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

Elba Mauriz, Sandra Caloca-Amber, Lucía Córdoba-Murga and Ana María Vázquez-Casares
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Elba Mauriz: Department of Nursing and Physiotherapy, Universidad de León, Campus de Vegazana, 24071 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

IJERPH, 2021, vol. 18, issue 10, 1-12

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.

Keywords: psychophysiological response; socio-emotional competencies; stress; anxiety; cognitive load; self-efficacy; clinical simulation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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