Staffordshire University logo
STORE - Staffordshire Online Repository

Cognitive appraisals and team performance under stress: a simulation study

Carenzo, L, BRAITHWAITE, Elizabeth, Carfagna, F, Franc, J, Ingrassia, P, TURNER, Martin, SLATER, Matthew and JONES, Marc (2020) Cognitive appraisals and team performance under stress: a simulation study. Medical Education. ISSN 0308-0110

[img] Text
Carenzo et al ACCEPTED manuscript.pdf - AUTHOR'S ACCEPTED Version (default)
Restricted to Repository staff only until 7 February 2021.
Available under License All Rights Reserved (Under Embargo).

Download (761kB) | Request a copy

Abstract or description

Objective: The present study explored how challenge and threat responses to stress
relate to performance, anxiety, confidence, team identity and team characteristics (time spent training and postgraduate experience) in a team-based medical simulation competition.
Design: Cross-sectional data were collected prior to three days of competition.
Setting: The study was conducted during a national simulation-based training event for
residents, the SIMCUP Italia 2018. SIMCUP is a simulation competition where teams of four compete in simulated, medical emergency scenarios.
Subjects: 95 participants from 24 teams.
Measurements and Main Results: Each day prior to the competition, participants completed brief self-report measures which assessed demands and resources (which underpin challenge and threat responses to stress), cognitive and somatic anxiety, self-confidence and team identification. Participants also reported time (hours) spent practicing as a team and years of postgraduate experience. A team of referees judged each scenario for performance and assigned a score. We built a linear mixed model using demands and resources to model performance. The data showed that both demands and resources have a positive effect on performance (31 [11 - 50.3] p<0.01 and 54 [25 - 83.3], p<0.01 percentage points increase for unitary increases of demands and resources respectively), which however is balanced by a negative interaction between the two [demands * resources interaction coefficient = -10 [-16
- -4.2]. A high level of resources is associated with better performance until very high
demands. Cognitive and somatic anxieties were found to be correlated with demands
(Pearson’s r=0.51, p<0.01 and 0.48, p<0.01 respectively). Time spent training was associated with greater perceptions of resources (Pearson's r=0.36, p<0.01).

Conclusions: We describe a model of challenge and threat that allows estimation of
performance according to the perceived demands, resources and the interaction between the two. Higher levels of resources and lower demands were associated with better performance.

Item Type: Article
Faculty: School of Life Sciences and Education > Sport and Exercise
Depositing User: Matthew SLATER
Date Deposited: 27 Jan 2020 11:08
Last Modified: 28 Mar 2020 15:56
URI: http://eprints.staffs.ac.uk/id/eprint/6106

Actions (login required)

View Item View Item

DisabledGo Staffordshire University is a recognised   Investor in People. Sustain Staffs
Legal | Freedom of Information | Site Map | Job Vacancies
Staffordshire University, College Road, Stoke-on-Trent, Staffordshire ST4 2DE t: +44 (0)1782 294000