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Short term effects of simulation training on stress, anxiety and burnout in critical care health professionals: before and after study

  • Sébastien Couarraze
    Correspondence
    Corresponding author:
    Affiliations
    Department of Anesthesiology and Critical Care, University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France

    Institut Toulousain de Simulation en Santé (ITSimS), University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France

    Education Sciences, UMR EFTS, University Toulouse 2 – Jean Jaurès, Toulouse, 31000, France

    CLLE, UMR 5263 CNRS, University Toulouse 2 – Jean Jaurès, Toulouse, 31000, France

    Nurse School, PREFMS, University Hospital of Toulouse, 31000, France
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  • Michèle Saint Jean
    Affiliations
    Institut Toulousain de Simulation en Santé (ITSimS), University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France

    Nurse School, PREFMS, University Hospital of Toulouse, 31000, France
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  • Guillaume Decormeille
    Affiliations
    Institut Toulousain de Simulation en Santé (ITSimS), University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France

    CLLE, UMR 5263 CNRS, University Toulouse 2 – Jean Jaurès, Toulouse, 31000, France

    Nurse School, PREFMS, University Hospital of Toulouse, 31000, France
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  • Charles Henri Houze Cerfon
    Affiliations
    Department of Anesthesiology and Critical Care, University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France

    Emergency Medical Service, University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France

    Education Sciences, UMR EFTS, University Toulouse 2 – Jean Jaurès, Toulouse, 31000, France
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  • Vincent Minville
    Affiliations
    Department of Anesthesiology and Critical Care, University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France
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  • Olivier Fourcade
    Affiliations
    Department of Anesthesiology and Critical Care, University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France
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  • Thomas Geeraerts
    Affiliations
    Department of Anesthesiology and Critical Care, University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France

    Institut Toulousain de Simulation en Santé (ITSimS), University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, 31000, France
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Published:January 04, 2023DOI:https://doi.org/10.1016/j.ecns.2022.12.001

      Highlights

      • Simulation appears to improve the perceived stress of session participants.
      • The effect of the simulation is not only on stress but also on anxiety and even burnout.
      • Simulation seems to allow the development of personal resources to better apprehend clinical situations.

      Abstract

      Introduction

      Anesthesia and critical care professionals have been shown to be particularly affected by the problems of stress, anxiety, and burnout. Simulation training could be a sustainable solution to help health care workers to deal with this situation. There is however poor scientific evidence on the short-term effect of simulation training on stress, anxiety and burnout in anesthesia and critical care workers.

      Material and methods

      This prospective observational study was conducted over one year. All anesthesia and critical care professionals participating in simulation training for critical situations were considered for inclusion. Perceived Stress Score (PSS), State Trait Anxiety Inventory (STAI) and Maslach Burnout Inventory (MBI) were collected before and 1 week after the training.

      Results

      Ninety-three participants fully completed the before and after study. PSS levels were significantly lower after the simulation sessions (p = .008), as were STAI levels (anxiety state (p < .001) and anxious personality trait (p = .002). The severity of burnout levels also decreased after simulation training (p < .001).

      Conclusion

      Simulation training based on critical situations exposure seems to have positive and rapid effects on stress, anxiety and burnout in anesthesia and critical care staff.

      KEYWORDS

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