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Summary
Academic Stress in Students Using Self-Directed Learning Methodology in Simulated Emergency Environments: a pilot study
Manuel Pons Claramonte1-3, Sergio Nieto Caballero1,4, Damián Escribano Tortosa5, José Joaquín Cerón Madrigal6, Francisca Expósito Orta1,4, Manuel Pardo Ríos1,4, Ana Nicolás Carrillo1
Affiliation of the authors
1Grupo de Investigación de Nuevas Tecnologías para la Salud (NT4H), Universidad Católica de Murcia (UCAM), Spain. 2Servicio de Emergencias Sanitarias de la Comunidad Valenciana (SESCV), Spain. 3Centro de Simulación Clínica, Hospital Virtual de la Universidad Católica de Valencia (UCV), Spain. 4Gerencia de Urgencias y Emergencias Sanitarias 061 de de Murcia, Spain. 5Departamento de Alimentación y Ciencia animal, Facultad de Veterinaria de la Universidad Autónoma de Barcelona (UAB), Spain. 6Laboratorio Interdisciplinario de Análisis Clínico, INTERLAB-UMU, Facultad de Veterinaria, Universidad de Murcia (UMU), Spain.
DOI
Quote
Pons Claramonte M, Nieto Caballero S, Escribano Tortosa D, Cerón Madrigal JJ, Expósito Orta F, Pardo Ríos M, Nicolás Carrillo A. Academic Stress in Students Using Self-Directed Learning Methodology in Simulated Emergency Environments: a pilot study. Rev Esp Urg Emerg. 2025;4:135–41
Summary
INTRODUCTION. Academic stress is a concern among Health Sciences students, particularly during stressful academic stimuli such as oral presentations (OP) and clinical simulation scenarios (CSS). This study aims to compare the stress generated by these 2 methods using physiological and biochemical markers, as well as self-perception of stress through a survey.
MATERIALS AND METHODS. We conducted an exploratory study with 13 undergraduate nursing students. Heart rate, systolic (SBP) and diastolic blood pressure (DBP), and salivary alpha-amylase (sAA) activity were measured before and after the OP and CSS. Additionally, an adaptation of the Polo questionnaire was used to assess subjective stress perception. Data were analyzed using repeated-measures ANOVA.
RESULTS. Mean heart rate increased significantly (p < 0.001) vs baseline in both OP and CSS, while no significant differences were observed in SBP or DBP. The biochemical marker sAA showed significant increases (p < 0.05) in CSS across the 2 analyzed sessions, but not in OP. The subjective perception of stress measured by the questionnaire indicated low stress levels in all cases (scores < 2.5 out of 5). No significant differences were reported between the initial test and the test performed 1 month later.
CONCLUSIONS. CSS are associated with an increase in physiological and biochemical stress markers. In OP, no increase in sAA was observed. The subjective self-perception of stress using the applied questionnaire did not prove to be a reliable method.
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