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Don’t Panic! - Influence of Virtual Stressor Representations from the ICU Context on Perceived Stress Levels

Published: 19 April 2023 Publication History

Abstract

Intensive care nurses are prone to suffering from chronic stress due to constant exposure to two main profession-related stressors: interruption and time pressure. These stressors have detrimental effects on the well-being of the nursing staff and, by proxy, the patients. To alleviate stress, increase safety, and support the training of stressful scenarios, we investigate the impact these stressors have on subjective and objective stress levels in a virtual environment. We designed an intensive care unit in which participants (n=26, 18 healthcare professionals) perform common tasks, e.g. refilling an infusion pump, whilst being exposed to interruptions and time pressure. Results from our between-subjects study provide data indicating stress increase in both stressor conditions, suggesting that artificially evoking work-related stressors for stress inoculation training (SIT) is a possible extension to simulation training during nursing education. This knowledge is helpful for designing training scenarios of safety-critical situations early in the professional apprenticeship.

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References

[1]
Norah H Alsuraykh, Max L Wilson, Paul Tennent, and Sarah Sharples. 2019. How stress and mental workload are connected. In Proceedings of the 13th EAI International Conference on Pervasive Computing Technologies for Healthcare. ACM, Trento, Italy, 371–376.
[2]
Adriana Arza, Jorge Mario Garzón-Rey, Jesús Lázaro, Eduardo Gil, Raul Lopez-Anton, Conchita de la Camara, Pablo Laguna, Raquel Bailon, and Jordi Aguiló. 2019. Measuring acute stress response through physiological signals: towards a quantitative assessment of stress. Medical & biological engineering & computing 57, 1 (2019), 271–287.
[3]
Olaf Binsch, Charelle Bottenheft, Linsey Bottenheft, Rudy Boonekamp, and Pierre Valk. 2017. Using a controlled virtual reality simulation platform to induce, measure and feedback stress responses of soldiers. Journal of Science in Medicine and Sport 20 (2017), 2134.
[4]
Joset E Brown. 2019. Graduate nurses’ perception of the effect of simulation on reducing the theory-practice gap. Sage Open Nursing 5(2019), 2377960819896963.
[5]
Yu Mei Chang and Chin Lun Lai. 2021. Exploring the experiences of nursing students in using immersive virtual reality to learn nursing skills. Nurse Education Today 97(2021), 104670.
[6]
Rory M.S. Clifford, Sungchul Jung, Simon Hoermann, Mark Billinghurst, and Robert W. Lindeman. 2019. Creating a Stressful Decision Making Environment for Aerial Firefighter Training in Virtual Reality. In 2019 IEEE Conference on Virtual Reality and 3D User Interfaces (VR). IEEE, Osaka, Japan, 181–189. https://doi.org/10.1109/VR.2019.8797889
[7]
Vanessa Cobus and Wilko Heuten. 2019. To Beep or Not to Beep? Evaluating Modalities for Multimodal ICU Alarms. Multimodal Technologies and Interaction 3, 1 (March 2019), 15. https://doi.org/10.3390/mti3010015
[8]
Enrico W Coiera, Rohan A Jayasuriya, Jennifer Hardy, Aiveen Bannan, and Max EC Thorpe. 2002. Communication loads on clinical staff in the emergency department. Medical Journal of Australia 176, 9 (2002), 415–418.
[9]
Brendan Corbett, Takehiko Yamaguchi, Shijing Liu, Lixiao Huang, Sangwoo Bahn, and Chang S. Nam. 2013. Influence of Haptic Feedback on a Pointing Task in a Haptically Enhanced 3D Virtual Environment. In Human-Computer Interaction. Interaction Modalities and Techniques, Masaaki Kurosu (Ed.). Springer Berlin Heidelberg, Berlin, Heidelberg, 561–567.
[10]
Julie L Darbyshire, M Müller-Trapet, J Cheer, FM Fazi, and JD Young. 2019. Mapping sources of noise in an intensive care unit. Anaesthesia 74, 8 (2019), 1018–1025.
[11]
Frank A. Drews. 2007. The frequency and impact of task interruptions in the ICU. Proceedings of the Human Factors and Ergonomics Society Annual Meeting 51, 11 (2007), 683–686. https://doi.org/10.1177/154193120705101117 Publisher: SAGE Publications Inc.
[12]
Kirstin Epp. 2012. Burnout in critical care nurses: A literature review. Dynamics 4, 23 (2012), 25–31.
[13]
Adelaida Fanfarová and Ladislav Mariš. 2017. Simulation tool for fire and rescue services. Procedia Engineering 192 (Jan. 2017), 160–165. https://doi.org/10.1016/j.proeng.2017.06.028
[14]
Tor Finseth, Michael C. Dorneich, Nir Keren, Warren Franke, Stephen Vardeman, Jonathan Segal, Andrew Deick, Elizabeth Cavanah, and Kelly Thompson. 2021. The effectiveness of adaptive training for stress inoculation in a simulated astronaut task. Proceedings of the Human Factors and Ergonomics Society Annual Meeting 65, 1 (Sept. 2021), 1541–1545. https://doi.org/10.1177/1071181321651241
[15]
Tor T. Finseth, Nir Keren, Michael C. Dorneich, Warren D. Franke, Clayton C. Anderson, and Mack C. Shelley. 2018. Evaluating the Effectiveness of Graduated Stress Exposure in Virtual Spaceflight Hazard Training. Journal of Cognitive Engineering and Decision Making 12, 4 (Dec. 2018), 248–268. https://doi.org/10.1177/1555343418775561 Publisher: SAGE Publications.
[16]
Keaton A. Fletcher, Sean M. Potter, and Britany N. Telford. 2018. Stress Outcomes of Four Types of Perceived Interruptions. Human Factors 60, 2 (2018), 222–235. https://doi.org/10.1177/0018720817738845 Publisher: SAGE Publications Inc.
[17]
Herbert Fliege, Matthias Rose, Petra Arck, Susan Levenstein, and Burghard F Klapp. 2001. Validierung des “perceived stress questionnaire”(PSQ) an einer deutschen Stichprobe (Validation of the “Perceived Stress Questionnaire”(PSQ) in a German sample). Diagnostica 47, 3 (2001), 142–152.
[18]
Martha J Foxall, Lani Zimmerman, Roberta Standley, and Barbara Bene Captain. 1990. A comparison of frequency and sources of nursing job stress perceived by intensive care, hospice and medical-surgical nurses. Journal of Advanced Nursing 15, 5 (May 1990), 577–584. https://doi.org/10.1111/j.1365-2648.1990.tb01857.x
[19]
Aishwarya Goyal, Shailendra Singh, Dharam Vir, and Dwarka Pershad. 2016. Automation of Stress Recognition Using Subjective or Objective Measures. Psychological Studies 61, 4 (Dec. 2016), 348–364. https://doi.org/10.1007/s12646-016-0379-1
[20]
Pamela Gray-Toft and James G. Anderson. 1981. Stress among hospital nursing staff: Its causes and effects. Social Science & Medicine. Part A: Medical Psychology & Medical Sociology 15, 5 (Sept. 1981), 639–647. https://doi.org/10.1016/0271-7123(81)90087-0
[21]
Mehdi Hafsia, Eric Monacelli, and Hugo Martin. 2018. Virtual Reality Simulator for Construction workers. In Proceedings of the Virtual Reality International Conference - Laval Virtual on - VRIC ’18. ACM Press, Laval, France, 1–7. https://doi.org/10.1145/3234253.3234298 00000.
[22]
Brenda Happell, Trudy Dwyer, Kerry Reid-Searl, Karena J. Burke, Cristina M. Caperchione, and Cadeyrn J. Gaskin. 2013. Nurses and stress: recognizing causes and seeking solutions. Journal of Nursing Management 21, 4 (May 2013), 638–647. https://doi.org/10.1111/jonm.12037
[23]
Nicole Harder, Carolyn J.M. Ross, and Pauline Paul. 2013. Student Perspective of Roles Assignment in High-Fidelity Simulation: An Ethnographic Study. Clinical Simulation in Nursing 9, 9 (Sept. 2013), e329–e334. https://doi.org/10.1016/j.ecns.2012.09.003
[24]
Sandra G Hart and Lowell E Staveland. 1988. Development of NASA-TLX (Task Load Index): Results of empirical and theoretical research. In Advances in psychology. Vol. 52. Elsevier, North Holland, 139–183.
[25]
Gert Kaluza. 2018. Stressbewältigung: Trainingsmanual zur psychologischen Gesundheitsförderung. Springer Berlin Heidelberg, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55638-2
[26]
Robert S Kennedy, Norman E Lane, Kevin S Berbaum, and Michael G Lilienthal. 1993. Simulator sickness questionnaire: An enhanced method for quantifying simulator sickness. The international journal of aviation psychology 3, 3 (1993), 203–220.
[27]
Somyyeh Khatoni, Seyyed Amir Hosein Pishgooie, Mohammad Reza Khodabakhsh, 2020. Determining the Effectiveness of Stress Inoculation Training on Nurses’ Job Stress at Selected Military Hospitals. Military Caring Sciences Journal 7, 1 (2020), 26–34.
[28]
B. D. Kirkcaldy and T. Martin. 2000. Job stress and satisfaction among nurses: individual differences. Stress Medicine 16, 2 (2000), 77–89. https://doi.org/10.1002/(SICI)1099-1700(200003)16:2<77::AID-SMI835>3.0.CO;2-Z
[29]
Alexandra Laurent, Florent Lheureux, Magali Genet, Maria Cruz Martin Delgado, Maria G. Bocci, Alessia Prestifilippo, Guillaume Besch, and Gilles Capellier. 2020. Scales Used to Measure Job Stressors in Intensive Care Units: Are They Relevant and Reliable? A Systematic Review. Frontiers in Psychology 11 (March 2020), 245. https://doi.org/10.3389/fpsyg.2020.00245
[30]
Minha Lee, Jan Kolkmeier, Dirk Heylen, and Wijnand IJsselsteijn. 2021. Who Makes Your Heart Beat? What Makes You Sweat? Social Conflict in Virtual Reality for Educators. Frontiers in Psychology 12 (2021), 14 pages. https://doi.org/10.3389/fpsyg.2021.628246
[31]
Susan Levenstein, Cosimo Prantera, Vilma Varvo, Maria L Scribano, Eva Berto, Carlo Luzi, and Arnaldo Andreoli. 1993. Development of the Perceived Stress Questionnaire: a new tool for psychosomatic research. Journal of psychosomatic research 37, 1 (1993), 19–32.
[32]
Simon YW Li, Farah Magrabi, and Enrico Coiera. 2012. A systematic review of the psychological literature on interruption and its patient safety implications. Journal of the American Medical Informatics Association 19, 1(2012), 6–12.
[33]
Gloria Mark, Daniela Gudith, and Ulrich Klocke. 2008. The cost of interrupted work: more speed and stress. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (2008-04-06) (CHI ’08). Association for Computing Machinery, New York, NY, USA, 107–110. https://doi.org/10.1145/1357054.1357072
[34]
Marieke AG Martens, Angus Antley, Daniel Freeman, Mel Slater, Paul J Harrison, and Elizabeth M Tunbridge. 2019. It feels real: physiological responses to a stressful virtual reality environment and its impact on working memory. Journal of Psychopharmacology (Oxford, England) 33, 10 (Oct. 2019), 1264–1273. https://doi.org/10.1177/0269881119860156
[35]
Gerald Matthews, James Szalma, April Rose Panganiban, Catherine Neubauer, and Joel S Warm. 2013. Profiling task stress with the dundee stress state questionnaire. Psychology of stress: New research 1 (2013), 49–90.
[36]
A. McGrath, N. Reid, and J. Boore. 2003. Occupational stress in nursing. International Journal of Nursing Studies 40, 5 (July 2003), 555–565. https://doi.org/10.1016/S0020-7489(03)00058-0
[37]
Meredith Mealer, Jacqueline Jones, and Marc Moss. 2012. A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses. Intensive Care Medicine 38, 9 (Sept. 2012), 1445–1451. https://doi.org/10.1007/s00134-012-2600-6
[38]
Donald Meichenbaum and Roy Cameron. 1989. Stress Inoculation Training. In Stress Reduction and Prevention, Donald Meichenbaum and Matt E. Jaremko (Eds.). Springer US, Boston, MA, 115–154. https://doi.org/10.1007/978-1-4899-0408-9_5
[39]
Seulki Min, Jung-geun Moon, Chul-Hyun Cho, and Gerard J. Kim. 2020. Effects of Immersive Virtual Reality Content Type to Mindfulness and Physiological Parameters. In 26th ACM Symposium on Virtual Reality Software and Technology(VRST ’20). Association for Computing Machinery, New York, NY, USA, 1–9. https://doi.org/10.1145/3385956.3418942
[40]
Sebastian Misztal, Guillermo Carbonell, Lysann Zander, and Jonas Schild. 2020. Intensifying Stress Perception Using Visual Effects in VR Games. In International Conference on the Foundations of Digital Games(FDG ’20). Association for Computing Machinery, New York, NY, USA, 1–4. https://doi.org/10.1145/3402942.3409781
[41]
Justin Maximilian Mittelstaedt, Jan Wacker, and Dirk Stelling. 2019. VR aftereffect and the relation of cybersickness and cognitive performance. Virtual Reality 23, 2 (June 2019), 143–154. https://doi.org/10.1007/s10055-018-0370-3
[42]
Christian Plotzky, Ulrike Lindwedel, Michaela Sorber, Barbara Loessl, Peter König, Christophe Kunze, Christiane Kugler, and Michael Meng. 2021. Virtual reality simulations in nurse education: A systematic mapping review. Nurse Education Today 101 (June 2021), 104868. https://doi.org/10.1016/j.nedt.2021.104868
[43]
Mores Prachyabrued, Disathon Wattanadhirach, Richard B Dudrow, Nat Krairojananan, and Pusit Fuengfoo. 2019. Toward virtual stress inoculation training of prehospital healthcare personnel: A stress-inducing environment design and investigation of an emotional connection factor. In 2019 IEEE Conference on Virtual Reality and 3D User Interfaces (VR). IEEE, Osaka, Japan, 671–679.
[44]
Vitor Manuel Costa Pereira Rodrigues and Andreia Susana de Sousa Ferreira. 2011. Stressors in nurses working in Intensive Care Units. Revista Latino-Americana de Enfermagem 19, 4 (Aug. 2011), 1025–32. https://doi.org/10.1590/S0104-11692011000400023
[45]
C. H. Rushton, J. Batcheller, K. Schroeder, and P. Donohue. 2015. Burnout and Resilience Among Nurses Practicing in High-Intensity Settings. American Journal of Critical Care 24, 5 (Sept. 2015), 412–420. https://doi.org/10.4037/ajcc2015291
[46]
Keith J. Ruskin and Dirk Hueske-Kraus. 2015. Alarm fatigue: impacts on patient safety. Current Opinion in Anesthesiology 28, 6 (Dec. 2015), 685–690. https://doi.org/10.1097/ACO.0000000000000260
[47]
Omolbanin Sargazi, Golnaz Foroughameri, Sakineh Miri, and Jamileh Farokhzadian. 2018. Improving the professional competency of psychiatric nurses: results of a stress inoculation training program. Psychiatry Research 270(2018), 682–687.
[48]
Wilhelm Daniel Scherz, Victor Corcoba Magaña, Ralf Seepold, Natividad Martínez Madrid, and Juan Antonio Ortega. 2020. Can Virtual Reality be used as a significant stressor for studies using ECG?Procedia Computer Science 176 (Jan. 2020), 3255–3262. https://doi.org/10.1016/j.procs.2020.09.123
[49]
T Schubert, F Friedmann, and H Regenbrecht. 2001. Igroup presence questionnaire. Teleoperators Virtual Environ. 41 (2001), 115–124.
[50]
Valentin Schwind, Pascal Knierim, Nico Haas, and Niels Henze. 2019. Using presence questionnaires in virtual reality. In Proceedings of the 2019 CHI conference on human factors in computing systems. ACM, Glaskow,United Kingdom, 1–12.
[51]
Franklin A Shaffer and L Curtin. 2020. Nurse turnover: Understand it, reduce it. My American Nurse 15, 8 (2020), 57–59.
[52]
Nandita Sharma and Tom Gedeon. 2012. Objective measures, sensors and computational techniques for stress recognition and classification: A survey. Computer Methods and Programs in Biomedicine 108, 3 (Dec. 2012), 1287–1301. https://doi.org/10.1016/j.cmpb.2012.07.003
[53]
Grant S Shields. 2020. Stress and cognition: A user’s guide to designing and interpreting studies. Psychoneuroendocrinology 112 (2020), 104475.
[54]
Donna Spencer. 2004. Card Sorting. Vol. 7. Rosenfeld Media, New York, NY, USA.
[55]
Zephyr Technologies. 2016. Bioharness Log Data Descriptions. https://www.zephyranywhere.com/media/download/bioharness-log-data-descriptions-07-apr-2016.pdf Revision 10.
[56]
Sebastian Weiss, Hannah Bongartz, Susanne Boll, and Wilko Heuten. 2018. Applications of immersive virtual reality in nursing education—A review, In Tagungsband der 1. Clusterkonferenz 2018 – Innovative Technologien für die Pflege.Clusterkonferenz Zukunft der Pflege—Innovative Technologien für die Praxis, Oldenburg 1, 1, 174–179.
[57]
Sebastian Weiss, Steffen Busse, and Wilko Heuten. 2022. Inducing Emotional Stress From The Intensive Care Context Using Storytelling In VR. In 2022 IEEE Conference on Virtual Reality and 3D User Interfaces (VR). IEEE, Christchurch, New Zealand, 196–204. https://doi.org/10.1109/VR51125.2022.00038
[58]
Sebastian Weiß, Vanessa Cobus, and Wilko Heuten. 2020. Bedarfe für Virtual Reality Basierte Stress Trainings in der Pflege. In Tagungsband der Tagungsband der 2. Clusterkonferenz 2019 – Innovative Technologien für die Pflege.PPZ Berlin, Berlin, Germany, 4. Type: inproceedings.
[59]
Sebastian Weiß, Nelly Klassen, and Wilko Heuten. 2021. Effects of Image Realism on the Stress Response in Virtual Reality. In Proceedings of the 27th ACM Symposium on Virtual Reality Software and Technology (2021-12-08). ACM, Osaka Japan, 1–10. https://doi.org/10.1145/3489849.3489885
[60]
Graham Wilson and Mark McGill. 2018. Violent Video Games in Virtual Reality: Re-Evaluating the Impact and Rating of Interactive Experiences. In Proceedings of the 2018 Annual Symposium on Computer-Human Interaction in Play(CHI PLAY ’18). Association for Computing Machinery, New York, NY, USA, 535–548. https://doi.org/10.1145/3242671.3242684

Cited By

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  • (2023)Enhancing Professional Training with Single-User Virtual Reality: Unveiling Challenges, Opportunities, and Design GuidelinesProceedings of the 22nd International Conference on Mobile and Ubiquitous Multimedia10.1145/3626705.3627791(244-256)Online publication date: 3-Dec-2023
  • (2023)Investigating the Effects of Selective Information Presentation in Intensive Care Units Using Virtual Reality2023 IEEE International Symposium on Mixed and Augmented Reality (ISMAR)10.1109/ISMAR59233.2023.00034(195-204)Online publication date: 16-Oct-2023

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      cover image ACM Conferences
      CHI '23: Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems
      April 2023
      14911 pages
      ISBN:9781450394215
      DOI:10.1145/3544548
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      Published: 19 April 2023

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      1. Nursing
      2. Stress
      3. Virtual Reality

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      • (2023)Enhancing Professional Training with Single-User Virtual Reality: Unveiling Challenges, Opportunities, and Design GuidelinesProceedings of the 22nd International Conference on Mobile and Ubiquitous Multimedia10.1145/3626705.3627791(244-256)Online publication date: 3-Dec-2023
      • (2023)Investigating the Effects of Selective Information Presentation in Intensive Care Units Using Virtual Reality2023 IEEE International Symposium on Mixed and Augmented Reality (ISMAR)10.1109/ISMAR59233.2023.00034(195-204)Online publication date: 16-Oct-2023

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