INSPIRA: design of a support system for clinical simulation

Authors

  • Daniel Ferrero Heredero Fourth-year student in the Biomedical Engineering Degree Program. University of Valladolid. Full-time Biomedical Engineering Student. Advanced Clinical Simulation Area. Faculty of Medicine. University of Valladolid, Spain.
  • David Rabanillo González Fourth-year student in the Biomedical Engineering Degree Program. University of Valladolid. Full-time Biomedical Engineering Student. Advanced Clinical Simulation Area. Faculty of Medicine. University of Valladolid, Spain. https://orcid.org/0009-0004-6570-5404
  • Sara Cruz Adrados Image Processing Laboratory. School of Telecommunications Engineering. University of Valladolid. Spain
  • Miguel Ángel Castro Villamor Department of Medicine, Dermatology, and Toxicology. Faculty of Medicine. University of Valladolid. Advanced Clinical Simulation Center. Faculty of Medicine. University of Valladolid. Valladolid Institute for Biomedical Research (IBioVALL). Spain.
  • Víctor Rodríguez González Valladolid Institute for Biomedical Research (IBioVALL). Biomedical Engineering Group, Department of Signal Theory and Communications and Telematics Engineering. Higher Technical School of Telecommunications Engineering. University of Valladolid. Biomedical Research Network Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN). Spain
  • Jesús Poza Crespo Valladolid Institute for Biomedical Research (IBioVALL). Biomedical Engineering Group, Department of Signal Theory and Communications and Telematics Engineering. Higher Technical School of Telecommunications Engineering. University of Valladolid. Biomedical Research Network Center in Bioengineering, Biomaterials, and Nanomedicine (CIBER-BBN). Institute for Research in Mathematics (IMUVA). University of Valladolid. Spain.
  • Francisco Martín Rodríguez Department of Medicine, Dermatology, and Toxicology. Faculty of Medicine. University of Valladolid. Advanced Clinical Simulation Center. Faculty of Medicine. University of Valladolid. Valladolid Institute for Biomedical Research (IBioVALL). Spain

DOI:

https://doi.org/10.24197/cl.30.2025.16-24

Keywords:

clinical simulation, application, stress, learning

Abstract

High-fidelity clinical simulation is an area within clinical simulation that serves as an essential educational tool, thanks to which the student obtains key professional abilities; however, its use is associated with a significant negative stress, especially when complex therapeutic algorithms are considered such as the XABCDE primary assessment protocol for medical simulation in polytrauma patient management. To tackle this issue, in this study it is presented the INSPIRA (INtegrated Simulation Platform for Immersive Response & Assistance) application to guide students during simulations in polytrauma patient management. The results obtained from the application’s design suggest that INSPIRA holds great potential for enhancing high-fidelity clinical simulation; moreover, INSPIRA may contribute to improved learning outcomes and help to reduce stress levels among students in simulation.

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References

Barbadoro P, Brunzini A, Dolcini J, et al. Stress Responses in High-Fidelity Simulation and Standard Simulation Training Among Medical Students. BMC Med Educ. 2023;23(1):116.

Mathobela T, Stein C, Vincent-Lambert C, Whittaker AC. The Effect of Assessor Visibility on Student Stress and Anxiety in Emergency Care Simulation Assessments. BMC Med Educ. 2024;24(1):1043.

National Association of Emergency Medical Technicians (NAEMT). PHTLS: soporte vital de trauma prehospitalario. 9th ed. Jones & Bartlett Learning. México: Intersistemas; 2020.

Betson J, Fein EC, Long D, Horrocks P. Too Stressed to Think? A Scoping Review of the Literature for Healthcare Educators Utilising High Acuity Clinical Scenarios. BMC Med Educ. 2024;24(1):990.

Groot F, Jonker G, Rinia M, Ten Cate O, Hoff RG. Simulation at the Frontier of the Zone of Proximal Development: A Test in Acute Care for Inexperienced Learners. Acad Med. 2020;95(7):1098-1105.

Drake G, Skaltsa N, Kalia K, et al. "My Skills Are Going to Be Exposed" - Anxiety, Meaning and Professional Identity During Simulation-Based Learning in Medical Students: A Mixed Method Study. PloS One. 2025;20(7):e0327306.

Bartlett RS, Bruecker S, Eccleston B. High-fidelity simulation improves long-term knowledge of clinical swallow evaluation. Am J Speech Lang Pathol. 2021;30(2):673–686.

Martín-Sánchez R, Castro Villamor M, Rabanales-Soto J, Otero de la Torre S, Martínez Fernández FT, Sánchez Soberón I, et al. Threshold-anxiety in medical students performing a prehospital high-fidelity clinical simulation: Randomized clinical trial. Am J Emerg Med. 2025;94:103–109.

Martín-Rodríguez F, Martín-Sánchez R, del Pozo Vegas C, Lopez-Izquierdo R, Martín-Conty JL, Silva Alvarado E, et al. Pupilometer efficacy in monitoring anxiety in undergraduate medical students during high-fidelity clinical simulation. Sci Rep. 2025;15(1):10032.

Martín Rodríguez F, Delgado Benito JF, Castro Villamor MA. Soporte vital avanzado prehospitalario: código Politrauma. Valladolid: Universidad de Valladolid; 2024. (Manuales y textos universitarios. Medicina; 60).

Wemm SE, Wulfert E. Effects of Acute Stress on Decision Making. Appl Psychophysiol Biofeedback. 2017;42(1):1–12.

Autora: Dra. Irene Martín de Prado

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Published

2025-10-23

Issue

No. 30 (2025): CLÍNICA

Section

Research and clinical practice

License

Copyright (c) 2025 Daniel Ferrero Heredero, David Rabanillo González, Sara Cruz Adrados, Miguel Ángel Castro Villamor, Víctor Rodríguez González, Jesús Poza Crespo, Francisco Martín Rodríguez

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