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Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations

Background: Emergency medicine can impose a heavy psychological burden on healthcare workers. Stress experienced during life-threatening situations may disrupt situational awareness (SA), i.e., the perception of environmental elements with respect to time and space, the comprehension of their meanin...

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Autores principales: Chmielewski, Jacek, Łoś, Kacper, Waszkiewicz, Napoleon, Łuczyński, Włodzimierz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124909/
https://www.ncbi.nlm.nih.gov/pubmed/34063194
http://dx.doi.org/10.3390/jcm10091955
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author Chmielewski, Jacek
Łoś, Kacper
Waszkiewicz, Napoleon
Łuczyński, Włodzimierz
author_facet Chmielewski, Jacek
Łoś, Kacper
Waszkiewicz, Napoleon
Łuczyński, Włodzimierz
author_sort Chmielewski, Jacek
collection PubMed
description Background: Emergency medicine can impose a heavy psychological burden on healthcare workers. Stress experienced during life-threatening situations may disrupt situational awareness (SA), i.e., the perception of environmental elements with respect to time and space, the comprehension of their meaning, and the projection of their state into the near future. We aimed to investigate whether mindfulness (a special way of paying attention: conscious, non-judgmental, and oriented to the present moment) can be related to the SA levels among final-year medical students confronted with life-threatening situations during medical simulations. Methods: The simulations were constructed as high-fidelity scenarios in children and adults (ClinicalTrials.gov ID: NCT03761355). The components of mindfulness were assessed using the Five Facet Mindfulness Questionnaire. SA among students was assessed using The Situation Awareness Global Assessment Technique at three levels: (1) data, (2) comprehension, and (3) projection. Results: In total, 117 students were included. Level 1 SA positively correlated with the overall mindfulness score and its components, i.e., nonreactivity, conscious presence, and nonjudgment. Moreover, level 3 SA significantly correlated with the description, but not with the overall mindfulness score. A regression model showed that nonreactivity explained 34% of Level 1 of SA variability. The addition of conscious presence and nonjudgment into this model did not change its predictive value. Conclusions: nonreactivity a component of mindfulness of final-year medical students is related to the meticulous data collection of patients in life-threatening situations.
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spelling pubmed-81249092021-05-17 Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations Chmielewski, Jacek Łoś, Kacper Waszkiewicz, Napoleon Łuczyński, Włodzimierz J Clin Med Article Background: Emergency medicine can impose a heavy psychological burden on healthcare workers. Stress experienced during life-threatening situations may disrupt situational awareness (SA), i.e., the perception of environmental elements with respect to time and space, the comprehension of their meaning, and the projection of their state into the near future. We aimed to investigate whether mindfulness (a special way of paying attention: conscious, non-judgmental, and oriented to the present moment) can be related to the SA levels among final-year medical students confronted with life-threatening situations during medical simulations. Methods: The simulations were constructed as high-fidelity scenarios in children and adults (ClinicalTrials.gov ID: NCT03761355). The components of mindfulness were assessed using the Five Facet Mindfulness Questionnaire. SA among students was assessed using The Situation Awareness Global Assessment Technique at three levels: (1) data, (2) comprehension, and (3) projection. Results: In total, 117 students were included. Level 1 SA positively correlated with the overall mindfulness score and its components, i.e., nonreactivity, conscious presence, and nonjudgment. Moreover, level 3 SA significantly correlated with the description, but not with the overall mindfulness score. A regression model showed that nonreactivity explained 34% of Level 1 of SA variability. The addition of conscious presence and nonjudgment into this model did not change its predictive value. Conclusions: nonreactivity a component of mindfulness of final-year medical students is related to the meticulous data collection of patients in life-threatening situations. MDPI 2021-05-02 /pmc/articles/PMC8124909/ /pubmed/34063194 http://dx.doi.org/10.3390/jcm10091955 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chmielewski, Jacek
Łoś, Kacper
Waszkiewicz, Napoleon
Łuczyński, Włodzimierz
Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations
title Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations
title_full Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations
title_fullStr Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations
title_full_unstemmed Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations
title_short Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations
title_sort mindfulness is related to the situational awareness of medical students confronted with life-threatening emergency situations
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124909/
https://www.ncbi.nlm.nih.gov/pubmed/34063194
http://dx.doi.org/10.3390/jcm10091955
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