Mixed simulation course increases participants’ positive stress coping abilities

Chia Chang Huang, Fa Yauh Lee, Ling Yu Yang, Ying Ying Yang*, Chen Huan Chen, Jen Feng Liang, Hao Min Cheng, Chin Chou Huang, Shinn Jang Hwang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Background Lack of health professional awareness of interprofessional collaborative practice (IPCP) often results in stress and conflicts between team members in the medical system. Our study aimed to compare the effectiveness of mixed simulation-interprofessional education (IPE) courses to enhance coping strategies for IPCP-associated stress. Methods Participants (n = 54) from the disciplines of physicians (n = 12), nurses (n = 28) and pharmacists (n = 14) were enrolled. Over the course of the study period, all participants were asked to complete pre-course (T1), post-course (T2) and end-of-study (T3) questionnaires for self-assessment of perceived stress scale (PSS), stress coping preference scale (SCPS), and IPCP proficiency. Results Basically, physicians felt less IPCP-associated stress than did nurses and pharmacists. For physicians, nurses and pharmacists, the mean post-course (T2) PSS scores were significantly lower than pre-course (T1) PSS scores, which indicated decreased IPCP-associated stress after mixed simulation-IPE courses. In comparison with physicians, the greater difference (T2–T1 scores) in the PSS and positive coping SCPS subscales scores were noted among nurses and pharmacists. For nurses and pharmacists, the further improvements in stress coping abilities (PSS scale and positive SCPS subscale) were noted at the end-of-study self-assessment by comparison of post-course scores with end-of-study scores. For IPCP proficiency, all participants gave more positive responses to the specific questions in the end-of-study questionnaires. Conclusion Our study supports the use of mixed simulation-IPE courses as part of continuing education to enhance positive stress coping strategies.

Original languageEnglish
Pages (from-to)58-63
Number of pages6
JournalJournal of the Chinese Medical Association
Issue number1
StatePublished - Jan 2018


  • Interprofessional collaborative practice
  • Interprofessional education
  • Mixed simulation course
  • Positive stress coping strategies


Dive into the research topics of 'Mixed simulation course increases participants’ positive stress coping abilities'. Together they form a unique fingerprint.

Cite this