ArticleBMJ simulation & technology enhanced learning2018
Evaluation of cognitive load and emotional states during multidisciplinary critical care simulation sessions.
Article in BMJ simulation & technology enhanced learning, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- The PAPER heuristic: a structured cognitive aid to reduce intrinsic cognitive load in early clinical reasoning training.BMC medical education · 2026Trial
- The role of emotions, stress, learning stage, and cognitive load on learning in emergency events: a mixed methods study.Scientific reports · 2026Article
- From Realism to Learner Engagement: Rethinking Fidelity in Simulation-Based Education.JMIR medical education · 2026Article
- Debriefer cognitive load during Traditional Reflective Debriefing vs. Rapid Cycle Deliberate Practice interdisciplinary team training.Advances in simulation (London, England) · 2024Article
- Clinical team debriefing post-critical events: perceptions, benefits, and barriers among learners.Frontiers in medicine · 2024Article
- Evaluation of tracheostomy suctioning procedure among nursing and respiratory therapy students: wearable manikin vs. standard manikin.Frontiers in medicine · 2023Article
- Cognitive load during training for out-of-department emergency responses.AEM education and training · 2022Article
- Investigating Cognitive Load in Energy Network Control Rooms: Recommendations for Future Designs.Frontiers in psychology · 2022Article
- A Research Agenda for Diagnostic Excellence in Critical Care Medicine.Critical care clinics · 2022Review
- Anxiety is associated with extraneous cognitive load during teaching using high-fidelity clinical simulation.Medical education online · 2021Article
- Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation.Canadian medical education journal · 2021Article
- Article
- An exploratory investigation of the measurement of cognitive load on shift: Application of cognitive load theory in emergency medicine.AEM education and training · 2021Article
- Effect on Chest Compression Fraction of Continuous Manual Compressions with Asynchronous Ventilations Using an i-gelHealthcare (Basel, Switzerland) · 2021Article
- Networks and Emotions in Cooperative Work: A Quasi-Experimental Study in University Nursing and Computer Engineering Students.Healthcare (Basel, Switzerland) · 2020Article
- Thermal Infrared Imaging to Evaluate Emotional Competences in Nursing Students: A First Approach through a Case Study.Sensors (Basel, Switzerland) · 2020Article
- Psychometric properties of the Chinese version of the instrument for measuring different types of cognitive load (MDT-CL).Journal of nursing management · 2020Article
- COVID-19: Biosafety in the Intensive Care Unit.Current tropical medicine reports · 2020Review
- A systematized review of cognitive load theory in health sciences education and a perspective from cognitive neuroscience.Journal of education and health promotion · 2020Review
- A Study of Professional Awareness Using Immersive Virtual Reality: The Responses of General Practitioners to Child Safeguarding Concerns.Frontiers in robotics and AI · 2018Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe simulation in critical care setting involves a heterogeneous group of participants with varied background and experience. Measuring the impacts of simulation on emotional state and cognitive load in this setting is not often performed. The feasibility of such measurement in the critical care setting needs further exploration.
methodsMedical and nursing staff with varying levels of experience from a tertiary intensive care unit participated in a standardised clinical simulation scenario. The emotional state of each participant was assessed before and after completion of the scenario using a validated eight-item scale containing bipolar oppositional descriptors of emotion. The cognitive load of each participant was assessed after the completion of the scenario using a validated subjective rating tool.
resultsA total of 103 medical and nursing staff participated in the study. The participants felt more relaxed (-0.28±1.15 vs 0.14±1, P<0.005; d=0.39), excited (0.25±0.89 vs 0.55±0.92, P<0.005, d=0.35) and alert (0.85±0.87 vs 1.28±0.73, P<0.00001, d=0.54) following simulation. There was no difference in the mean scores for the remaining five items. The mean cognitive load for all participants was 6.67±1.41. There was no significant difference in the cognitive loads among medical staff versus nursing staff (6.61±2.3 vs 6.62±1.7; P>0.05).
conclusionA well-designed complex high fidelity critical care simulation scenario can be evaluated to identify the relative cognitive load of the participants' experience and their emotional state. The movement of learners emotionally from a more negative state to a positive state suggests that simulation can be an effective tool for improved knowledge transfer and offers more opportunity for dynamic thinking.
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