Department of Nursing and Physiotherapy, Universidad de León, Campus de Vegazana, 24071 León, Spain.
Institute of Food Science and Technology (ICTAL), La Serna 58, 24007 León, Spain.
Int J Environ Res Public Health. 2021 May 19;18(10):5448. doi: 10.3390/ijerph18105448.
Psychophysiological stress can affect the cognitive response and effective learning of students during medical simulation practices. This study aimed to explore the effect of psychophysiological stress and socio-emotional competencies on clinical performance during a simulation experience. A pre-test/post-test design was used to assess physiological (blood pressure, heart rate and blood oxygen saturation) and psychological parameters (stress and anxiety) as well as socio-emotional skills (cognitive load, self-efficacy and motivation) in nursing students ( = 40) before and after the simulation of a cardiopulmonary resuscitation practice. Physiological responses showed statistically significant differences between pre-test and post-test conditions for blood pressure and heart rate ( < 0.0001). Moderate and significant correlations were also observed when comparing self-efficacy with stress ( -0.445, = 0.004), anxiety ( -0.467, = 0.002) and motivation ( -0.406, = 0.009) measures. Similarly, cognitive-load dimensions were significantly associated with either physiological ( -0.335, = 0.034) or psychological ( -0.448, = 0.004) indicators. The analysis of multiple regression models revealed a relationship between the effectiveness of the simulated experience, post-test blood oxygen saturation, heart rate, workload and self-efficacy (R = 0.490; F (3, 39) = 8.305; < 0.0001; = 1.663). Therefore, the evaluation of psychophysiological parameters and socio-emotional skills seems to provide a promising framework for predicting the quality of simulated clinical practices.
心理生理应激会影响学生在医学模拟实践中的认知反应和有效学习。本研究旨在探讨心理生理应激和社会情感能力对模拟体验中临床表现的影响。采用预测试/后测试设计，评估了护理学生（n=40）在心肺复苏模拟实践前后的生理（血压、心率和血氧饱和度）和心理参数（应激和焦虑）以及社会情感技能（认知负荷、自我效能感和动机）。生理反应方面，血压和心率在预测试和后测试条件下存在统计学显著差异（<0.0001）。自我效能感与应激（-0.445，=0.004）、焦虑（-0.467，=0.002）和动机（-0.406，=0.009）之间也存在中度且显著的相关性。同样，认知负荷维度与生理（-0.335，=0.034）或心理（-0.448，=0.004）指标显著相关。多元回归模型分析显示，模拟体验效果与后测试血氧饱和度、心率、工作量和自我效能感之间存在关系（R=0.490；F（3,39）=8.305；<0.0001；=1.663）。因此，评估心理生理参数和社会情感技能似乎为预测模拟临床实践质量提供了一个有前景的框架。
