An experimental study of an animal-assisted intervention in healthcare simulation to reduce negative affective arousal post-simulation

Abstract

Introduction In healthcare simulation, the appropriate level of stress produced through physiological and psychological arousal is necessary for effective experiential learning. While beneficial stress promotes learning, excessive stress inhibits learning. Animal Assisted Interventions may be a viable method to support learners experiencing excessive stress post-simulation. Animal Assisted Interventions have been used therapeutically with positive effects though there is an absence of research on Animal Assisted Interventions in healthcare simulation. This study investigates the efficacy of an Animal Assisted Intervention compared to an intervention control to reduce negative affective arousal post-simulation. Methods Primary Care Paramedic, Animal Health, and Respiratory Therapy students were recruited for the study. The study utilized an experimental design. After a simulation, known to induce stress and potentially negative affective arousal, participants were randomly assigned to an Animal Assisted Activity with a Canine or to Diaphragmatic Breathing. Negative affective arousal was measured post-simulation and post-intervention using a Visual Analogue Scale. Results Forty-five students participated in the study. Pre-intervention scores showed moderate levels of anxiety, stress and confusion. Both interventions led to a significant decrease in emotional affect. Participants in the Canine condition reported significantly lower levels of Anxiety compared to the Breathing Condition. Participants and facilitators expressed positive emotions related to the canine’s presence. Conclusions The presence of a canine was well received by all, and Animal Assisted Interventions can fit seamlessly into the post-simulation period to reduce anxiety after a simulation. Animal Assisted Activities may be best utilized for simulations known to be emotionally distressing and intensive.