Monitoring stress using a wearable device and measuring satisfaction during high-fidelity perinatal simulation: A randomized controlled study

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dc.contributor.authorAkalin, Ayse
dc.contributor.authorD'haenens, Florence
dc.contributor.authorDemedts, Dennis
dc.contributor.authorVermeulen, Joeri
dc.contributor.authorFobelets, Maaike
dc.contributor.authorTricas-Sauras, Sandra
dc.date.accessioned2025-10-11T20:48:28Z
dc.date.available2025-10-11T20:48:28Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractAim: To continuously monitor midwifery students' physiological stress during high-fidelity perinatal simulation using a wearable device (Empatica (c) E4 wristband) and assess the impact of a stress-focused debriefing on their physiological and psychological stress and satisfaction. Background: High-fidelity simulation is an innovative training method that improves satisfaction and learning in healthcare, including midwifery. However, students might experience pressure and this can result in stress during simulations. Design: A two-group randomized controlled. Methods: The study was conducted at a University College's High-Fidelity Perinatal Simulation Centre in Belgium. Participants included fifty-six second- and third-year midwifery students. The intervention group received a stress-focused debriefing in addition to a standard debriefing, while the control group received routine standard debriefing. Physiological stress was continuously monitored using the E4 wristband, which measures electrodermal activity, heart rate, blood pressure and temperature. Measurements were divided into time periods: pre-simulation (T-0), scenario-running (T-1), debriefing (T-2) and post-simulation (T-3). Psychological stress was assessed at T-0 and T-3 using the Short Stress State Questionnaire and satisfaction was evaluated the Satisfaction with Simulation Experience Scale at T-3. Results: The intervention group showed a significant reduction in psychological stress and higher satisfaction than the control group (p < 0.001). Electrodermal activity at T-2 and heart rate at T-3 were significantly lower in the intervention group than the control group (p < 0.05). Conclusions: A stress-focused debriefing effectively reduces midwifery students' psychological and physiological stress while enhancing satisfaction. Electrodermal activity and heart rate parameters offered valuable insights into the students' physiological responses during perinatal simulation.en_US
dc.description.sponsorshipScientific and Technological Research Council of Turkey (TUBITAK) [1059B192100834]en_US
dc.description.sponsorshipThis study was conducted as part of the SimStress Project (Stress Measurement during Simulation Training) and was funded by the Scientific and Technological Research Council of Turkey (TUBITAK) (Grant ID: 1059B192100834) in the framework of 2219-International Postdoctoral Research Fellowship Program.en_US
dc.identifier.doi10.1016/j.nepr.2025.104460
dc.identifier.issn1471-5953
dc.identifier.issn1873-5223
dc.identifier.pmid40669424en_US
dc.identifier.scopus2-s2.0-105010610747en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1016/j.nepr.2025.104460
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21941
dc.identifier.volume87en_US
dc.identifier.wosWOS:001534606600001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofNurse Education in Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectHigh fidelity simulation trainingen_US
dc.subjectPerinatal careen_US
dc.subjectWearable electronic devicesen_US
dc.subjectPhysiological stressen_US
dc.subjectDebriefingen_US
dc.titleMonitoring stress using a wearable device and measuring satisfaction during high-fidelity perinatal simulation: A randomized controlled studyen_US
dc.typeArticleen_US

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