ArticleCritical care explorations2022
Defining Objective Measures of Physician Stress in Simulated Critical Communication Encounters.
Article in Critical care explorations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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Who cites it
4 citing papers in PubMed.
- Describing the Impact of Physician End-of-Life Communication Training on Simulated Stress Using a Novel Stress Marker.The American journal of hospice & palliative care · 2026Observational
- Reduced symptoms of anxiety among professional caregivers facing cardiac arrest after simulation based training.Scientific reports · 2025Article
- Code Status Discussions: A Standardized Patient Workshop for Senior Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- Mindfulness Exercises Reduce Acute Physiologic Stress Among Female Clinicians.Critical care explorations · 2024Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study had three aims: 1) quantify the difference in stress levels between low and high stress roles during simulated critical communication encounters using objective physiologic data (heart rate variability [HRV]) and subjective measures (State-Trait Anxiety Inventory [STAI]), 2) define the relationship between subjective and objective measures of stress, and 3) define the impact of trainee preparedness and reported self-efficacy on stress levels.
designMixed methods simulation-based study.
settingSingle center. PATIENTS: Pediatric critical care fellows and faculty (
interventionsSubjects participated in six simulated scenarios in both high stress "hot seat" and low stress "observer" roles. MEASUREMENTS AND MAIN
resultsSubjective stress was measured using the STAI at baseline and after each scenario. Objective stress was measured continuously using a wearable biometric device measuring HRV. Previous residency communication training and self-confidence surrounding various communication topics were collected via questionnaire. Significant changes in subjective (STAI) and objective stress (HRV) measurements in the low- versus high-stress roles were observed. STAI scores increased 8 points during low stress and 12 points during high stress role (
conclusionsCommunicating life-altering news in a simulated environment is a stressful experience. This stress results in physiologic changes that can be measured continuously using HRV. HRV measurement may serve as a novel method in evaluating the effectiveness of communication training programs and measuring future stress-reduction interventions.
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