Unit. Quantitative data were obtained through pre- and post-simulation questionnaire answered by 21 professionals and analyzed using descriptive and inferential statistics.
Cureus
November 2024
Medicine, Great Western Hospitals NHS Foundation Trust, Swindon, GBR.
Introduction: Doctors in training make substantial contributions to ward rounds. Despite this, formal education in this area is lacking, leading to diminished confidence and competence among undergraduate students and trainees. Ward round-based simulation (WRBS) has shown promise in improving clinical and decision-making skills.
View Article and Find Full Text PDFJ Allied Health
December 2024
Thomas Jefferson Univ., 901 Walnut Street, Suite 901, Philadelphia, PA 19107, USA. Tel 215-503-6397.
Introduction: Interprofessional collaborative practice is linked to decreased medical errors. Previously, we published that large-scale in-person simulations can teach interprofessional teamwork skills. To prove that virtual instruction in these skills produces similar learning outcomes, we compared virtual and in-person learning outcomes from delivery of a workshop based on TeamSTEPPS.
View Article and Find Full Text PDFCan J Diet Pract Res
December 2024
School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON.
To assess dietetic students' anxiety levels before and after a series of simulations and to document students' perceived sources of anxiety while completing simulation-based learning activities. A mixed-method convergent pilot study was conducted. Students enrolled in a Nutrition Assessment course that included a series of four simulations were invited to participate.
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