Stress level experienced by participants in realistic simulation: a systematic review

ABSTRACT Objectives: to identify the available evidence regarding stress levels experienced by participants in education based on a realistic simulation. Methods: systematic review that included randomized clinic trials on electronic databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Latin-American and Caribbean Literature in Health Sciences, LIVIVO, PubMed, Scopus, and Web of Science. The additional search was performed on Google Scholar and OpenGrey. All searches occurred on September 24, 2020. The methodologic quality of the results was evaluated by the Cochrane Collaboration Risk of Bias Tool. Results: eighteen studies were included, which evaluated the participants’ stress using physiologic, self-reported measures, or the combination of both. Stress as experienced in a high level in simulated scenarios. Conclusions: evidence of the study included in this systematic review suggest that stress is experienced in a high level in simulated scenarios.摘要 研究目标：明确基于现实模拟场景的教育参与者所承受压力水平的现有相关证据。 研究方法：本研究为系统综述，纳入了电子数据库中的随机对照试验，涉及的数据库包括：护理及相关健康文献累积索引（Cumulative Index to Nursing and Allied Health Literature）、考克兰图书馆（Cochrane Library）、拉丁美洲与加勒比地区健康科学文献库、LIVIVO、PubMed、Scopus以及Web of Science。此外，本研究还于谷歌学术（Google Scholar）与OpenGrey数据库进行了补充检索。所有检索操作均于2020年9月24日完成。研究结果的方法学质量采用考克兰协作网偏倚风险工具（Cochrane Collaboration Risk of Bias Tool）进行评估。 研究结果：最终纳入18项研究，均通过生理测量、自我报告评估或二者结合的方式对参与者的压力水平进行测评，结果显示模拟场景下参与者的压力水平较高。 研究结论：本系统综述纳入的研究证据表明，模拟场景中参与者会承受较高水平的压力。