Healthcare providers often perform under significant stress, during which their performance must be optimal, but is known to suffer. Stress management interventions in this context can provide cognitive support to rescue performance. This exploratory study sought to evaluate the effect of stress intervention components on stress and performance while clinicians engaged in two versions of a computer-based task, differing in overall level of demand: one high-stress and one low-stress. Participants (N = 45) were assigned to one of five groups (N = 9 per group), where they each completed both versions of the task, under different conditions of cognitive support. Group 1 received no intervention; Group 2 received biofeedback; and Group 3 received biofeedback and explicit coping instructions. Group 4 received emotional intelligence training, and Group 5 received emotional intelligence training and biofeedback. We hypothesized that Group 3 participants would present the lowest self-reported and physiological measures of stress, and the highest performance. Results reveal that the high-stress task induced significantly higher self-reported and physiological stress/anxiety, and lower task performance. No significant main effects of experimental condition or interaction effects were detected, indicating that intervention components had minimal effect on stress and performance. However, ultra-short term physiological analysis, analyzing <5 min of HRV data, revealed significantly decreased stress (SDNN, the standard deviation of normal-to-normal peaks) following auditory coping instructions. Exploratory study results suggest that although cognitive intervention components had minimal effect on stress and performance, physiological stress may be significantly reduced immediately following adherence to a coping instruction intervention. Future work is needed.Lay summaryThis exploratory study evaluated the potential benefit of providing healthcare practitioners with various stress management components during an acutely stressful task. Our results support the positive effect of following behavioral coping instructions on immediate physiological measures of stress.

中文翻译：

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探索性调查结果表明，在执行急性压力性任务时是否遵守听觉应对指令。

医疗保健提供者通常会承受巨大的压力，在此期间，他们的表现必须达到最佳，但已知会受到影响。在这种情况下，压力管理干预措施可以为救援表现提供认知支持。这项探索性研究旨在评估临床医生进行两种版本的计算机任务时，压力干预成分对压力和性能的影响，这两种软件在总体需求水平上有所不同：一种是高压力，另一种是低压力。参与者（N = 45）被分配到五个组中的一个（每组N = 9），他们分别在不同的认知支持条件下完成了任务的两个版本。第一组未接受干预；第2组接受生物反馈；第三组接受了生物反馈和明确的应对指导。第4组接受了情绪智力训练，第5组接受了情绪智力训练和生物反馈。我们假设第3组参与者的自我报告和生理压力测量值最低，而表现最高。结果显示，高压力的任务会引起较高的自我报告和生理压力/焦虑，并降低任务绩效。没有检测到实验条件或交互作用的显着主要影响，表明干预成分对压力和表现的影响最小。然而，根据听觉应对指示，分析<5分钟的HRV数据的超短期生理分析显示压力显着降低（SDNN，即正常峰到正常峰的标准偏差）。探索性研究结果表明，尽管认知干预成分对压力和表现的影响很小，但是在遵循应对指导措施后，生理压力可能会显着降低。总结这项探索性研究评估了在急性压力任务中为医疗从业人员提供各种压力管理要素的潜在好处。我们的研究结果支持以下行为应对指导对立即进行的生理应激测量的积极作用。放置摘要这项探索性研究评估了在急性压力任务中为医疗保健从业人员提供各种压力管理组件的潜在好处。我们的研究结果支持以下行为应对指导对立即进行的生理应激测量的积极作用。放置摘要这项探索性研究评估了在急性压力任务中为医疗保健从业人员提供各种压力管理组件的潜在好处。我们的研究结果支持以下行为应对指导对立即进行的生理应激测量的积极作用。