A mixed-methods feasibility study to assess the acceptability and applicability of immersive virtual reality sepsis game as an adjunct to nursing education.

Autor: Adhikari R; Charak Academy, Purbanchal University, Pokhara, Nepal. Electronic address: rakshya.adhikari48@gmail.com., Kydonaki C; School of Health and Social Care, Edinburgh Napier University, Edinburgh EH11 4BN, United Kingdom of Great Britain and Northern Ireland., Lawrie J; University of West of Scotland, Paisley, Scotland PA1 2BE, United Kingdom of Great Britain and Northern Ireland., O'Reilly M; Clinical Skills and Simulation, Edinburgh Napier University, Edinburgh EH11 4BN, United Kingdom of Great Britain and Northern Ireland., Ballantyne B; Articise Limited, Edinburgh, United Kingdom of Great Britain and Northern Ireland., Whitehorn J; School of Health and Social Care, Edinburgh Napier University, Edinburgh EH11 4BN, United Kingdom of Great Britain and Northern Ireland., Paterson R; School of Health and Social Care, Edinburgh Napier University, Edinburgh EH11 4BN, United Kingdom of Great Britain and Northern Ireland.
Jazyk: angličtina
Zdroj: Nurse education today [Nurse Educ Today] 2021 Aug; Vol. 103, pp. 104944. Date of Electronic Publication: 2021 May 04.
DOI: 10.1016/j.nedt.2021.104944
Abstrakt: Background: Virtual Reality (VR) simulation has been a topic of interest in recent years as an innovative strategy for healthcare education. Although there are a handful of studies evaluating VR simulation on knowledge, motivation, and satisfaction; there is a paucity of evidence to evaluate the effectiveness, acceptability and usability of 'Immersive' VR (IVR) simulation in nursing students.
Objectives: A two-stage sequential mixed-methods feasibility study underpinned by gaming theory investigated; (1) the impact of IVR sepsis game on pre-registration nurses' self-efficacy and, (2) their perceptions of the acceptability and applicability of IVR sepsis game as an adjunct to nursing simulation education.
Methods: The IVR simulation intervention was designed in collaboration with serious game specialists. Stage one collated pre and post-intervention self-efficacy scores with 19 pre-registration nurses using the validated instrument, Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM©) scale. Stage two used a descriptive qualitative approach to explore student nurses' perceptions of the game.
Results: In stage one, pre and post-test scores revealed significant increase in self-confidence (26.1%, P < 0.001) and a significant decrease in anxiety (23.4%, P < 0.001). Stage two qualitative responses revealed four over-arching themes: acceptability, applicability, areas of improvement of IVR sepsis game and limitations of IVR game.
Conclusion: IVR simulation show promise as an adjunct for nurse simulation and it appears to increase self-efficacy in pre-registration nursing students. Further testing with a sufficiently powered sample size will ratify findings and provide effective solutions to distance and online learning.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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