Centro Universitário do Distrito Federal, Departamento de Enfermagem, Brasília, DF, Brazil.
Universidade de Brasília, Programa de Pós-Graduação em Enfermagem, Brasília, DF, Brazil.
Rev Esc Enferm USP. 2024 Jul 26;58:e20230279. doi: 10.1590/1980-220X-REEUSP-2023-0279en. eCollection 2024.
To identify how stress measured by salivary cortisol during clinical simulation-based education, or simulation and another teaching method, impacts performance.
Systematic review of the association between cortisol and performance in simulations. The following databases were used: PubMed, LIVIVO, Scopus, EMBASE, Latin American and Caribbean Health Sciences Literature (LILACS) and Web of Science. Additional searches of gray literature were carried out on Google Scholar and Proquest. The searches took place on March 20, 2023. The risk of bias of randomized clinical trials was assessed using the Cochrane Collaboration Risk of Bias Tool (RoB 2). Inclusion criteria were: simulation studies with salivary cortisol collection and performance evaluation, published in any period in Portuguese, English and Spanish.
11 studies were included which measured stress using salivary cortisol and were analyzed using descriptive synthesis and qualitative analysis.
Some studies have shown a relationship between stress and performance, which may be beneficial or harmful to the participant. However, other studies did not show this correlation, which may not have been due to methodological issues.
确定临床模拟教育或模拟与其他教学方法中唾液皮质醇测量的压力如何影响表现。
对模拟中皮质醇与表现之间的关联进行系统综述。使用了以下数据库：PubMed、LIVIVO、Scopus、EMBASE、拉丁美洲和加勒比健康科学文献（LILACS）和 Web of Science。还在 Google Scholar 和 Proquest 上进行了灰色文献的额外搜索。搜索于 2023 年 3 月 20 日进行。使用 Cochrane 协作风险偏倚工具（RoB 2）评估随机临床试验的风险偏倚。纳入标准为：使用唾液皮质醇收集和表现评估的模拟研究，发表于任何时期的葡萄牙语、英语和西班牙语。
纳入了 11 项研究，这些研究使用唾液皮质醇来测量压力，并使用描述性综合和定性分析进行了分析。
一些研究表明压力与表现之间存在关联，这对参与者可能有益或有害。然而，其他研究并未显示出这种相关性，这可能不是由于方法学问题所致。
