scholarly journals ‘A roller coaster of emotions’: a phenomenological study on medical students lived experiences of emotions in complex simulation

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Claudia C. Behrens ◽  
Erik W. Driessen ◽  
Diana H. Dolmans ◽  
Gerard J. Gormley

Abstract Background Simulation-based education can induce intense learner emotions. The interplay between emotions and learning is less well understood. Gaining greater insights into learner emotions has potential to guide how best we manage emotions and optimise learning. This study aimed to understand learners’ lived emotional experiences in complex simulation and the perceived impact on learning. Methods Eight final-year medical students participated in the study. Wearing video-glasses, participants took part in a ward-based simulation. Video-footage was used to elicitate exploratory interviews and analysed using Template Analysis reflexively. Results Analysis yielded four main themes: ‘nervous anticipation’: encapsulating the fear, anxiety and uncertainty experienced by learners prior to simulation; ‘shock and awe’: feelings of anxiousness and being overwhelmed at the start of a simulation; ‘in the moment: flowing or buffeting with the emotions’: experiencing fear of being judged as incompetent, but also experiencing positive emotions such as satisfaction; ‘safe-landing?’: whilst debriefing aimed to encourage more positive emotions, negative emotions about the simulation could persist even with debriefing. Conclusions Complex simulation can evoke intense emotions in students. If students experienced a positive progression, they reported positive emotions and felt competent which was perceived to have a positive impact on learning. If students experienced failure, they reported strong negative emotions which made them question about their future performance and was perceived as negative for learning. Bringing to the surface these complex emotional dynamics, could permit educators to be aware of and adapt the emotional climate within simulation in order to optimise learning.

Author(s):  
Kaiting Zhang ◽  
Yixiang Peng ◽  
Xiaowei Zhang ◽  
Liping Li

Background: During the COVID-19 pandemic, some medical students devoted themselves to volunteer activities, but it was the first time that they had been exposed to such an infectious disease and they might have experienced fear in the face of the epidemic. We aimed to conduct a timely assessment of the psychological burden and experience on medical student volunteers during the COVID-19 pandemic. Methods: We used the 21-item Depression Anxiety Stress Scales to survey the psychology burden of students in April 2020. Semi-structured interviews were conducted with nine medical students who signed up for volunteer activities in Chinese from February to April 2020. Quantitative and qualitative methods were used to analyze the data. Results: The detection of depression, anxiety and stress of medical student volunteers were 26.8%, 20.2% and 11.1%, respectively. The volunteer’s negative emotions were more pronounced before work and diminished gradually. Most participants expressed no concern about being infected themselves, but worry about family infection. Participant’s motivations for volunteering were primarily their duties as medical students and encouragement from their families/teachers. The vast majority of medical students said they would be willing to work as medical assistants again and this experience would not affect their career choice. Conclusions: Chinese medical student volunteers tended to show negative emotions at the beginning of their work, and then gradually declined, while positive emotions emerged. Most medical students were willing to volunteer as medical assistants when their country needed them due to their sense of responsibility as medical students. This study on the psychological and experiential aspects were derived from Chinese medical student volunteers and might have a significant impact on future public health emergencies in similar settings.


2019 ◽  
Vol 31 (4) ◽  
pp. 1744-1762 ◽  
Author(s):  
Lindsey Lee ◽  
Juan M. Madera

PurposeThe purpose of this paper is to examine how emotional labor strategies (deep and surface acting) impact engagement through stress via two different emotional displays (suppressing negative emotions and expressing positive emotions) in coworker-to-coworker relationships.Design/methodology/approachThis study used psychological and temporal separation techniques to survey hotel managers (Study 1) and hospitality students with frontline service jobs (Study 2).FindingsAcross both samples, the results showed that surface acting was related to suppressing negative emotions, which was positively related to stress, deep acting was related to expressing positive emotions, which was negatively related to stress, and stress was negatively related to engagement, suggesting that emotional labor affects engagement through either deep acting or surface acting and their related emotional displays.Practical implicationsThe results show that hospitality employees either genuinely express positive emotions as a strategy to deep act or suppress negative emotions as a strategy to surface act with coworkers. Both emotional displays were related to engagement, suggesting that employers should alter expectations for emotional displays among coworkers and train employees how to manage their emotions to have a positive impact on engagement.Originality/valueThe unique contribution of the current paper is showing how emotional labor is related to engagement in the context of coworker-to-coworker emotional labor, which is rarely found in customer-based emotional labor. The results also provide a better understanding of how surface and deep acting are used in a hospitality context, because the measures of surface and deep acting usually focus on broad emotions rather than discrete emotions.


Author(s):  
Abbas Rahmati ◽  
Maryam Poormirzaei ◽  
Masoud Bagheri

In marital relationships, the type of perception of the spouse’s behavior affects how the social information and behavior of the other couple is processed, leading to psychological consequences. Thus, a higher perception of each other’s mental state is followed by sincerity and more satisfaction with the relations. The present study was performed by using a descriptive phenomenological qualitative approach with the aim of investigating emotional theory of mind in 19 married Iranian women who were selected by purposive sampling in 2017. In order to coding data, MAXQDA 2018 software and the Colaizzi’s method were used for coding and analyzing the data, respectively. Finally, about three concepts including the emotion type, emotion expression and emotion regulation were extracted from the interviews. Results showed in emotion type, women remarked positive emotions of satisfaction and gratitude and negative emotions of sorrow and sadness only about themselves. Although emotion expression was possible through three ways but in women's view point, men did not react to positive emotion non-verbally. In the third category, coping with negative emotions in the form of going into retreat was raised merely about men and emotion discharge and forgetfulness merely about women. The findings of the present study, a qualitative examination of emotions of the two genders from the viewpoint of women, is to a great extent in line with previous self-report and quantitative studies; they can be applied for Iran and other countries with similar culture and structure.


2021 ◽  
Author(s):  
Ruei-Jen Chiou ◽  
Po-Fang Tsai ◽  
Der-Yan Han

Abstract Background A gross anatomy is an important course for medical students; however, seeing a cadaver often makes them feel uncomfortable. According to the broaden-and-build theory, the present study tried to reduce students’ negative emotions by sequential activities, such as interviews and ceremony, which induced gratitude and other positive emotions. Methods One hundred and five medical students in their third year filled Emotional Reactions Towards Cadavers Scale for three times in one semester, and paired-sample t-tests and hierarchical regression analyses were conducted to examine the changes of emotional reaction. Results Three-wave data showed that participants’ high-level emotions increased, negative emotions decreased, and the former simultaneously predicted the latter. Conclusions Combining dissection course with medical humanities helped students to successfully handle negative emotions during gross anatomy course.


2021 ◽  
Author(s):  
Joanne Stasiak ◽  
William J Mitchell ◽  
Samantha Reisman ◽  
David F. Gregory ◽  
Vishnu P. Murty ◽  
...  

As individuals navigate the world, they are bound to have emotionally intense experiences. These events not only influence momentary physiological and affective responses, but also have a powerful impact on emotional recall. In this research, we leveraged a haunted house to examine how such experiences impact arousal, metacognitive reporting, and recall of affective states. Participants (n=54, M age= 24.22, SD age = 3.97, 26 female) first navigated a haunted house while heart rate and explicit emotional responses were recorded, then recalled specific events from the haunted house and the intensity of these emotional events one week later. We found that participants recalled experiencing both positive and negative emotions, and that while physiological arousal predicted both reports of fear intensity in the moment and upon recall, it did not predict recalled intensity of positive emotions. Further, we found a divergence between experienced and recalled fear intensity, contingent upon affective categorizations of events.


2020 ◽  
pp. 025371762093678
Author(s):  
Alapan Bandyopadhyay ◽  
Sarbari Sarkar ◽  
Abhijit Mukherjee ◽  
Sharmistha Bhattacherjee ◽  
Soumya Basu

Background: Successful identification of emotional expression in patients is of considerable importance in the diagnosis of diseases and while developing rapport between physicians and patients. Despite the importance of such skills, this aspect remains grossly overlooked in conventional medical training in India. This study aims to explore the extent to which medical students can identify emotions by observing photographs of male and female subjects expressing different facial expressions. Methods: A total of 106 medical students aged 18–25, without any diagnosed mental illnesses, were shown images of the six universal facial expressions (anger, sadness, fear, happiness, disgust, and surprise) at 100% intensity with an exposure time of 2 seconds for each image. The participants marked their responses after each image was shown. Collected data were analyzed using Statistical Package for the Social Sciences. Results: Participants could identify 76.54% of the emotions on average, with higher accuracy for positive emotions (95.6% for happiness) and lower for negative emotions (46% for fear). There were no significant variations in identification with respect to sex of the observers. However, it was seen that participants could identify emotions better from male faces than those from female faces, a finding that was statistically significant. Negative emotions were identified more accurately from male faces, while positive emotions were identified better from female ones. Conclusions: Male participants identified emotions better from male faces, while females identified positive emotions better from female faces and negative ones from male faces.


2020 ◽  
Vol 31 (4) ◽  
pp. 588-599
Author(s):  
Rastko Jovanov

The article considers the relation and mutual influence of negative emotions and culture. It provides arguments for the distinction between negative and positive emotions. The main claim is that what distinguishes negative emotions is that their intentionality is directed towards the subject themselves, by which the subject becomes the emotion?s hostage. Although intuitively wrongheaded, the article claims that negative emotions can have a positive impact in social life and serve the advancement of human values and struggles against injustice. Valuing negative emotions refers to correspondence with relevant social norms, that is to say, how can we judge social events in the framework of ethical, moral, or social values.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ruei-Jen Chiou ◽  
Po-Fang Tsai ◽  
Der-Yan Han

Abstract Background Gross anatomy laboratory course at medical school is usually an important learning subject for medical students; however, seeing a cadaver often makes them feel uncomfortable. According to the broaden-and-build theory, positive emotions broaden our inventory of thoughts and actions, and build physical, mental, and social resources. Research on positive psychology found that through direct thanks and positive reframing, people who feel gratitude show fewer depressive symptoms. The present study tried to reduce students’ negative emotions towards cadavers by sequential activities, such as family interviews and an initiation ceremony, which induced gratitude and other positive emotions. Methods The Emotional Reactions Towards Cadavers Scale (ERTCS) was used to evaluate medical students’ emotional reactions after they see a cadaver. Third year medical students (n = 105) at Taipei Medical University in northern Taiwan completed ERTCS on three occasions within a single semester during academic year 2016. Repeated-measures ANOVA and hierarchical regression analyses were then conducted to identify any changes in the emotional reactions of these students. Results The ERTCS showed satisfactory internal consistency and a three-factor structure, i.e., negative emotions, high-level emotions, and excited emotions. High-level emotions were the highest, and negative emotions were the lowest among the three in our sample. Three-wave data showed that participants’ high-level emotions increased, negative emotions decreased, and the former simultaneously predicted the latter after controlling for the influence of gender, religious beliefs, experience of the death of a family member or friend, and burnout level. Conclusions While past research usually focused on coping strategies to reduce medical students’ negative emotions, our study supported the broaden-and-build theory, which emphasizes positive emotions, and demonstrated that elevating medical students’ gratitude to ‘silent mentors’ is an effective way. It is suggested that combining dissection courses with medical humanities can help students successfully handle negative emotions during a gross anatomy laboratory course.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Bandyopadhyay ◽  
S Sarkar ◽  
A Mukherjee

Abstract Background Successful identification of emotional expression in patients is of considerable importance in the diagnosis of diseases and while developing rapport between physicians and patients. Despite the importance of such skills, this aspect remains grossly overlooked in conventional medical training in India. This study aims to explore the extent to which medical students can identify emotions by observing photographs of male and female subjects expressing different facial expressions. Methods A total of 106 medical students aged 18-25 without any diagnosed mental illnesses were shown images of the six universal facial expressions (anger, sadness, fear, happiness, disgust and surprise) at 100% intensity with an exposure time of 2 seconds for each image. The participants marked their responses after each image was shown. Collected data were analyzed using SPSS. Results Participants could identify 76.54% of the emotions on average, with higher accuracy for positive emotions (95.6% for happiness) and lower for negative emotions (46% for fear). There were no significant variations in identification with respect to gender of observers. On the other hand, statistically significant differences were observed in identification when gender of the expressors were considered. Conclusions Male participants identified emotions better from male faces, while females identified positive emotions better from female faces and negative ones from male faces. Key messages Misidentification of emotions, especially negative emotions, from static facial expressions was common in physician students of both sexes. This is an aspect that needs to be addressed during the training of medical students in India.


2019 ◽  
Vol 50 (2) ◽  
pp. 80-93
Author(s):  
Jort de Vreeze ◽  
Christina Matschke

Abstract. Not all group memberships are self-chosen. The current research examines whether assignments to non-preferred groups influence our relationship with the group and our preference for information about the ingroup. It was expected and found that, when people are assigned to non-preferred groups, they perceive the group as different to the self, experience negative emotions about the assignment and in turn disidentify with the group. On the other hand, when people are assigned to preferred groups, they perceive the group as similar to the self, experience positive emotions about the assignment and in turn identify with the group. Finally, disidentification increases a preference for negative information about the ingroup.


Sign in / Sign up

Export Citation Format

Share Document