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Effect of Psychophysiological Stress and Socio-Emotional Competencies on the Clinical Performance of Nursing Students during a Simulation Practice

Author

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  • Elba Mauriz

    (Department of Nursing and Physiotherapy, Universidad de León, Campus de Vegazana, 24071 León, Spain
    Institute of Food Science and Technology (ICTAL), La Serna 58, 24007 León, Spain)

  • Sandra Caloca-Amber

    (Department of Nursing and Physiotherapy, Universidad de León, Campus de Vegazana, 24071 León, Spain)

  • Lucía Córdoba-Murga

    (Department of Nursing and Physiotherapy, Universidad de León, Campus de Vegazana, 24071 León, Spain)

  • Ana María Vázquez-Casares

    (Department of Nursing and Physiotherapy, Universidad de León, Campus de Vegazana, 24071 León, Spain)

Abstract

Psychophysiological stress can affect the cognitive response and effective learning of students during medical simulation practices. This study aimed to explore the effect of psychophysiological stress and socio-emotional competencies on clinical performance during a simulation experience. A pre-test/post-test design was used to assess physiological (blood pressure, heart rate and blood oxygen saturation) and psychological parameters (stress and anxiety) as well as socio-emotional skills (cognitive load, self-efficacy and motivation) in nursing students ( n = 40) before and after the simulation of a cardiopulmonary resuscitation practice. Physiological responses showed statistically significant differences between pre-test and post-test conditions for blood pressure and heart rate ( p < 0.0001). Moderate and significant correlations were also observed when comparing self-efficacy with stress ( r = −0.445, p = 0.004), anxiety ( r = −0.467, p = 0.002) and motivation ( r = −0.406, p = 0.009) measures. Similarly, cognitive-load dimensions were significantly associated with either physiological ( r = −0.335, p = 0.034) or psychological ( r = −0.448, p = 0.004) indicators. The analysis of multiple regression models revealed a relationship between the effectiveness of the simulated experience, post-test blood oxygen saturation, heart rate, workload and self-efficacy (R 2 = 0.490; F (3, 39) = 8.305; p < 0.0001; d = 1.663). Therefore, the evaluation of psychophysiological parameters and socio-emotional skills seems to provide a promising framework for predicting the quality of simulated clinical practices.

Suggested Citation

  • Elba Mauriz & Sandra Caloca-Amber & Lucía Córdoba-Murga & Ana María Vázquez-Casares, 2021. "Effect of Psychophysiological Stress and Socio-Emotional Competencies on the Clinical Performance of Nursing Students during a Simulation Practice," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5448-:d:558058
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    References listed on IDEAS

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    1. Juan Pedro Fuentes-García & Vicente J. Clemente-Suárez & Miguel Ángel Marazuela-Martínez & José F. Tornero-Aguilera & Santos Villafaina, 2021. "Impact of Real and Simulated Flights on Psychophysiological Response of Military Pilots," IJERPH, MDPI, vol. 18(2), pages 1-9, January.
    2. José Luis Martin-Conty & Francisco Martin-Rodríguez & Juan José Criado-Álvarez & Carmen Romo Barrientos & Clara Maestre-Miquel & Antonio Viñuela & Begoña Polonio-López & Carlos Durantez-Fernández & Fé, 2020. "Do Rescuers’ Physiological Responses and Anxiety Influence Quality Resuscitation under Extreme Temperatures?," IJERPH, MDPI, vol. 17(12), pages 1-12, June.
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    Cited by:

    1. Clara Maestre-Miquel & Francisco Martín-Rodríguez & Carlos Durantez-Fernández & José L. Martín-Conty & Antonio Viñuela & Begoña Polonio-López & Carmen Romo-Barrientos & Juan José Criado-Álvarez & Fran, 2022. "Gender Differences in Anxiety, Attitudes, and Fear among Nursing Undergraduates Coping with CPR Training with PPE Kit for COVID," IJERPH, MDPI, vol. 19(23), pages 1-11, November.
    2. Manjit Kaur Khaira & Raja Lexshimi Raja Gopal & Suriati Mohamed Saini & Zaleha Md Isa, 2023. "Interventional Strategies to Reduce Test Anxiety among Nursing Students: A Systematic Review," IJERPH, MDPI, vol. 20(2), pages 1-15, January.

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