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Tschan, Franziska

Nom
Tschan, Franziska
Affiliation principale
Fonction
Professeure ordinaire
Email
franziska.tschan@unine.ch
Identifiants
https://libra.unine.ch/handle/123456789/497
_
0000-0003-3330-1144

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  • Publication
    Métadonnées seulement
    Illegitimate tasks as a source of Work Stress
    (2015)
    Semmer, Norbert K.
    ;
    Jacobshagen, Nicola 
    ;
    Meier, Laurenz L.
    ;
    Elfering, Achim
    ;
    Beehr, Terry A.
    ;
    Kaelin, Wolfgang
    ;
    Tschan, Franziska 
  • Publication
    Métadonnées seulement
    Social Stress at Work and Change in Women?s Body Weight
    (2014)
    Kottwitz, Maria U.
    ;
    Grebner, Simone
    ;
    Semmer, Norbert K.
    ;
    Tschan, Franziska 
    ;
    Elfering, Achim
  • Publication
    Métadonnées seulement
    Work Experiences and Well-Being in the First Years of Professional Work in Switzerland: A Ten-Year Follow-Up Study
    (: Springer, 2014)
    Kälin, Wolfgang
    ;
    Keller, Anita C.
    ;
    Tschan, Franziska 
    ;
    Elfering, Achim
    ;
    Semmer, Norbert K.
  • Publication
    Métadonnées seulement
    Assessing distractors and teamwork during surgery: developing an event-based method for direct observation
    (2014)
    Seelandt, Julia C.
    ;
    Tschan, Franziska 
    ;
    Keller, Sandra 
    ;
    Beldi, Guido
    ;
    Jenni, Nadja 
    ;
    Kurmann, Anita
    ;
    Candinas, Daniel
    ;
    Semmer, Norbert K.
  • Publication
    Métadonnées seulement
    Leadership in different resuscitation situations
    (2014)
    Tschan, Franziska 
    ;
    Semmer, Norbert K.
    ;
    Hunziker, Sabina
    ;
    Kolbe, Michaela
    ;
    Jenni, Nadja 
    ;
    Marsch, Stephan U.
  • Publication
    Métadonnées seulement
    Impact of a stress coping strategy on perceived stress levels and performance during a simulated cardiopulmonary resuscitation: A randomized controlled trial
    (2013-9-14)
    Hunziker, Sabina
    ;
    Pagani, Simona
    ;
    Fasler, Katrin
    ;
    Tschan, Franziska 
    ;
    Semmer, Norbert K.
    ;
    Marsch, Stephan U.
    Abstract Background: Cardiopulmonary resuscitation (CPR) causes significant stress, which may cause deficiencies in attention and increase distractibility. This may lead to misjudgements of priorities and delays in CPR performance, which may further increase mental stress (vicious cycle). This study assessed the impact of a task- focusing strategy on perceived stress levels and performance during a simulated CPR scenario. Methods: This prospective, randomized-controlled trial was conducted at the simulator-center of the University Hospital Basel, Switzerland. A total of 124 volunteer medical students were randomized to receive instructions about focusing on relevant task elements by posing two task-focusing questions (“what is the patient’s condition?”, “what immediate action is needed?”) when feeling overwhelmed by stress (intervention-group) or a control-group. The primary outcome was the perceived levels of stress and feeling overwhelmed (stress/overload); secondary outcomes were hands-on time, time to start CPR and number of leadership statements. Results: Participants in the intervention-group reported significantly less stress/overload levels compared to the control-group (mean difference: -0.6 (95%CI - 1.3, -0.1), p=0.04). Higher stress/overload was associated with less hands-on time. Leadership statements did not differ between groups, but the number of leadership statements did relate to performance. Hands-on time was higher in the intervention-group, but the difference was not statistically different (difference 5.5 (95%CI -3.1, 14.2), p=0.2); there were no differences in time to start CPR (difference -1.4 (95%CI - 8.4, 5.7), p=0.71). Conclusions: A brief task-focusing strategy decreased perceived stress without significantly affecting performance in a simulated CPR. Further studies should investigate more intense interventions for reducing stress.
  • Publication
    Métadonnées seulement
    Psychische Beanspruchung durch illegitime Aufgaben
    (Wiesbaden: Springer Fachmedien, 2013)
    Semmer, Norbert K.
    ;
    Jacobshagen, Nicola 
    ;
    Meier, Laurenz L.
    ;
    Elfering, Achim
    ;
    Kälin, Wolfgang
    ;
    Tschan, Franziska 
    ;
    Vischer, Mathilde 
    Immer schneller, immer mehr: Psychische Belastungen bei Wissens- und Dienstleistungsarbeit
  • Publication
    Métadonnées seulement
    Dynamics and association of different acute stress markers with performance during a simulated resuscitation
    (2012-5)
    Hunziker, Sabina
    ;
    Semmer, Norbert K.
    ;
    Tschan, Franziska 
    ;
    Schuetz, P
    ;
    Mueller, B
    ;
    Marsch, Stephan U
    AIM: Whether mental stress negatively impacts team performance during cardio-pulmonary resuscitation (CPR) remains controversial; this may partly be explained by differences in stress measures used in previous studies. Our aim was to compare self-reported, biochemical and physiological stress measures in regard to CPR performance. METHODS: This prospective, observational study was conducted at the simulator center of the University Hospital Basel, Switzerland. Self-reported (feeling stressed and overwhelmed [stress/overload]), biochemical (plasma cortisol) and physiological (heart rate, heart rate variability) stress measures were assessed in 28 residents (teams of 2) before, during and after resuscitation. Team performance was defined as time to start CPR and hands-on time during the first 180s. RESULTS: At baseline, significant negative correlations of heart rate variability with stress/overload and heart rate, as well as positive correlations of heart rate and cortisol were found. During resuscitation, self-reported, biochemical and physiological stress measures did not correlate significantly. There was no association of baseline stress measures with performance. During CPR, stress/overload was significantly associated with time to start CPR (regression coefficient 12.01 (95% CI 0.65, 23.36), p=0.04), while heart rate was negatively associated with time to start CPR (regression coefficient -0.78 (95% CI -1.44, -0.11), p=0.027) and positively with hands-on time (regression coefficient 2.22 (95% CI 0.53, 3.92), p=0.015). CONCLUSIONS: Self-reported stress (stress/overload) was the only predictor for low CPR performance. Biochemical measures showed no association, and physiological measures (heart rate) showed an inverse association, which may be due to physical activity, limiting its value as a mental stress marker in this acute setting
  • Publication
    Métadonnées seulement
    Leadership in medical emergencies is not gender specific - Reply
    (2012-4-2)
    Marsch, Stephan U
    ;
    Hunziker, Sabina
    ;
    Hunziker, Patrick
    ;
    Tschan, Franziska 
    ;
    Semmer, Norbert K.