“It’s not suited for everyone”: Fatigue in Standardized Patients and Its Impact on Assessment—An International Multiple-method Study

Lead Author: Zakia Dimassi, MD, MHPE, CHSE
Submitted by: Amy Lorion, National Board of Osteopathic Medical Examiners

Dimassi et al surveyed SPs in the US and the UAE, recruited through social media and direct requests for assistance from “leaders in healthcare simulation and SP program directors.” 123 SPs completed the survey, self-assessing “their levels of cognitive, physical, and emotional fatigue following simulated encounters.” As the authors describe their results: “Fatigue ensued within 36 minutes and was highest emotionally, then cognitively, and then physically. Psychiatric and anxious roles were most fatiguing. Satisfaction with break duration lowered fatigue across domains. Non-medical background raised cognitive fatigue; older age and South/Southeast Asian ethnicity increased physical fatigue; female gender increased emotional fatigue; > 10 years’ experience reduced fatigue. Two thirds perceived impaired assessment accuracy.” The authors break down the responses into themes of scheduling/organization, nature of SP work, and mitigation.
 
Read the full article in the [Clinical Simulation in Nursing]
 
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