Cognitive appraisals and team performance under stress: A simulation study.
Objectives: The present study explored how challenge and threat responses to stress relate to performance, anxiety, confidence, team identity and team characteristics (time spent in training and postgraduate experience) in a medical simulation‐based team competition. Methods: The study was conducted...
| Publicado en: | Medical Education Vol. 54; no. 3; pp. 254 - 264 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141866261&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141866261 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Mar2020 vid: 54 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 141866261 141866261 145803711 141866261 10.1111/medu.14050 141866261 ppf: 254 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Cognitive appraisals and team performance under stress: A simulation study. aug: au: Carenzo, Luca Braithwaite, Elizabeth C. Carfagna, Fabio Franc, Jeffrey Ingrassia, Pier Luigi Turner, Martin J. Slater, Matthew J. Jones, Marc V. affil: SIMNOVA—Interdepartment Centre for Innovative Teaching and Simulation in Medicine and the Health Professions (Centro Interdipartimentale di Didattica Innovativa e di Simulazione in Medicina e Professioni Sanitarie), University of Eastern Piedmont, Novara, Italy sug: subj: Stress, Occupational Psychosocial Factors Teamwork Task Performance and Analysis Cognition Anxiety Professional Identity Human Simulations Cross Sectional Studies Descriptive Statistics Pearson's Correlation Coefficient ab: Objectives: The present study explored how challenge and threat responses to stress relate to performance, anxiety, confidence, team identity and team characteristics (time spent in training and postgraduate experience) in a medical simulation‐based team competition. Methods: The study was conducted during a national simulation‐based training event for residents, the SIMCUP Italia 2018. The SIMCUP is a simulation competition in which teams of four compete in simulated medical emergency scenarios. Cross‐sectional data were collected prior to the 3 days of the competition. Subjects included 95 participants on 24 teams. Before the competition on each day, participants completed brief self‐report measures that assessed demands and resources (which underpin challenge and threat responses to stress), cognitive and somatic anxiety, self‐confidence and team identification. Participants also reported time (hours) spent practising as a team and years of postgraduate experience. A team of referees judged each scenario for performance and assigned a score. A linear mixed model using demands and resources was built to model performance. Results: The data showed that both demands and resources have positive effects on performance (31 [11‐50.3] [P <.01] and 54 [25‐83.3] [P <.01] percentage points increase for unitary increases in demands and resources, respectively); however, this is balanced by a negative interaction between the two (demands * resources interaction coefficient = −10 [−16 to −4.2]). A high level of resources is associated with better performance until demands become very high. Cognitive and somatic anxieties were found to be correlated with demands (Pearson's r =.51 [P <.01] and Pearson's r =.48 [P <.01], respectively). Time spent training was associated with greater perceptions of resources (Pearson's r =.36 [P <.01]). Conclusions: We describe a model of challenge and threat that allows for the estimation of performance according to perceived demands and resources, and the interaction between the two. Higher levels of resources and lower demands were associated with better performance. How do challenge and threat responses to stress impact performance, confidence, and team identity? These factors along with others are explored in this study in the context of a medical simulation competition. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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