Centre for Medical Education, Queen's University Belfast, Whitla Medical Building, Lisburn Road, Belfast, BT9 7BL.
School of Psychology, Queen's University Belfast, David Keir Building, Malone Road, Belfast, BT9 5BN.
Ulster Med J. 2024 Jan;92(3):157-166. Epub 2024 Jan 29.
The effects of 'stress' within the healthcare professions are wide-reaching, not least of all within the field of simulation-based healthcare education. Whilst this popular method of experiential learning offers a 'safe space' for participants to develop their skillset, it also has a more surreptitious action; namely, the incubation of simulation-related stress. Currently, research concerning the complex relationship between stress, learning, and performance is ambiguous, leaving fertile ground for simulationists to debate what level of stress is appropriate for an optimised educational experience. In this narrative review, we examine the human response to stress and outline the various methods that have been used by researchers to measure stress in a quantifiable and standardised way. We then provide a brief overview of simulation-based healthcare education before describing why stress responses have been of interest to healthcare educationalists for some time. Finally, we outline how simulation education environments might provide an ideal environment for studying the human response to stress generally, with ramifications extending beyond the field of medical education.
医疗专业人员所承受的“压力”影响广泛，在基于模拟的医疗保健教育领域尤其如此。虽然这种受欢迎的体验式学习方法为参与者提供了一个“安全空间”来发展他们的技能，但它也有一个更隐蔽的作用；即，诱发与模拟相关的压力。目前，关于压力、学习和表现之间复杂关系的研究尚不清楚，这为模拟专家们留下了充分的争论空间，即什么样的压力水平适合优化教育体验。在这篇叙述性综述中，我们研究了人类对压力的反应，并概述了研究人员用来以可量化和标准化的方式测量压力的各种方法。然后，我们简要概述了基于模拟的医疗保健教育，然后描述了为什么一段时间以来，压力反应一直是医疗教育工作者关注的焦点。最后，我们概述了模拟教育环境如何为研究人类对压力的反应提供一个理想的环境，其影响范围超出了医学教育领域。
