Don't Panic! - Influence of Virtual Stressor Representations from the ICU Context on Perceived Stress Levels

Intensive care nurses are prone to suffering from chronic stress due to constant exposure to two main profession-related stressors: interruption and time pressure. These stressors have detrimental effects on the well-being of the nursing staff and, by proxy, the patients. To alleviate stress, increase safety, and support the training of stressful scenarios, we investigate the impact these stressors have on subjective and objective stress levels in a virtual environment. We designed an intensive care unit in which participants (n=26, 18 healthcare professionals) perform common tasks, e.g. refilling an infusion pump, whilst being exposed to interruptions and time pressure. Results from our between-subjects study provide data indicating stress increase in both stressor conditions, suggesting that artificially evoking work-related stressors for stress inoculation training (SIT) is a possible extension to simulation training during nursing education. This knowledge is helpful for designing training scenarios of safety-critical situations early in the professional apprenticeship.