Impact of Acute Stress on Resident Performance During Simulated Resuscitation Episodes: A Prospective Randomized Cross-Over Study

Teaching and Learning in Medicine

Volumn 26, Issue 1, 2014, Pages 9-16

  Piquette, Dominique ^a   Tarshis, Jordan ^a   Sinuff, Tasnim ^a   Fowler, Robert A ^a   Pinto, Ruxandra ^a   Leblanc, Vicki R ^a  

^a UNIVERSITY OF TORONTO   (Canada)

Author keywords

postgraduate medical education; resuscitation; stress

Indexed keywords

ADULT; ARTICLE; CANADA; CLINICAL COMPETENCE; CONFLICT; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CROSSOVER PROCEDURE; DOCTOR NURSE RELATION; EDUCATION; FEMALE; HUMAN; INTENSIVE CARE UNIT; MALE; MEDICAL EDUCATION; MEDICAL STAFF; MENTAL STRESS; PROSPECTIVE STUDY; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; RESUSCITATION; TASK PERFORMANCE; VIDEORECORDING;

ADULT; CLINICAL COMPETENCE; CONFLICT (PSYCHOLOGY); CROSS-OVER STUDIES; FEMALE; HUMANS; INTENSIVE CARE UNITS; INTERNSHIP AND RESIDENCY; MALE; MEDICAL STAFF, HOSPITAL; ONTARIO; PHYSICIAN-NURSE RELATIONS; PROSPECTIVE STUDIES; QUESTIONNAIRES; RESUSCITATION; STRESS, PSYCHOLOGICAL; TASK PERFORMANCE AND ANALYSIS; VIDEOTAPE RECORDING;

EID: 84893099568     PISSN: 10401334     EISSN: None     Source Type: Journal    
DOI: 10.1080/10401334.2014.859932     Document Type: Article

References (42)

1. Camire, E, Moyen, E and Stelfox, H T. 2009. Medication errors in critical care: risk factors, prevention and disclosure. Canadian Medical Association Journal, 180: 936 - 43.
2. Thomas, A N, Panchagnula, U and Taylor, R J. 2009. Review of patient safety incidents submitted from Critical Care Units in England & Wales to the UK National Patient Safety Agency. Anaesthesia, 64: 1178 - 85.
3. Bracco, D, Favre, J B, Bissonnette, B, Wasserfallen, J-B, Revelly, J-P Ravussin, P. 2001. Human errors in a multidisciplinary intensive care unit: a 1-year prospective study. Intensive Care Medicine, 27: 137 - 45.
4. Donchin, Y, Gopher, D, Olin, M, Badihi, Y, Biesky, M Sprung, C L. 1995. A look into the nature and causes of human errors in the intensive care unit. Critical Care Medicine, 23: 294 - 300.
5. Firth-Cozens, J and Greenhalgh, J. 1997. Doctors' perceptions of the links between stress and lowered clinical care. Social Science & Medicine, 44: 1017 - 22.
6. Piquette, D, Reeves, S and LeBlanc, V R. 2009. Stressful intensive care unit medical crises: How individual responses impact on team performance. Critical Care Medicine, 37: 1251 - 5.
7. Scanlon, M C and Karsh, B T. 2010. Value of human factors to medication and patient safety in the intensive care unit. Critical Care Medicine, 38: S90 - 6.
8. Bion, J F, Abrusci, T and Hibbert, P. 2010. Human factors in the management of the critically ill patient. British Journal of Anaesthesia, 105: 26 - 33.
9. Sawatzky, J A. 1996. Stress in critical care nurses: Actual and perceived. Heart & Lung, 25: 409 - 17.
10. Donchin, Y and Seagull, F J. 2002. The hostile environment of the intensive care unit. Current Opinion in Critical Care, 8: 316 - 20.
11. Coombes, I D, Stowasser, D A, Coombes, J A and Mitchell, C. 2008. Why do interns make prescribing errors? A qualitative study. Medical Journal of Australia, 188: 89 - 94.
12. Schull, M J, Ferris, L E, Tu, J V, Hux, J E and Redelmeier, D A. 2001. Problems for clinical judgement: 3. Thinking clearly in an emergency. Canadian Medical Association Journal, 164: 1170 - 5.
13. LeBlanc, V R. 2009. The effects of acute stress on performance: Implications for health professions education. Academic Medicine, 84: S25 - 33.
14. Arora, S, Sevdalis, N, Nestel, D, Woloshynowych, M, Darzi, A and Kneebone, R. 2010. The impact of stress on surgical performance: A systematic review of the literature. Surgery, 147: 318 - 30. 30 e1-6
15. LeBlanc, V R, MacDonald, R D, McArthur, B, King, K and Lepine, T. 2005. Paramedic performance in calculating drug dosages following stressful scenarios in a human patient simulator. Prehospital and Emergency Care, 9: 439 - 44.
16. Leblanc, V R, Regehr, C, Tavares, W, Scott, A K, Macdonald, R and King, K. 2012. The impact of stress on paramedic performance during simulated critical events. Prehospital and Disaster Medicine, 27: 369 - 74.
17. Bjørshol, C A, Myklebust, H, Nilsen, K L, Hoff, T, Bjørkli, C Illguth, E. 2011. Effect of socioemotional stress on the quality of cardiopulmonary resuscitation during advanced life support in a randomized manikin study. Critical Care Medicine, 39: 300 - 4.
18. Harvey, A, Bandiera, G, Nathens, A B and Leblanc, V R. 2011. Impact of stress on resident performance in simulated trauma scenarios. Journal of Trauma and Acute Care Surgery, 72: 497 - 503.
19. Dickerson, S S and Kemeny, M E. 2004. Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research. Psychiatric Bulletin, 130: 355 - 91.
20. Biondi, M and Picardi, A. 1999. Psychological stress and neuroendocrine function in humans: the last two decades of research. Psychotherapy and Psychosomatics, 68: 114 - 50.
21. Lazarus, R S and Folkman, S. 1984. Stress, appraisal, and coping, New York, NY: Springer.
22. Tomaka, J, Blascovich, J, Kelsey, R M and Leitten, C L. 1993. Subjective, physiological, and behavioral effects of threat and challenge appraisal. Journal of Personality and Social Psychology, 65: 248 - 60.
23. Driskell, J E and Salas, E. 1996. Stress and human performance, Mahwah, NJ: Erlbaum.
24. Buchanan, T W and Lovallo, W R. 2001. Enhanced memory for emotional material following stress-level cortisol treatment in humans. Psychoneuroendocrinology, 26: 307 - 17.
25. Beilock, S L and Carr, T H. 2001. On the fragility of skilled performance: What governs choking under pressure?. Journal of Experimental Psychology General, 130: 701 - 25.
26. Payne, J W, Bettman, J R and Johnston, E J. 1988. Adaptative strategy selection in decision making. Journal of Experimental Psychology: Learning, Memory, and Cognition, 14: 534 - 52.
27. Williams, S, Dale, J, Glucksman, E and Wellesley, A. 1997. Senior house officers' work related stressors, psychological distress, and confidence in performing clinical tasks in accident and emergency: A questionnaire study. British Medical Journal, 314: 713 - 8.
28. Kirschbaum, C and Hellhammer, D H. 1994. Salivary cortisol in psychoneuroendocrine research: recent developments and applications. Psychoneuroendocrinology, 4: 313 - 33. 19
29. Spielberger, C D, Gorsuch, R, Lushene, R, Vagg, P and Jacobs, G. 1983. Manual for the State-Trait Anxiety Inventory, Palo Alto, CA: Consulting Psychologists Press.
30. Tomaka, J, Blascovich, J, Kibler, J and Ernst, J M. 1997. Cognitive and physiological antecedents of threat and challenge appraisal. Journal of Personality and Social Psychology, 73: 63 - 72.
31. Wetzel, C M, Black, S A, Hanna, G B, Athanasiou, T, Kneebone, R L Nestel, D. 2010. The effects of stress and coping on surgical performance during simulations. Annals of Surgery, 251: 171 - 6.
32. Dressendorfer, R A, Kirschbaum, C, Rohde, W, Stahl, F and Strasburger, C J. 1992. Synthesis of a cortisol-biotin conjugate and evaluation as a tracer in an immunoassay for salivary cortisol measurement. Journal of Steroid Biochemistry and Molecular Biology, 43: 683 - 92.
33. Harris, B, Watkins, S, Cook, N, Walker, R F, Read, G F and Riad-Fahmy, D. 1990. Comparisons of plasma and salivary cortisol determinations for the diagnostic efficacy of the dexamethasone suppression test. Biology and Psychiatry, 27: 897 - 904.
34. Schwabe, L, Bohringer, A, Chatterjee, M and Schachinger, H. 2008. Effects of pre-learning stress on memory for neutral, positive and negative words: Different roles of cortisol and autonomic arousal. Neurobiology of Learning and Memory, 90: 44 - 53.
35. Kim, J, Neilipovitz, D, Cardinal, P, Chiu, M and Clinch, J. 2006. A pilot study using high-fidelity simulation to formally evaluate performance in the resuscitation of critically ill patients: The University of Ottawa Crit Care Med, High-Fidelity Simulation, and Crisis Resource Management I Study. Critical Care Medicine, 34: 2167 - 74.
36. Arora, S, Sevdalis, N, Aggarwal, R, Sirimanna, P, Darzi, A and Kneebone, R. 2010. Stress impairs psychomotor performance in novice laparoscopic surgeons. Surgical Endoscopy, 24: 2588 - 93.
37. Muller, M P, Hansel, M, Fichtner, A, Hardt, F, Weber, S Kirschbaum, C. 2009. Excellence in performance and stress reduction during two different full scale simulator training courses: a pilot study. Resuscitation, 80: 919 - 24.
38. Brindley, P G. 2009. Medical simulation: No longer "why" but "how. Journal of Critical Care, 24: 153 - 4.
39. Murray, D. 2006. Clinical skills in acute care: A role for simulation training. Critical Care Medicine, 34: 252 - 3.
40. Roozendaal, B. 2002. Stress and memory: Opposing effects of glucocorticoids on memory consolidation and memory retrieval. Neurobiology of Learning and Memory, 78: 578 - 95.
41. Hunziker, S, Semmer, N K, Tschan, F, Schuetz, P, Mueller, B and Marsch, S. 2012. Dynamics and association of different acute stress markers with performance during a simulated resuscitation. Resuscitation, 83: 572 - 8.
42. Schmidt, H G, Norman, G R and Boshuizen, H P. 1990. A cognitive perspective on medical expertise: theory and implication. Academic Medicine, 65: 611 - 21.