Impaired performance under simulation stress is concentrated among healthcare students and junior residents, with rising perceived anxiety, cognitive load and stress linked to poorer performance¶

Claim · All claims
Evidence · 1 study (2 entries) · review r3 · q2
Currency · newest study 2024 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Of the 11 studies showing impaired performance, nine (82%) involved healthcare students and/or junior medical residents. → Vage A 2024 q2 i? In 10 (91%) of the impaired-performance studies, increasing perceived anxiety, cognitive load and/or stress was associated with poorer performance. → Vage A 2024 (2)

Evidence¶

Vage A 2024¶

Vage A, Spence AD, McKeown G, Gormley GJ, Hamilton PK. (2024). Simulate to stimulate? A systematic review of stress, learning, and performance in healthcare simulation. The Ulster Medical Journal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11591218/

q2 · i? · review · r3

Narrative synthesis across the review's impaired-performance category. The review highlights "the deleterious effects of overstimulating" students and junior residents, suggesting learner level moderates the stress-performance relationship.

"Of the 11 studies showing impaired performance, nine (82 %) involved healthcare students and/or junior medical residents; highlighting the deleterious effects of overstimulating those populations for whom learning is the gateway to proficiency."

Vage A 2024 (2)¶

Vage A, Spence AD, McKeown G, Gormley GJ, Hamilton PK. (2024). Simulate to stimulate? A systematic review of stress, learning, and performance in healthcare simulation. The Ulster Medical Journal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11591218/

q2 · i? · review · r3

Review synthesis of correlational patterns within the 11 impaired-performance studies; the association between rising perceived anxiety or stress and poorer performance is reported as a trend, with no pooled effect size printed.

"In 10 (91 %) studies, increasing levels of perceived anxiety, cognitive load and/or stress were associated with poorer performance."

Discussion¶

Learner Variables¶

• Affect Regulation — predictor: learners who differ on it differ in outcomes

Related Claims¶

• Inducing a high-stress environment during healthcare simulation is generally associated with impaired performance — a broader claim this one bears on
• Studies finding unaltered performance under simulation stress tended to involve more experienced participants and smaller samples — related
• Stress biomarker and self-report measures show negative correlations with simulation performance across outcome categories — related
• Negative emotions, most commonly stress, were inversely correlated with clinical performance in some simulated or educational acute care settings — related
• The single study reporting enhanced performance under stress may reflect stressors that failed to induce sufficient stress — related