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Article Dans Une Revue Nurse Education Today Année : 2021

Does prior exposure to clinical critical events influence stress reactions to simulation session in nursing students : A case-control study

Michèle Saint-Jean
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Fouad Marhar
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Jean-Marc Carneiro
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Georges Siksik
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André Weider
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Matt Kurrek
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Thierry Rey
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Charles-Henri Houze-Cerfon
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Vicki Leblanc
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Thomas Geeraerts

Résumé

BackgroundSimulation is a pedagogical method known to be a generator of stress, that could be influenced by previous stressful experiences.ObjectivesThe purpose of this study was to determine the impact of previous experience with a clinical critical event on the stress experienced by nursing students during simulation session of critical events, and on the stress experienced during clinical critical events subsequent to the training.DesignObservational case-control study.SettingsFour critical event scenarios were created using full-scale simulation.ParticipantsTwo hundred and fifteen undergraduate nursing students of semester four. The control group (n = 112) consisted of learners who had not previously experienced a critical event. The prior exposure group (n = 103) consisted of learners who had experienced a critical event prior to the course.MethodsStress levels were assessed using the self-report stress numerical rating scale-11.ResultsThere was no significant difference in the level of stress between the prior exposure group and the control group before, during or expected after the simulation session. A significant decrease in stress was observed in both groups from before the course to during the session (p < 0.05) and expected after the session (p < 0.05). There was no significant difference between the expected post-session stress level and the stress levels reported four months after the training (p = 0.966). At four months, there was no significant difference in stress levels between the groups (p = 0.212).ConclusionsThe prior experience of a clinical critical event before a simulation course did not influence their reported stress level during the simulation session. Conversely, simulation-based training of critical situations appears to reduce the level of self-assessed stress during critical events in clinical practice after the training.

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Education
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hal-03400065 , version 1 (13-02-2023)

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Sébastien Couarraze, Michèle Saint-Jean, Fouad Marhar, Jean-Marc Carneiro, Georges Siksik, et al.. Does prior exposure to clinical critical events influence stress reactions to simulation session in nursing students : A case-control study. Nurse Education Today, 2021, 99, ⟨10.1016/j.nedt.2021.104792⟩. ⟨hal-03400065⟩
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