ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2020
The effect of clinical simulation assessment on stress and anxiety measures in emergency care students.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Knowledge Gain and the Impact of Stress in a Fully Immersive Virtual Reality-Based Medical Emergencies Training With Automated Feedback: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Trial
- The Impact on the Stress-Associated Autonomic Response of Physiotherapy Students Receiving Interferential Current in an Electrotherapy Training Session.International journal of environmental research and public health · 2022Trial
- Effect of Simulation-Based Training on Final-Year Medical Students' Self-Reported Confidence in Recognising and Managing Acute ENT Emergencies.Advances in medical education and practice · 2026Article
- Are Escape Rooms an Antidote for Anxiety in Simulation? An Experimental Randomized Study Comparing High-Fidelity Simulation to an Escape Room Format.AEM education and training · 2025Article
- Observational
- The effect of assessor visibility on student stress and anxiety in emergency care simulation assessments.BMC medical education · 2024Article
- Untapped resource: the simulation-based healthcare environment as a means to study human stress.The Ulster medical journal · 2024Review
- Relationship Between Cognitive Load Theory, Intrinsic Motivation and Emotions in Healthcare Professions Education: A Perspective on the Missing Link.Advances in medical education and practice · 2024Article
- Use of global rating scales and checklists in clinical simulation-based assessments: a protocol for a scoping review.BMJ open · 2023Article
- A Systematic Review of Heart Rate Variability as a Measure of Stress in Medical Professionals.Cureus · 2023Review
- Experimental Study on the Evaluation and Influencing Factors on Individual's Emergency Escape Capability in Subway Fire.International journal of environmental research and public health · 2021Article
- Response to "Medical student satisfaction and confidence in simulation-based learning in Rwanda - Pre and post-simulation survey research".African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- The effect of clinical simulation assessment on stress and anxiety measures in emergency care students.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
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1 author.
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Abstract
backgroundClinical simulation has become widespread as a training and assessment tool across a range of health professions, including emergency care. As with any form of assessment, simulations may be associated with stress and anxiety ("distress") which may have a negative effect on student performance if demands required by the simulation outweigh the available resources. This study aimed to assess the effect of participation by students in an emergency care simulation on an objective measure of stress and a subjective measure of anxiety.
methodsHeart rate variability (HRV) and scores from a validated state anxiety instrument (the State-Trait Anxiety Inventory) were assessed in 36 emergency medical care students participating in scheduled simulation assessments. Data recorded during a resting control period were used for comparison.
resultsHRV variables showed changes in the simulation assessment group suggesting decreased variability and parasympathetic withdrawal, however these were not significantly different to control. Heart rate in the simulation assessment group increased significantly (73.5/min vs. 107.3/min,
conclusionParticipating in an emergency care simulation assessment significantly elevated levels of anxiety in a group of 36 students, however an objective measure of stress did not identify changes significantly different to those at rest, with the exception of heart rate. The high levels of anxiety documented before and after simulation assessments may have a negative effect on performance and require further investigation.
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