A comparison of pre- and post-clinical simulation anxiety levels of undergraduate medical students before and during the COVID-19 pandemic: A prospective cohort study

The aim of the present study was to compare the anxiety of undergraduate medical students who were conducting clinical simulation (CS) prepandemic, during the pandemic, and postvaccination. The participants carried out an emergency simulation in a high-fidelity clinical skills laboratory. A prospect...

Descripción completa

Detalles Bibliográficos
Autores: Martín Sánchez, Rafael, Sanz García, Ancor, Díaz González, Samantha, Castro Villamor, Miguel Angel, Sáez Belloso, Silvia, Rabanales Sotos, Joseba Aingerun, Pinilla Arribas, Leyre Teresa, Gonzalez Izquierdo, Pablo, de Santos Sánchez, Sara, Martín Rodríguez, Francisco
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/48018
Acceso en línea:https://doi.org/10.3390/bs15040447
https://hdl.handle.net/10578/48018
Access Level:acceso abierto
Palabra clave:Anxiety
COVID19 pandemic
High-fidelity clinical simulation
Undergraduate students
Descripción
Sumario:The aim of the present study was to compare the anxiety of undergraduate medical students who were conducting clinical simulation (CS) prepandemic, during the pandemic, and postvaccination. The participants carried out an emergency simulation in a high-fidelity clinical skills laboratory. A prospective, simulation-based clinical cohort study of sixth-year undergraduate medical students was performed over three time periods: from 1 January to 15 April 2019; from 28 September to 18 December 2020; and from 11 Mayto 18 May2022. The primary outcome was anxiety level (pre- and postsimulation) measured withthe STAItest. Data on student demographics and baseline vital signs (before CS) were collected. A total of 373 students were ultimately included. A total of 40.2% of the cases were prepandemic (150 cases), 20.4% were pandemic (76 cases), and 39.4% were postvaccination (147 cases). The study period had a statistically significant effect on anxiety. There was a statistically significant increase in the incidence of anxiety during the pandemic time period compared with that during the prepandemic and postvaccination periods; no difference was found between the prepandemic and postvaccination periods. Performing CS in biohazardous environments significantly increases anxiety levels, so establishing mitigating measures to minimize the undesired effects of anxiety and promote the simulation-based learning process is necessary. The study was carried out at a single university; in future studies, it is necessary to carry out multicenter investigations to confirm the results.