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Bauer C, Rimmelé T, Duclos A, Prieto N, Cejka JC, Carry PY, Grousson S, Friggeri A, Secco J, Bui-Xuan B, Lilot M, Lehot JJ. Anxiety and stress among anaesthesiology and critical care residents during high-fidelity simulation sessions. Anaesth Crit Care Pain Med 2016; 35:407-416. [PMID: 27133235 DOI: 10.1016/j.accpm.2016.01.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Revised: 12/28/2015] [Accepted: 01/02/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVES High-fidelity simulation (HFS) calls heavily upon cognitive capacities and generates stress and anxiety. The objectives of this prospective, observational study were to assess trait anxiety and fear of negative evaluation (FNE) in anaesthesiology and critical care residents and appraise their state anxiety levels and cardiovascular responses during HFS training sessions. SUBJECTS AND METHODS First-year anaesthesiology and critical care residents completed the French-Canadian adaptation of the State-Trait Anxiety Inventory (IASTA Y-1: state anxiety, IASTA Y-2: trait anxiety) and the French adaptation of the Fear of Negative Evaluation Scale (FNE). Their heart rate (HR) and blood pressure (BP) were assessed before and after the training session. RESULTS Twenty-three residents (8 women, 15 men) were included in the study. IASTA Y-1 and Y-2 scores were low (respectively 40.2±9.9 and 39.7±8) and FNE scores were moderate (16.7±5.5). HR measurements before and after the training sessions were significantly higher than at rest (respectively 78±19, 80±17 and 63±9b/min; P<0.001). BP measurements before and after the HFS sessions were not significantly different. The IASTA Y-2 and FNE scores of female residents were significantly higher than those of male residents (respectively P=0.004 and P=0.049). CONCLUSION First-year anaesthesiology and critical care residents had low trait anxiety and FNE. HFS training increased their HR but not their BP. Their state anxiety also remained low. Several differences between individuals were noted, particularly between men and women.
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Affiliation(s)
- Christian Bauer
- Départements d'anesthésie-réanimation, hospices civils de Lyon, 69002 Lyon, France; Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France.
| | - Thomas Rimmelé
- Départements d'anesthésie-réanimation, hospices civils de Lyon, 69002 Lyon, France; Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France
| | - Antoine Duclos
- Université Claude-Bernard Lyon 1, 69622 Lyon, France; Hospices civils de Lyon, pôle information médicale évaluation recherche, 69424 Lyon, France
| | - Nathalie Prieto
- Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France; Hospices civils de Lyon, hôpital Édouard Herriot, cellule d'urgence médico-psychologique, 69003 Lyon, France
| | - Jean-Christophe Cejka
- Départements d'anesthésie-réanimation, hospices civils de Lyon, 69002 Lyon, France; Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France
| | - Pierre-Yves Carry
- Départements d'anesthésie-réanimation, hospices civils de Lyon, 69002 Lyon, France; Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France
| | - Sébastien Grousson
- Départements d'anesthésie-réanimation, hospices civils de Lyon, 69002 Lyon, France; Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France
| | - Arnaud Friggeri
- Départements d'anesthésie-réanimation, hospices civils de Lyon, 69002 Lyon, France; Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France
| | - Julien Secco
- Université Claude-Bernard Lyon 1, 69622 Lyon, France
| | - Bernard Bui-Xuan
- Départements d'anesthésie-réanimation, hospices civils de Lyon, 69002 Lyon, France; Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France
| | - Marc Lilot
- Départements d'anesthésie-réanimation, hospices civils de Lyon, 69002 Lyon, France; Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France
| | - Jean-Jacques Lehot
- Départements d'anesthésie-réanimation, hospices civils de Lyon, 69002 Lyon, France; Centre lyonnais d'enseignement par la simulation en santé (CLESS-SAMSEI), 69373 Lyon, France; Université Claude-Bernard Lyon 1, 69622 Lyon, France
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