Nurse evaluation of stress levels during CPR training with heart rate variability using smartwatches according to their personality: A prospective, observational study

<h4>Background</h4> Cardiopulmonary resuscitation (CPR) is a very critical phenomenon, and to prepare for it, most nurses undertake simulation training, during which learners’ stress levels should be managed. This study aims to evaluate nurses’ stress levels during CPR simulation trainin...

Full description

Bibliographic Details
Main Authors: Hye Ji Park, Daun Choi, Hang A. Park, Choung Ah Lee
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9176775/?tool=EBI
_version_ 1811251393741193216
author Hye Ji Park
Daun Choi
Hang A. Park
Choung Ah Lee
author_facet Hye Ji Park
Daun Choi
Hang A. Park
Choung Ah Lee
author_sort Hye Ji Park
collection DOAJ
description <h4>Background</h4> Cardiopulmonary resuscitation (CPR) is a very critical phenomenon, and to prepare for it, most nurses undertake simulation training, during which learners’ stress levels should be managed. This study aims to evaluate nurses’ stress levels during CPR simulation training using heart rate variability (HRV) measured with a smartwatch and to determine the correlation between individual personality traits and stress levels. <h4>Methods</h4> This prospective observational study was conducted from July 2020 to December 2021. For nurses participating in advanced life support training with more than six months of clinical experience, their stress levels while performing as a CPR team leader were measured. Regarding stress levels, heart rate data measured with a smartwatch were processed using Kubios HRV Standard software to generate HRV parameters. The personality of participants was evaluated using the Big Five personality test. The degree of stress according to personality was determined using HRV parameters. Consequently, the correlation between personality and stress according to the clinical experience of cardiac arrest was analyzed. <h4>Results</h4> Of the 132 participants, 91.7% were female, and the median age of the sample was 27 years. Agreeable personality had the highest score (32.84±3.83). LF power (r = 0.18, p = 0.04) and HF power (r = 0.20, p = 0.02) showed a significant positive correlation with the agreeableness trait. In subgroup analysis according to the cardiac arrest experience, the agreeableness trait had a positive correlation with a standard deviation of NN intervals (r = 0.24, p = 0.01), root-mean-square of successive differences (r = 0.23, p = 0.02), LF Power (r = 0.26, p = 0.01), and HF power (r = 0.23, p = 0.02), but a negative correlation with mean HR (r = -0.22, p = 0.03). <h4>Conclusion</h4> The clinical experience in cardiac arrest and agreeableness were related to acute stress during training. In the future, it is necessary to apply a scenario of a level suitable for individual personality and experience, and evaluate the level and achievement of students.
first_indexed 2024-04-12T16:19:47Z
format Article
id doaj.art-235dae80b231417ca320e2f1398b3283
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-12T16:19:47Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-235dae80b231417ca320e2f1398b32832022-12-22T03:25:36ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176Nurse evaluation of stress levels during CPR training with heart rate variability using smartwatches according to their personality: A prospective, observational studyHye Ji ParkDaun ChoiHang A. ParkChoung Ah Lee<h4>Background</h4> Cardiopulmonary resuscitation (CPR) is a very critical phenomenon, and to prepare for it, most nurses undertake simulation training, during which learners’ stress levels should be managed. This study aims to evaluate nurses’ stress levels during CPR simulation training using heart rate variability (HRV) measured with a smartwatch and to determine the correlation between individual personality traits and stress levels. <h4>Methods</h4> This prospective observational study was conducted from July 2020 to December 2021. For nurses participating in advanced life support training with more than six months of clinical experience, their stress levels while performing as a CPR team leader were measured. Regarding stress levels, heart rate data measured with a smartwatch were processed using Kubios HRV Standard software to generate HRV parameters. The personality of participants was evaluated using the Big Five personality test. The degree of stress according to personality was determined using HRV parameters. Consequently, the correlation between personality and stress according to the clinical experience of cardiac arrest was analyzed. <h4>Results</h4> Of the 132 participants, 91.7% were female, and the median age of the sample was 27 years. Agreeable personality had the highest score (32.84±3.83). LF power (r = 0.18, p = 0.04) and HF power (r = 0.20, p = 0.02) showed a significant positive correlation with the agreeableness trait. In subgroup analysis according to the cardiac arrest experience, the agreeableness trait had a positive correlation with a standard deviation of NN intervals (r = 0.24, p = 0.01), root-mean-square of successive differences (r = 0.23, p = 0.02), LF Power (r = 0.26, p = 0.01), and HF power (r = 0.23, p = 0.02), but a negative correlation with mean HR (r = -0.22, p = 0.03). <h4>Conclusion</h4> The clinical experience in cardiac arrest and agreeableness were related to acute stress during training. In the future, it is necessary to apply a scenario of a level suitable for individual personality and experience, and evaluate the level and achievement of students.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9176775/?tool=EBI
spellingShingle Hye Ji Park
Daun Choi
Hang A. Park
Choung Ah Lee
Nurse evaluation of stress levels during CPR training with heart rate variability using smartwatches according to their personality: A prospective, observational study
PLoS ONE
title Nurse evaluation of stress levels during CPR training with heart rate variability using smartwatches according to their personality: A prospective, observational study
title_full Nurse evaluation of stress levels during CPR training with heart rate variability using smartwatches according to their personality: A prospective, observational study
title_fullStr Nurse evaluation of stress levels during CPR training with heart rate variability using smartwatches according to their personality: A prospective, observational study
title_full_unstemmed Nurse evaluation of stress levels during CPR training with heart rate variability using smartwatches according to their personality: A prospective, observational study
title_short Nurse evaluation of stress levels during CPR training with heart rate variability using smartwatches according to their personality: A prospective, observational study
title_sort nurse evaluation of stress levels during cpr training with heart rate variability using smartwatches according to their personality a prospective observational study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9176775/?tool=EBI
work_keys_str_mv AT hyejipark nurseevaluationofstresslevelsduringcprtrainingwithheartratevariabilityusingsmartwatchesaccordingtotheirpersonalityaprospectiveobservationalstudy
AT daunchoi nurseevaluationofstresslevelsduringcprtrainingwithheartratevariabilityusingsmartwatchesaccordingtotheirpersonalityaprospectiveobservationalstudy
AT hangapark nurseevaluationofstresslevelsduringcprtrainingwithheartratevariabilityusingsmartwatchesaccordingtotheirpersonalityaprospectiveobservationalstudy
AT choungahlee nurseevaluationofstresslevelsduringcprtrainingwithheartratevariabilityusingsmartwatchesaccordingtotheirpersonalityaprospectiveobservationalstudy