CHS: SMALL: Stress Reflection Systems in Medical Team Training

CHS：小：医疗团队培训中的压力反射系统

• 批准号: 1815854
• 负责人: Andrea Kleinsmith
• 金额: $ 36.96万
• 依托单位: University of Maryland Baltimore County
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1815854&HistoricalAwards=false
• 关键词: CHS; SMALL; Stress; Reflection; Systems

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.

医务人员经常面临生理压力，这可能会导致焦虑和其他心理健康问题。事实上，压力是导致错误的主要原因之一，并对急救医务人员等医务人员产生长期健康影响。正因为如此，一直在努力将应激培训引入医务人员培训计划。如果受训者能够识别、想象和反思引发压力的特定事件，在未来情况下的表现可能会有所改善。虽然已经有很多工作专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，在团队和团队中更是如此。本项目的目标是设计、开发和评估团队压力反映系统，评估其在医务人员团队培训中对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，这些新技术可以被医务人员有效地利用，以便在该领域取得更好的表现，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。该项目有三个主要研究方向。第一个是调查当前在基于辅助医疗团队的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。这将需要获得培训期间录制的视频的详细转录，并执行民族方法信息、归纳数据驱动的分析，以找到反复出现的互动模式。这一努力的结果将是一套用户需求，以告知团队压力反射系统的开发，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。第二个重点是设计和开发团队压力反映系统，该系统呈现受训者的生理反应和现场视频，供个人、二人或团队评估。在第三个推力中，该团队将通过一系列实验和措施将使用该系统的团队与未使用该系统的团队进行比较，评估该系统对基于辅助医疗团队的模拟中培训者-受训者压力讨论和受训者压力理解的影响和反应。该结果将为压力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益处提供坚实的基础。该奖项反映了NSF的法定使命，并通过使用基金会的智力优势和更广泛的影响审查标准进行评估，被认为值得支持。

项目成果

Exploring Affective Dimension Perception from Bodily Expressions and Electrodermal Activity in Paramedic Simulation Training

在护理人员模拟培训中探索身体表达和皮肤电活动的情感维度感知

• DOI: 10.1109/acii55700.2022.9953862
• 发表时间: 2022
• 期刊: IEEE
• 作者: Surely, Akiri;Taherzadeh, Sanaz;Misal, Vasundhara;Kleinsmith, Andrea
• 通讯作者: Kleinsmith, Andrea

Physiological Synchrony, Stress and Communication of Paramedic Trainees During Emergency Response Training

急救培训期间护理人员学员的生理同步性、压力和沟通

• DOI: 10.1145/3395035.3425250
• 发表时间: 2020
• 期刊: International Conference on Multimodal Interaction
• 作者: Misal, V.;Akiri, S.;Taherzadeh, S.;McGowan, H.;Williams, G.;Jenkins, J.L.;Mentis, H.;Kleinsmith, A.
• 通讯作者: Kleinsmith, A.