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Proactive policy planning for unexpected student distress during simulation.
Janet Willhaus1, Mitzi Averette, Michael Gates
1Author affiliations: Assistant Professor (Dr Willhaus), School of Nursing, Boise State University, Idaho; Simulation Lab Coordinator (Ms Averette), Fayetteville Technical Community College, North Carolina; Associate Professor (Dr Gates), School of Nursing, San Diego State University, California; Simulation Coordinator (Ms Jackson), Department of Nursing, Bradley University, Peoria, Illinois; Nurse Educator and Nursing Lab Instructor (Ms Windnagel), Whatcom Community College, Bellingham, Washington.
Simulation faculty often encounter learner stress reactions that disrupt training. This article provides best practices and a sample policy for managing and supporting students experiencing uncontrolled stress during simulation scenarios.
Area of Science:
- Medical Education
- Healthcare Simulation
- Psychology
Background:
- Learner stress reactions during simulation are frequently observed but underreported in scientific literature.
- Informal discussions among simulation faculty highlight the need for structured guidance on managing learner distress.
- Existing literature lacks policies for addressing significant learner stress that impacts group learning.
Purpose of the Study:
- To offer evidence-based best practices for identifying and supporting learners with uncontrolled stress in simulation.
- To provide a sample policy for simulation programs to proactively manage student stress reactions.
- To address the gap in the literature regarding policies for simulation-related learner distress.
Main Methods:
- Literature review of simulation education and stress management.
- Analysis of informal faculty discussions regarding learner stress.
- Development of best practice guidelines and a sample policy framework.
Main Results:
- Identification of common triggers and manifestations of learner stress in simulation.
- Proposed strategies for faculty to de-escalate and support distressed learners.
- A template policy for simulation programs to address student stress.
Conclusions:
- Proactive policies and faculty training are essential for managing learner stress in simulation.
- Addressing student distress enhances the learning environment for all participants.
- Further research is needed on the long-term impact of stress interventions in simulation.
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