Stress Response of Veterinary Students to Gynaecological Examination of Horse Mares – Effects of Simulator-Based and Animal-Based Training.
Abstract: Invasive procedures in animals are challenging for veterinary students who may perceive a gynaecological examination of mares as stressful. Simulator-based training may reduce stress. In this study, students received equine gynaecology training 4 times either on horses (group H; n = 14) or a teaching simulator (group SIM; n = 13). One day and 14 days thereafter, their diagnostic skills were tested on horses (skills tests 1 and 2). During the skills tests, the students' stress response was analysed by heart rate, heart rate variability (HRV) parameters SDRR (standard deviation of beat-to-beat [RR] interval) and RMSSD (root-mean-square of successive RR differences), and salivary cortisol. In addition, students answered a questionnaire on their perceived stress. Sympathetic activation with increased heart rate (p < 0.001) occurred in both skills tests. In test 1, this increase was more pronounced in SIM than in H students (time × group p < 0.01). HRV decreased in students of both groups (p < 0.001). In skills test 1, this decrease was more pronounced for SIM than for H students (between groups and time × group p < 0.01 for SDRR and p < 0.05 for RMSSD). High cortisol concentrations before the skills tests may indicate an anticipatory stress response. Subjective stress perception of students was higher in skills test 1 vs 2 (p < 0.01). In skills test 2, H students felt more stressed than SIM students (p < 0.01). Self-assessment thus differed from physiological stress parameters. In conclusion, gynaecological examination of mares evoked a moderate stress response in veterinary students, which was more evident after simulator-based than animal-based training.
© 2015 Blackwell Verlag GmbH.
Publication Date: 2015-08-26 PubMed ID: 26310966DOI: 10.1111/rda.12600Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research investigates the stress response of veterinary students undergoing gynaecological examination training on horse mares. It compares the effects of simulator-based training and animal-based training, finding that simulator-trained students exhibit more stress during practical tests, despite their self-assessment suggesting otherwise.
Research Design and Methodology
- The study included two groups of students who received gynaecological examination training on horse mares four times. Group ‘H’ had training directly on horses and consisted of 14 students, while group ‘SIM’ utilized a teaching simulator and included 13 students.
- The students’ diagnostic skills were then tested on horses one day after training (skills test 1) and again 14 days later (skills test 2).
- To gauge the students’ stress response during these tests, measures such as heart rate, heart rate variability (SDRR and RMSSD parameters), and salivary cortisol levels were taken. The students also completed a questionnaire assessing their perceived stress level.
Key Findings
- During both skills tests, an increase in heart rate was observed in all students, indicating a sympathetic activation associated with stress. This increase was more pronounced in the SIM group in skills test 1.
- Heart rate variability (HRV) decreased for students in both groups, implying an increase in stress. Again, in skills test 1, this decrease was more substantial for the SIM group.
- High cortisol levels were found before the skills tests, suggesting an anticipatory stress response.
- According to the questionnaire, students’ subjective perception of stress was higher in skills test 1 compared to skills test 2. Interestingly, in skills test 2, the students who had trained directly on horses felt more stressed than simulator-trained students. This indicates a discrepancy between self-assessment of stress levels and physiological stress parameters.
Conclusion
- The researchers conclude that gynaecological examination of horse mares provokes a moderate stress response in veterinary students. This stress response is more apparent in students who underwent simulator-based training rather than animal-based training.
Implications
- This study suggests that while simulator-based training might seem like an effective stress-reducing alternative for teaching invasive procedures on animals, it may actually induce a higher stress response than traditional animal-based training. However, this stress might not be accurately perceived or reported by students themselves, highlighting a gap in self-assessment.
Cite This Article
APA
Nagel C, Ille N, Erber R, Aurich C, Aurich J.
(2015).
Stress Response of Veterinary Students to Gynaecological Examination of Horse Mares – Effects of Simulator-Based and Animal-Based Training.
Reprod Domest Anim, 50(5), 866-871.
https://doi.org/10.1111/rda.12600 Publication
Researcher Affiliations
- Centre for Artificial Insemination and Embryo Transfer, University of Veterinary Sciences, Vienna, Austria.
- Centre for Artificial Insemination and Embryo Transfer, University of Veterinary Sciences, Vienna, Austria.
- Centre for Artificial Insemination and Embryo Transfer, University of Veterinary Sciences, Vienna, Austria.
- Centre for Artificial Insemination and Embryo Transfer, University of Veterinary Sciences, Vienna, Austria.
- Division of Obstetrics and Gynaecology, University of Veterinary Sciences, Vienna, Austria.
MeSH Terms
- Animals
- Clinical Competence
- Digital Rectal Examination / methods
- Digital Rectal Examination / veterinary
- Education, Veterinary / methods
- Female
- Genitalia, Female / diagnostic imaging
- Gynecological Examination / methods
- Gynecological Examination / veterinary
- Heart Rate
- Horses
- Hydrocortisone / analysis
- Saliva / chemistry
- Simulation Training
- Stress, Psychological / physiopathology
- Students / psychology
- Ultrasonography / veterinary
- Veterinary Medicine / methods
Citations
This article has been cited 2 times.- da Silva CB, Pinto EM. Efficacy validation of a low-cost handmade simulator (SIMCA-COW) in palpation, ultrasonography evaluation, and artificial insemination in cows. Vet World 2023 Jan;16(1):144-148.
- Contreras-Aguilar MD, Escribano D, Martínez-Subiela S, Martínez-Miró S, Rubio M, Tvarijonaviciute A, Tecles F, Cerón JJ. Influence of the way of reporting alpha-Amylase values in saliva in different naturalistic situations: A pilot study. PLoS One 2017;12(6):e0180100.
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