ArticleAEM education and training2023
Exploring participant experience to optimize the design and delivery of stress exposure simulations in emergency medicine.
Article in AEM education and training, 2023. 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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Who cites it
4 citing papers in PubMed.
- Emergency department eCPR: an exploratory observational study of human factors.BMC emergency medicine · 2026Observational
- Developing a simulation-based education curriculum sample in postgraduate emergency medicine education.Frontiers in medicine · 2026Article
- "Some Kind of Magic?" How Adaptive Experts Navigate Complexity in Pediatric Ultrasound-Guided Vascular Access.Perspectives on medical education · 2025Article
- Exploring participant experience to optimize the design and delivery of stress exposure simulations in emergency medicine.AEM education and training · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Emergency department (ED) teams frequently perform under conditions of high stress. Stress exposure simulation (SES) is specifically designed to train recognition and management of stress responses under these conditions. Current approaches to design and delivery of SES in emergency medicine are based on principles derived from other contexts and from anecdotal experience. However, the optimal design and delivery of SES in emergency medicine are not known. We aimed to explore participant experience to inform our approach. Methods: We performed an exploratory study in our Australian ED with doctors and nurses participating in SES sessions. We used a three-part framework-sources of stress, the impacts of that stress, and the strategies to mitigate-to inform our SES design and delivery and to guide our exploration of participant experience. Data were collected through a narrative survey and participant interviews and analyzed thematically. Results: There were 23 total participants (doctors Conclusions: We suggest that design and delivery of SES should follow health care simulation best practice, with stress adequately induced by authentic clinical scenarios and to avoid trickery or adding extraneous cognitive load. Facilitators leading learning conversations in SES sessions should develop a deep understanding of stress and emotional activation and focus on team-based strategies to mitigate harmful impacts of stress on performance.
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Registered trials
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