{"title":"A global survey of distress in simulation: Definition, frequency, and description","authors":"Efrem Violato PhD , Thomas Waring CHSOS , Emilio Violato MSc , Gulshat Kemelova MD, PhD","doi":"10.1016/j.ecns.2025.101818","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>In healthcare, simulation-based education distress can impair cognitive performance and psychological well-being. However, its frequency and contributing factors remain underexplored.</div></div><div><h3>Methods</h3><div>To understand the frequency and occurrence of distress in simulation, a survey was distributed globally to simulationists, utilizing convenience and snowball sampling across global regions.</div></div><div><h3>Results</h3><div>The final sample included 143 participants from 27 countries. Distress was reported to occur occasionally (46.2%), with respondents witnessing a mean of 13.3 distress events during their career and 9.15 in their centre. A set of causes of distress was identified, distress was generally managed effectively, and no significant differences were found across accreditation status, years of experience, or global regions.</div></div><div><h3>Conclusion</h3><div>Distress occurs regularly, though is not a high-frequency event. Further systematic measurement can help to better understand the conditions and frequency of distress.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101818"},"PeriodicalIF":2.5000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Simulation in Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1876139925001343","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background
In healthcare, simulation-based education distress can impair cognitive performance and psychological well-being. However, its frequency and contributing factors remain underexplored.
Methods
To understand the frequency and occurrence of distress in simulation, a survey was distributed globally to simulationists, utilizing convenience and snowball sampling across global regions.
Results
The final sample included 143 participants from 27 countries. Distress was reported to occur occasionally (46.2%), with respondents witnessing a mean of 13.3 distress events during their career and 9.15 in their centre. A set of causes of distress was identified, distress was generally managed effectively, and no significant differences were found across accreditation status, years of experience, or global regions.
Conclusion
Distress occurs regularly, though is not a high-frequency event. Further systematic measurement can help to better understand the conditions and frequency of distress.
期刊介绍:
Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation.
We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria:
Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation
Innovative teaching/learning strategies using simulation
Articles updating guidelines, regulations, and legislative policies that impact simulation
Leadership for simulation
Simulation operations
Clinical and academic uses of simulation.