CHS: SMALL: Stress Reflection Systems in Medical Team Training

医务人员经常暴露于生理压力，这可能导致焦虑和其他心理健康问题。事实上，压力是导致医疗人员（如紧急医疗工作者）失误和长期健康影响的主要原因之一。正因为如此，人们一直在努力将压力训练引入医疗人员的培训计划。如果受训者能够识别、想象和反思引发压力的特定事件，那么在未来的情况下，表现可能会有所改善。虽然已经有很多工作集中在从个人的生理反应数据中检测压力，但很少有工作集中在如何设计以呈现压力数据为中心的干预措施以供个人理解的问题上，在团队和团体中更是如此。本计画的目的是设计、发展与评估一套团队压力反应系统，评估其在医疗人员团队训练中对压力讨论与理解的效果。该项目将通过创新新技术来实现社会影响，这些新技术可以被医务人员有效地用于提高该领域的绩效，以及通过指导来自代表性不足群体的STEM学生来支持教育和多样性。第一个是调查目前的压力讨论的做法，发生在护理团队为基础的模拟训练和影响，这些讨论对压力的理解。这将需要获得培训期间录制的视频的详细转录本，并进行族裔方法学方面知情的归纳数据驱动分析，以找到反复出现的互动模式。这一推动的结果将是一组用户需求，以告知团队压力反映系统的开发和在典型训练模拟期间收集受训者生理反应的数据集，用于评估项目第三阶段中的压力反映显示。第二个重点是设计和开发团队压力反应系统，该系统呈现受训者的生理反应和情景视频，供个人、双人或团队回顾。在第三次进攻中，该小组将评估该系统对培训师-受训者压力讨论和护理团队中受训者压力理解的影响和反应-通过一系列的实验和测量，对使用该系统的团队和未使用该系统的团队进行了比较，结果将为压力反映显示的问题空间提供信息，并为压力显示的可行性和效益提供坚实的基础该奖项反映了NSF的法定使命，并通过使用基金会的知识价值和更广泛的影响审查标准进行评估，被认为值得支持。

Medical personnel are frequently exposed to physiological stress which can result in anxiety and other mental health issues. Indeed, stress is one of the leading causes of errors and long-term health implications for medical personnel such as emergency medical workers. Because of this, there have been efforts to introduce stress training into medical personnel training programs. If a trainee can identify, visualize, and reflect on specific events that trigger stress, performance in future situations may improve. While there has been much work focused on detecting stress from physiological response data of individuals, less work has focused on questions of how to design interventions centered around presenting stress data for an individual's comprehension, and even less so in teams and groups. This project's goal is to design, develop, and evaluate a Team Stress Reflection system, assessing its effect on stress discussions and comprehension in medical personnel team training. Societal impact will be realized through innovating new technologies that can be effectively used by medical personnel for better performance in the field, as well as supporting education and diversity through mentorship of STEM students from underrepresented groups.The project has three main research thrusts. The first is to investigate the current stress discussion practices that occur in paramedic team-based simulation training and the impact these discussions have on stress comprehension. This will entail obtaining a detailed transcription of videos recorded during training and performing an ethnomethodologically informed, inductive data-driven analysis to find recurring patterns of interaction. A result of this thrust will be a set of user needs to inform the development of a Team Stress Reflection system and collection of a dataset of trainees' physiological responses during typical training simulations for use in evaluating the stress reflection display in the third stage of the project. The second thrust is to design and develop the Team Stress Reflection system that presents the trainees' physiological responses and situated video for individual, dyad, or team review. In the third thrust, the team will evaluate the effect of and reactions to the system on trainer-trainee stress discussion and trainee stress comprehension in paramedic team-based simulations through a series of experiments and measures comparing teams using the system to teams not using it. The results will inform the problem space of stress reflection displays as well as provide a firm basis for the feasibility and benefit of stress display intervention on medical personnel performance.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.