ACACIAS 1: The physiological and subjective impacts of high fidelity simulation of the breaking of bad news

IF 2 4区医学 Q2 SURGERY Journal of Visceral Surgery Pub Date : 2023-10-01 DOI:10.1016/j.jviscsurg.2023.03.006

E. Deluche , H. Salle , S. Leobon , T. Facchini-Joguet , L. Fourcade , A. Taibi

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引用次数: 1

Abstract

Study objective

Breaking bad news (BN) is difficult and necessitates targeted training. To be effective, training may call for High Fidelity Simulation (HFS). This prospective study was conducted to objectively assess the impact of HFS as a tool conducive to the development of clinical competence in situations involving the delivery of bad news.

Methods

This feasibility study was conducted from January to May 2021 and included students in medical oncology and digestive surgery. The subjective and objective impacts of HFS were evaluated by means of a self-administered questionnaire and a wristband, Affect-tag, which recorded several indicators: emotional power (EP), emotional density (DE) and cognitive load (CL) in students undergoing training.

Results

Forty-six (46) students with a median age of 25 years (21–34 years) were included. While the participants were effectively and emotionally involved in the HFS training, they were not completely overwhelmed by their emotions, a possible occurrence in this type of program. After two training programs, the students presented with lower EP (P < 0.001) and higher DE (P = 0.005), while their CL remained stable (P = 0.751). The information given in the self-administered questionnaires and the evaluations by outside professionals (actor, nurse, psychologist…) highlighted improved skills.

Conclusion

Taking into account the emotional parameters observed and the questionnaires collected, HFS can be considered as a suitable and effective tool in the breaking of bad news.

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ACACIAS 1：高保真度模拟坏消息突发的生理和主观影响。

研究目标：突发坏消息（BN）是困难的，需要有针对性的训练。为了有效，训练可能需要高保真度模拟（HFS）。进行这项前瞻性研究是为了客观评估HFS作为一种有助于在涉及坏消息传递的情况下发展临床能力的工具的影响。方法：本可行性研究于2021年1月至5月进行，包括医学肿瘤学和消化外科的学生。HFS的主观和客观影响是通过自我管理的问卷和腕带“情感标签”来评估的，该腕带记录了几个指标：接受训练的学生的情绪能力（EP）、情绪密度（DE）和认知负荷（CL）。结果：46名学生中位年龄为25岁（21-34岁）。虽然参与者在HFS训练中有效地、情绪化地参与其中，但他们并没有完全被自己的情绪淹没，这在这种类型的项目中是可能发生的。经过两次培训后，学生表现出较低的EP（P结论：考虑到观察到的情绪参数和收集到的问卷，HFS可以被认为是一种合适而有效的坏消息发布工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Visceral Surgery SURGERY-

CiteScore

2.00

自引率

9.50%

发文量

108

审稿时长

>12 weeks

期刊介绍： The Journal of Visceral Surgery (JVS) is the online-only, English version of the French Journal de Chirurgie Viscérale. The journal focuses on clinical research and continuing education, and publishes original and review articles related to general surgery, as well as press reviews of recently published major international works. High-quality illustrations of surgical techniques, images and videos serve as support for clinical evaluation and practice optimization. JVS is indexed in the main international databases (including Medline) and is accessible worldwide through ScienceDirect and ClinicalKey.