Feasibility of utilizing functional near-infrared spectroscopy to measure the cognitive load of paramedicine students undertaking high-acuity clinical simulations in Australia: a case study

Case Study

Betson, Jason, Fein, Erich Christian, Long, David and Horrocks, Peter. 2024. "Feasibility of utilizing functional near-infrared spectroscopy to measure the cognitive load of paramedicine students undertaking high-acuity clinical simulations in Australia: a case study." Journal of Educational Evaluation for Health Professions. 21. https://doi.org/10.3352/jeehp.2024.21.38
Article Title

Feasibility of utilizing functional near-infrared spectroscopy to measure the cognitive load of paramedicine students undertaking high-acuity clinical simulations in Australia: a case study

ERA Journal ID213217
Article CategoryCase Study
AuthorsBetson, Jason, Fein, Erich Christian, Long, David and Horrocks, Peter
Journal TitleJournal of Educational Evaluation for Health Professions
Journal Citation21
Number of Pages7
Year2024
PublisherNational Health Personnel Licensing Examination Board of the Republic of Korea
Place of PublicationKorea
ISSN1975-5937
Digital Object Identifier (DOI)https://doi.org/10.3352/jeehp.2024.21.38
Web Address (URL)https://www.jeehp.org/journal/view.php?number=542
Abstract

Purpose Paramedicine education often uses high-fidelity simulations that mimic real-life emergencies. These experiences can trigger stress responses characterized by physiological changes, including alterations in cerebral blood flow and oxygenation. Functional near-infrared spectroscopy (fNIRS) is emerging as a promising tool for assessing cognitive stress in educational settings.
Methods Eight final-year undergraduate paramedicine students completed 2 high-acuity scenarios 7 days apart. Real-time continuous recording of cerebral blood flow and oxygenation levels in the prefrontal cortex was undertaken via fNIRS as a means of assessing neural activity during stressful scenarios.
Results fNIRS accurately determined periods of increased cerebral oxygenation when participants were undertaking highly technical skills or making significant clinical decisions.
Conclusion fNIRS holds potential for objectively measuring the cognitive load in undergraduate paramedicine students. By providing real-time insights into neurophysiological responses, fNIRS may enhance training outcomes in paramedicine programs and improve student well-being (Australian New Zealand Clinical Trials Registry: ACTRN12623001214628).

KeywordsCognition; Emergencies; High fidelity simulation training; Near-infrared spectroscopy; Paramedicine; Australia
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 202032. Biomedical and Clinical Sciences
5201. Applied and developmental psychology
Byline AffiliationsCentre for Health Research
Australian Catholic University
School of Health and Medical Sciences
School of Psychology and Wellbeing
Queensland University of Technology
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Skinner, Natalie, Van Dijk, Paul, Stothard, Christina and Fein, Erich C.. 2018. "'It breaks your soul': An in-depth exploration of workplace injustice in nursing." Journal of Nursing Management. 26 (2), pp. 200-208. https://doi.org/10.1111/jonm.12535
Work intensification, work–life interference, stress, and well-being in Australian workers
Fein, Erich C., Skinner, Natalie and Machin, M. Anthony. 2017. "Work intensification, work–life interference, stress, and well-being in Australian workers." International Studies of Management and Organization. 47 (4), pp. 360-371. https://doi.org/10.1080/00208825.2017.1382271
Examining the influence of common core virtues in leader-member exchange (LMX): connecting virtue-based leadership traits to sustainable performance in a moderated mediation model
Fein, Erich and Tziner, Aharon. 2013. "Examining the influence of common core virtues in leader-member exchange (LMX): connecting virtue-based leadership traits to sustainable performance in a moderated mediation model." Wells, Geoffrey (ed.) Sustainable business: theory and practice of business under sustainability principles. United Kingdom. Edward Elgar Publishing. pp. 137-154
Queensland Chemsex Study
Ray, Madeleine, Garvey, Shane, Mullens, Amy and Fein, Erich. 2017. "Queensland Chemsex Study." The 2017 Australian Winter School Conference. Brisbane, Australia 27 - 28 Jul 2017
Virtue ethics in leadership operations: a pathway for leadership development
Fein, Erich. 2013. "Virtue ethics in leadership operations: a pathway for leadership development." Harris, Howard, Wijesinghe, Gayathri and McKenzie, Stephen (ed.) The heart of the good institution: virtue ethics as a framework for responsible management. Netherlands. Springer. pp. 73-84
Human motivation and performance outcomes in the context of downsizing
Tziner, Aharon, Fein, Erich C. and Oren, Lior. 2012. "Human motivation and performance outcomes in the context of downsizing." Cooper, Carey L., Pandey, Alankrita and Quick, James Campbell (ed.) Downsizing: is less still more?. United States. Cambridge University Press. pp. 103-133
Depression mediates HIV stigma and medication adherence in men who have sex with men (living with HIV)
Mullens, Amy B., Strodl, Esben, Fein, Erich, Stewart, Lauren and Daken, Kirstie. 2016. "Depression mediates HIV stigma and medication adherence in men who have sex with men (living with HIV)." 14th International Congress of Behavioral Medicine: Behavioral Medicine: Making an Impact in the Modern World (ICBM 2016). Melbourne, Australia 07 - 10 Dec 2016
Individual values and preferred leadership behaviors: a study of Romanian managers
Fein, Erich C., Vasiliu, Cristinel and Tziner, Aharon. 2011. "Individual values and preferred leadership behaviors: a study of Romanian managers." Journal of Applied Social Psychology. 41 (3), pp. 515-535. https://doi.org/10.1111/j.1559-1816.2011.00724.x
Personality predictors of behavioral self-regulation: linking behavioral self-regulation to five-factor model factors, facets, and a compound trait
Fein, Erich C. and Klein, Howard J.. 2011. "Personality predictors of behavioral self-regulation: linking behavioral self-regulation to five-factor model factors, facets, and a compound trait." International Journal of Selection and Assessment. 19 (2), pp. 132-144. https://doi.org/10.1111/j.1468-2389.2011.00541.x
Safeguarding access and safeguarding meaning as strategies for achieving confidentiality
Fein, Erich C. and Kulik, Carol T.. 2011. "Safeguarding access and safeguarding meaning as strategies for achieving confidentiality." Industrial and Organizational Psychology: perspectives on science and practice. 4 (4), pp. 479-481. https://doi.org/10.1111/j.1754-9434.2011.01378.x
Organizational citizenship behavior and turnover intentions: do organizational culture and justice moderate their relationship?
Sharoni, Gil, Tziner, Aharon, Fein, Erich C., Shultz, Tamar, Shaul, Keren and Zilberman, Lian. 2011. "Organizational citizenship behavior and turnover intentions: do organizational culture and justice moderate their relationship?" Journal of Applied Social Psychology. 42 (1), pp. 267-294. https://doi.org/10.1111/j.1559-1816.2012.01015.x
The effect of perceived organizational support on the transfer of training outcomes to the workplace
Zumrah, Abdul Rahim, Boyle, Steven and Fein, Erich. 2012. "The effect of perceived organizational support on the transfer of training outcomes to the workplace." World Review of Business Research. 2 (4), pp. 130-147.
Modeling employees' deviant behavior and employers' reactions: an interdisciplinary approach using principal-agent and prospect theories
Tziner, Aharon and Fein, Erich. 2012. "Modeling employees' deviant behavior and employers' reactions: an interdisciplinary approach using principal-agent and prospect theories." Economics and Business Letters. 1 (4), pp. 10-20.
Categorising person-based ethical constructs using a framework of cognitive skills, moral volition, and personal values
Harris, Howard, Fein, Erich C., Kim, Aise and Hobson, Libby. 2012. "Categorising person-based ethical constructs using a framework of cognitive skills, moral volition, and personal values." Research in Ethical Issues in Organisations. 8, pp. 97-112. https://doi.org/10.1108/S1529-2096(2012)0000008012
Psychological contract breach: consequences of unkept promises of permanent employment
Ahmed, Ezaz, D'Netto, Brian, Chelliah, John and Fein, Erich. 2016. "Psychological contract breach: consequences of unkept promises of permanent employment." Contemporary Management Research: an international journal. 12 (2), pp. 183-210. https://doi.org/10.7903/cmr.13914
Mapping smart power onto the cardinal virtues and cross-cultural leadership dimensions
Fein, Erich C., McKenna, Bernard, Bernobic, Iris and Ahmed, Ezaz. 2017. "Mapping smart power onto the cardinal virtues and cross-cultural leadership dimensions." Muhlbauer, Varda and Harry, Wes (ed.) Redefining Management: Smart Power Perspectives. Switzerland . Springer. pp. 107-125
Relationships between ethical climate, justice perceptions, and LMX
Fein, Erich C., Tziner, Aharon, Lusky, Liat and Palachy, Ortal. 2013. "Relationships between ethical climate, justice perceptions, and LMX." Leadership and Organization Development Journal. 34 (2), pp. 147-163. https://doi.org/10.1108/01437731311321913
Raising the curtain: exploring dancers’ perceptions of obligation through the psychological contract lens
Stanway, Alicia R., Bordia, Sarbari and Fein, Erich C.. 2013. "Raising the curtain: exploring dancers’ perceptions of obligation through the psychological contract lens." Arts and Humanities in Higher Education: an international journal of theory, research and practice. 12 (2-3), pp. 254-267. https://doi.org/10.1177/1474022212473523
The consequences of transfer of training for service quality and job satisfaction: an empirical study in the Malaysian public sector
Zumrah, Abdul Rahim, Boyle, Stephen and Fein, Erich C.. 2013. "The consequences of transfer of training for service quality and job satisfaction: an empirical study in the Malaysian public sector." International Journal of Training and Development. 17 (4), pp. 279-294. https://doi.org/10.1111/ijtd.12017
Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes
Fein, Erich C., Mackie, Benjamin, Chernyak-Hai, Lily, O'Quinn, C. Richard V. and Ahmed, Ezaz. 2016. "Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes." Australian Critical Care. 29 (2), pp. 104-109. https://doi.org/10.1016/j.aucc.2015.07.006
Considering the gap between Implicit Leadership Theories and expectations of actual leader behaviour: a three-study investigation of leadership beliefs in Romania
Fein, Erich C., Tziner, Aharon, Vasiliu, Cristinel and Felea, Mihai. 2015. "Considering the gap between Implicit Leadership Theories and expectations of actual leader behaviour: a three-study investigation of leadership beliefs in Romania." Journal of East European Management Studies. 20 (1), pp. 68-87. https://doi.org/10.1688/JEEMS-2015-01-Fein
Tempering hard times: integrating well-being metrics into utility analysis
Tziner, Aharon, Fein, Erich C. and Birati, Assa. 2014. "Tempering hard times: integrating well-being metrics into utility analysis." Industrial and Organizational Psychology: perspectives on science and practice. 7 (4), pp. 554-568. https://doi.org/10.1111/iops.12195
Clarifying the effect of work hours on health through work–life conflict
Fein, Erich C. and Skinner, Natalie. 2015. "Clarifying the effect of work hours on health through work–life conflict." Asia Pacific Journal of Human Resources. 53 (4), pp. 448-470. https://doi.org/10.1111/1744-7941.12065
From qualified to specialist paramedic: A qualitative study of the process of transition to a low-acuity role
Long, David, Clark, Michele, Lim, David and Devenish, Scott. 2015. "From qualified to specialist paramedic: A qualitative study of the process of transition to a low-acuity role." 2015 Paramedics Australasia International Conference. Adelaide, Australia 02 - 03 Oct 2015 https://doi.org/10.13140/RG.2.1.5059.4644
Experiences from Afghanistan: Traumatic lower extremity amputation in the combat zone
Parkes, J., Long, David and Devenish, S.. 2015. "Experiences from Afghanistan: Traumatic lower extremity amputation in the combat zone." 2015 Paramedics Australasia International Conference. Adelaide, Australia 02 - 03 Oct 2015 Australia.
Virtue Ethics in Leadership Operations: A Pathway for Leadership Development
Fein, Eric C.. 2012. "Virtue Ethics in Leadership Operations: A Pathway for Leadership Development ." Harris, Howard, Wijesinghe, Gayathri and McKenzie, Stephen (ed.) The Heart of the Good Institution: Virtue Ethics as a Framework for Responsible Management. Netherlands. Springer. pp. 73-84
Out-of-hospital administration of corticosteroids to patients with acute asthma: A case study and literature review
Long, David, Bendall, J. and Bower, A.. 2008. "Out-of-hospital administration of corticosteroids to patients with acute asthma: A case study and literature review." Australasian Journal of Paramedicine. 6 (4), pp. 1-11. https://doi.org/10.33151/ajp.6.4.475