Comparative study of a simulated incident with multiple victims and immersive virtual reality
Autor: | Antonio Nieto Fernández-Pacheco, A.J. Garcia-Collado, Nuria Pérez Alonso, Mariana Ferrandini Price, Laura Juguera Rodríguez, Rafael Melendreras-Ruiz, José Joaquín Cerón Madrigal, Damian Escribano Tortosa, Manuel Pardo Ríos |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Chi-Square Distribution 030504 nursing Health professionals business.industry Virtual Reality 030208 emergency & critical care medicine Virtual reality Triage Education 03 medical and health sciences Mass-casualty incident 0302 clinical medicine Physical medicine and rehabilitation Emergency medical services medicine Humans Mass Casualty Incidents Computer Simulation 0305 other medical science business Psychology Simulation Training General Nursing |
Zdroj: | Nurse education today. 71 |
ISSN: | 1532-2793 |
Popis: | The main objective of the study is to determine the efficiency in the execution of the START (Simple Triage and Rapid Treatment) triage, comparing Virtual Reality (VR) to Clinical Simulation (CS) in a Mass Casualty Incident (MCI). The secondary objective is to determine the stress produced in the health professionals in the two situations described.A comparative study on the efficiency and the stress during triage in a MSI was conducted. The basal and post levels of salivary α-amylase (sAA) activity were measured in all the participants before and after the simulation.The percentage of victims that were triaged correctly was 87.65% (SD = 8.3); 88.3% (SD = 9.65) for the Clinical Simulation with Actors (CSA) group and 87.2% (SD = 7.2) for the Virtual Reality Simulation (VRG) group, without any significant differences (p = 0.612) between both groups. The basal sAA was 103.26 (SD = 79.13) U/L with a significant increase (p 0.001) with respect to the post-simulation levels (182.22, SD = 148.65 U/L). The increase of sAA was 80.70 (SD = 109.67) U/mL, being greater for the CSA group than the VRG group.The results show that virtual reality method is as efficient as clinical simulation for training on the execution of basic triage (START model). Also, based on the sAA results, we can attest that clinical simulation creates a more stressful training experience for the student, so that is should not be substituted by the use of virtual reality, although the latter could be used as a complementary activity. |
Databáze: | OpenAIRE |
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