Evidence map›Paper›PMID 35368506›Full record

ArticleAEM education and training2022

All clinical stressors are not created equal: Differential task stress in a simulated clinical environment.

Melissa Joseph, Jessica M Ray, Jungsoo Chang, Laura D Cramer, James W Bonz, Thomas J Yang, Ambrose H Wong, Marc A Auerbach, Leigh V Evans

Abstract read
In one paragraph

Article in AEM education and training, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Melissa JosephDepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0003-2287-2742
Jessica M RayDepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0003-3410-1507
Jungsoo ChangDepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USA.
Laura D CramerNational Clinician Scholars Program Yale School of Medicine New Haven Connecticut USA.
James W BonzDepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USA.
Thomas J YangDepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USA.
Ambrose H WongDepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0001-7471-1647
Marc A AuerbachDepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0002-3796-4300
Leigh V EvansDepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A variety of stressors are encountered while working in the emergency department and are often recreated in simulation-based medical education. We seek to examine the physiologic and stress state response of participants in a simulated clinical environment to commonly encountered stressors. Methods: Emergency medicine (EM) residents participated in a randomized, controlled trial of six simulated patient encounters with one of three stressors, medical difficulty, interpersonal challenge, and technology/equipment failure, randomized into each scenario. Participants wore smart shirts to measure heart rate variability (HRV) at rest and just after the introduced stressor and completed the Short Stress State Questionnaire (SSSQ) before and after each scenario. Results: Twenty-seven EM residents participated in the study. Interpersonal challenge resulted in increased distress as measured by SSSQ compared to the other two stressors (one way ANOVA, F[2,144] = 9.95, Conclusions: Interpersonal challenge stressor was significantly associated with an increase in distress in EM residents during the simulated encounters as compared to the other stressors. While heart rate variability decreased from rest for each stressor as expected following stressor introduction, differing stressors did not produce a differential change.

Identifiers

PMID35368506
PMCPMC8923648

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.