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Relationships between cognitive appraisals of threat and challenge, psychophysiological responses, and clinical performance during high-stress simulated osces.


ABSTRACT:

Introduction

In healthcare education, Objective Structured Clinical Examinations (OSCEs) are often utilised as a practical assessment tool and can cause marked elevations in psychophysiological stress levels for students. Cognitive Appraisal Theory asserts that individuals engage in evaluative processes to determine whether their available coping resources are sufficient to meet the demands of a given situation. This study examined the relationship between cognitive appraisals and psychophysiological responses, as well as clinical performance, in final-year paramedicine students during simulated high-stress OSCEs. Specifically, it investigated whether threat appraisals are associated with distinct physiological stress markers and poorer clinical outcomes compared to challenge appra

SUBMITTER: Betson J 

PROVIDER: S-EPMC12766962 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature