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.

医务人员经常承受生理压力，这可能导致焦虑和其他心理健康问题。确实，压力是对急诊医务人员等医务人员的错误和长期健康影响的主要原因之一。因此，已经努力将压力培训引入医疗人员培训计划。如果实习生可以识别，可视化和反思触发压力的特定事件，则在未来情况下的表现可能会有所改善。尽管有很多工作重点是检测个人的生理反应数据的压力，但较少的工作集中在如何设计围绕个人理解的压力数据的干预措施的问题上，而在团队和团体中甚至更少。该项目的目标是设计，开发和评估团队压力反射系统，评估其对医疗人员团队培训的压力讨论和理解的影响。通过创新的新技术可以实现社会影响，医务人员可以有效地使用这些技术，以提高该领域的表现，并通过来自代表性不足的小组的STEM学生的指导来支持教育和多样性。该项目具有三个主要的研究作用。首先是研究基于护理人员团队的模拟培训中发生的当前压力讨论实践，以及这些讨论对压力理解的影响。这将需要获取训练期间记录的视频的详细转录，并进行元素学知情的，诱导的数据驱动分析，以找到反复出现的相互作用模式。这一推力的结果将是一组用户需要在典型的培训模拟过程中为团队压力反射系统开发的开发，并收集学员的生理反应数据集，以评估项目第三阶段的压力反射显示。第二个主力是设计和开发团队压力反射系统，该系统呈现学员的生理反应，并为个人，Dyad或团队审查提供视频。在第三个推力中，团队将通过一系列实验和测量使用该系统与不使用它的团队进行比较，评估基于护理人员团队的模拟和基于护理人员团队的模拟中对系统的影响和反应对培训师的压力讨论和受训者的压力理解。结果将为压力反思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好处提供了牢固的基础。该奖项反映了NSF的法定任务，并认为值得通过基金会的知识分子优点和更广泛的影响来通过评估来获得支持。

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.