The Effects of High-Fidelity Simulation on Salivary Cortisol Levels in SRNA Students: A Pilot Study

The use of clinical simulation in graduate level nursing education provides the opportunity for students to learn and apply theoretical practices of nursing care in a safe and controlled environment. It was postulated that laboratory simulation would mimic the stress levels of a real clinical situat...

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Main Authors: Terri Jones, Sarah Goss, Bethany Weeks, Hiroko Miura, Damian Bassandeh, Dennis Cheek
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2011.8
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author Terri Jones
Sarah Goss
Bethany Weeks
Hiroko Miura
Damian Bassandeh
Dennis Cheek
author_facet Terri Jones
Sarah Goss
Bethany Weeks
Hiroko Miura
Damian Bassandeh
Dennis Cheek
author_sort Terri Jones
collection DOAJ
description The use of clinical simulation in graduate level nursing education provides the opportunity for students to learn and apply theoretical practices of nursing care in a safe and controlled environment. It was postulated that laboratory simulation would mimic the stress levels of a real clinical situation as measured by the stress hormone cortisol. The purpose of this study was to determine whether high-fidelity simulation approximates the stress experienced by nurse anesthesia students in the operating room. Participants (n = 21) were recruited from an accredited nurse anesthesia program in the southern U.S. Saliva was collected for 3 days under controlled conditions for baseline data. Next, saliva was collected for 3 days: the day before, the day of, and the day after simulation. The same process was repeated for the first clinical day in the operating room. The participants acted as their own control. There was a significant (p < 0.05) increase in cortisol levels during laboratory simulation as compared to baseline values. Although levels of cortisol were higher during clinical time than baseline, this increase was not significant (p > 0.05), and levels were lower than levels during simulation. Laboratory simulation of patient scenarios raised the stress hormone cortisol level threefold above baseline levels in nurse anesthesia students, while actual clinical experience did not.
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spelling doaj-art-499f5f79eaca490f81d683d36b9bab852025-02-03T06:00:29ZengWileyThe Scientific World Journal1537-744X2011-01-0111869210.1100/tsw.2011.8The Effects of High-Fidelity Simulation on Salivary Cortisol Levels in SRNA Students: A Pilot StudyTerri Jones0Sarah Goss1Bethany Weeks2Hiroko Miura3Damian Bassandeh4Dennis Cheek5School of Nurse Anesthesia, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, TX, USASchool of Nurse Anesthesia, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, TX, USASchool of Nurse Anesthesia, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, TX, USASchool of Nurse Anesthesia, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, TX, USASchool of Nurse Anesthesia, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, TX, USASchool of Nurse Anesthesia, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, TX, USAThe use of clinical simulation in graduate level nursing education provides the opportunity for students to learn and apply theoretical practices of nursing care in a safe and controlled environment. It was postulated that laboratory simulation would mimic the stress levels of a real clinical situation as measured by the stress hormone cortisol. The purpose of this study was to determine whether high-fidelity simulation approximates the stress experienced by nurse anesthesia students in the operating room. Participants (n = 21) were recruited from an accredited nurse anesthesia program in the southern U.S. Saliva was collected for 3 days under controlled conditions for baseline data. Next, saliva was collected for 3 days: the day before, the day of, and the day after simulation. The same process was repeated for the first clinical day in the operating room. The participants acted as their own control. There was a significant (p < 0.05) increase in cortisol levels during laboratory simulation as compared to baseline values. Although levels of cortisol were higher during clinical time than baseline, this increase was not significant (p > 0.05), and levels were lower than levels during simulation. Laboratory simulation of patient scenarios raised the stress hormone cortisol level threefold above baseline levels in nurse anesthesia students, while actual clinical experience did not.http://dx.doi.org/10.1100/tsw.2011.8
spellingShingle Terri Jones
Sarah Goss
Bethany Weeks
Hiroko Miura
Damian Bassandeh
Dennis Cheek
The Effects of High-Fidelity Simulation on Salivary Cortisol Levels in SRNA Students: A Pilot Study
The Scientific World Journal
title The Effects of High-Fidelity Simulation on Salivary Cortisol Levels in SRNA Students: A Pilot Study
title_full The Effects of High-Fidelity Simulation on Salivary Cortisol Levels in SRNA Students: A Pilot Study
title_fullStr The Effects of High-Fidelity Simulation on Salivary Cortisol Levels in SRNA Students: A Pilot Study
title_full_unstemmed The Effects of High-Fidelity Simulation on Salivary Cortisol Levels in SRNA Students: A Pilot Study
title_short The Effects of High-Fidelity Simulation on Salivary Cortisol Levels in SRNA Students: A Pilot Study
title_sort effects of high fidelity simulation on salivary cortisol levels in srna students a pilot study
url http://dx.doi.org/10.1100/tsw.2011.8
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