CHS: SMALL: Stress Reflection Systems in Medical Team Training

医务人员经常面临可能导致焦虑和其他心理健康问题的生理压力。事实上，压力是造成失误的主要原因之一，对急救医务人员等医务人员来说，压力是造成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中。如果学员能够识别、想象并反思引发压力的具体事件，那么在未来的情况下，他们的表现可能会有所改善。虽然有很多工作关注于从个人的生理反应数据中检测压力，但很少有工作关注于如何设计以个人理解压力数据为中心的干预措施，在团队和群体中更是如此。本项目的目标是设计、开发和评估一个团队压力反映系统，评估其对医务人员团队培训中压力讨论和理解的影响。社会影响将通过创新新技术来实现，医疗人员可以有效地利用这些新技术来提高在该领域的表现，并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。该项目有三个主要的研究重点。首先是调查当前在护理团队模拟训练中发生的压力讨论实践，以及这些讨论对压力理解的影响。这将需要获得在培训期间录制的视频的详细转录，并进行民族方法学上的了解，归纳数据驱动的分析，以找到反复出现的相互作用模式。这一推动力的结果将是一组用户需求，为团队压力反射系统的开发提供信息，并收集受训者在典型训练模拟期间的生理反应数据集，用于评估项目第三阶段的压力反射显示。第二个要点是设计和开发团队压力反射系统，该系统可以展示受训者的生理反应和情境视频，供个人、双人或团队审查。在第三个推力中，团队将通过一系列实验和测量来比较使用该系统的团队和未使用该系统的团队，评估该系统在基于护理团队的模拟中对培训师-受训者压力讨论和受训者压力理解的影响和反应。研究结果将为压力反射显示的问题空间提供信息，并为压力显示干预医务人员绩效的可行性和效益提供坚实的依据。该奖项反映了美国国家科学基金会的法定使命，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.