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Association between cortisol levels and performance in clinical simulation: a systematic review.
Teixeira, Jackson Gois; Lima, Lucas Tomaz Benigno; Cunha, Elaine Carvalho; Marques da Cruz, Flavia Oliveira de Almeida; Carneiro, Karen Karoline Gouveia; Ribeiro, Laiane Medeiros; Brasil, Guilherme da Costa.
Affiliation
  • Teixeira JG; Centro Universitário do Distrito Federal, Departamento de Enfermagem, Brasília, DF, Brazil.
  • Lima LTB; Universidade de Brasília, Programa de Pós-Graduação em Enfermagem, Brasília, DF, Brazil.
  • Cunha EC; Centro Universitário do Distrito Federal, Departamento de Enfermagem, Brasília, DF, Brazil.
  • Marques da Cruz FOA; Centro Universitário do Distrito Federal, Departamento de Enfermagem, Brasília, DF, Brazil.
  • Carneiro KKG; Centro Universitário do Planalto Central Apparecido dos Santos, Departamento de Enfermagem, Brasília, DF, Brazil.
  • Ribeiro LM; Universidade de Brasília, Departamento de Enfermagem, Brasília, DF, Brazil.
  • Brasil GDC; Centro Universitário do Distrito Federal, Departamento de Enfermagem, Brasília, DF, Brazil.
Rev Esc Enferm USP ; 58: e20230279, 2024.
Article in En, Pt | MEDLINE | ID: mdl-39058375
ABSTRACT

OBJECTIVE:

To identify how stress measured by salivary cortisol during clinical simulation-based education, or simulation and another teaching method, impacts performance.

METHOD:

Systematic review of the association between cortisol and performance in simulations. The following databases were used PubMed, LIVIVO, Scopus, EMBASE, Latin American and Caribbean Health Sciences Literature (LILACS) and Web of Science. Additional searches of gray literature were carried out on Google Scholar and Proquest. The searches took place on March 20, 2023. The risk of bias of randomized clinical trials was assessed using the Cochrane Collaboration Risk of Bias Tool (RoB 2). Inclusion criteria were simulation studies with salivary cortisol collection and performance evaluation, published in any period in Portuguese, English and Spanish.

RESULTS:

11 studies were included which measured stress using salivary cortisol and were analyzed using descriptive synthesis and qualitative analysis.

CONCLUSION:

Some studies have shown a relationship between stress and performance, which may be beneficial or harmful to the participant. However, other studies did not show this correlation, which may not have been due to methodological issues.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Saliva / Stress, Psychological / Hydrocortisone Limits: Humans Language: En / Pt Journal: Rev Esc Enferm USP Year: 2024 Document type: Article Affiliation country: Brazil Country of publication: Brazil

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Saliva / Stress, Psychological / Hydrocortisone Limits: Humans Language: En / Pt Journal: Rev Esc Enferm USP Year: 2024 Document type: Article Affiliation country: Brazil Country of publication: Brazil