Levy Manon, Dopff Cécile, Audibert Gerard, Bouquet Antoine, Gurda Thomas, Sy Mohammed, Bleuze Pauline, Michelet Daphné
Department of Anesthesia and Intensive care, Reims University Hospital, Reims, France.
Department of Anesthesia and Intensive care, Mother and Children's Hospital, Lyon, France.
BMC Med Educ. 2025 Aug 23;25(1):1186. doi: 10.1186/s12909-025-07782-8.
Mental imagery, defined as the conscious experience of visualization without real sensory stimuli, has been shown to be effective in various disciplines, such as elite sports, music and surgery to enhance performance. The integration of mental imagery in the training of anesthesia residents, especially using validated cognitive aids, could enhance non-technical skills such as communication and leadership, which are crucial in emergency situations and technical skills. The aim of our study is to evaluate the effectiveness of this approach in improving the performance of first-year anesthesia residents during the management of cardiopulmonary resuscitation in high-fidelity simulation.
This is a prospective, comparative, multicenter study. Twenty-four novice anesthesia residents received initial training in cardiopulmonary resuscitation and were then divided into two groups, similar at the outset. The mental imagery group performed a guided mental imagery session based on a cognitive aid immediately after the initial training and repeated it autonomously 7 times during the following 6 months. The control group did not receive any additional educational intervention. Finally, each resident underwent an individual assessment in a high-fidelity simulation. The primary outcome, non-technical skills, was assessed using the Behaviorally Anchored Rating Scale (BARS), scored by two blinded raters on video recordings. Secondary outcomes included technical skills, assessed using the Acute Care Assessment Tools 1 score, and residents' stress levels, measured immediately before the final assessment using the Stress Visual Analogue Scale.
Twenty-four residents, 12 in each group, were assessed. The mental imagery group had a higher BARS score than the control group at 6 months (26.5 vs. 19.5, p = 0.039). There was no difference in technical skills. The mental imagery group had lower stress scores, although this was not statistically significant.
Mental imagery of a cognitive aid improved the non-technical skills of novice anesthesia residents during the administration of simulated cardiopulmonary resuscitation. These results suggest that mental imagery may be beneficial in anesthesia training. Further research with larger sample sizes is needed to confirm these findings.
心理意象被定义为在没有真实感官刺激的情况下进行可视化的有意识体验，已被证明在各个领域都有效，如精英运动、音乐和外科手术中可提高表现。将心理意象整合到麻醉住院医师培训中，尤其是使用经过验证的认知辅助工具，可提高沟通和领导能力等非技术技能，这些技能在紧急情况和技术技能方面至关重要。我们研究的目的是评估这种方法在高保真模拟心肺复苏管理中提高一年级麻醉住院医师表现的有效性。
这是一项前瞻性、比较性、多中心研究。24名新手麻醉住院医师接受了心肺复苏的初始培训，然后分为两组，开始时两组相似。心理意象组在初始培训后立即基于认知辅助工具进行一次引导性心理意象训练，并在接下来的6个月内自主重复7次。对照组未接受任何额外的教育干预。最后，每位住院医师在高保真模拟中接受个体评估。主要结局，即非技术技能，使用行为锚定评分量表（BARS）进行评估，由两名不知情的评分者对录像进行评分。次要结局包括技术技能，使用急性护理评估工具1评分进行评估，以及住院医师的压力水平，在最终评估前立即使用压力视觉模拟量表进行测量。
评估了24名住院医师，每组12名。6个月时，心理意象组的BARS评分高于对照组（26.5对19.5，p = 0.039）。技术技能方面没有差异。心理意象组的压力得分较低，尽管这在统计学上不显著。
认知辅助工具的心理意象在模拟心肺复苏管理中提高了新手麻醉住院医师的非技术技能。这些结果表明心理意象可能对麻醉培训有益。需要进行更大样本量的进一步研究来证实这些发现。
