Training Effectiveness of a Wide Area Virtual Environment in Medical Simulation
| Autor: | Grady S. Wier, Rebekah Tree, Rasha Nusr |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty 020205 medical informatics Epidemiology media_common.quotation_subject education Applied psychology Medicine (miscellaneous) 02 engineering and technology Affect (psychology) computer.software_genre Education User-Computer Interface 03 medical and health sciences Patient safety 0302 clinical medicine Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering medicine Humans Computer Simulation Quality (business) Prospective Studies 030212 general & internal medicine media_common Patient Care Team Multimedia Medical simulation Stressor Checklist Emergency Medical Technicians Critical thinking Software deployment Modeling and Simulation Female Clinical Competence Psychology computer Program Evaluation |
| Zdroj: | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 12:28-40 |
| ISSN: | 1559-713X 1559-2332 |
| DOI: | 10.1097/sih.0000000000000207 |
| Popis: | INTRODUCTION The success of war fighters and medical personnel handling traumatic injuries largely depends on the quality of training they receive before deployment. The purpose of this study was to gauge the utility of a Wide Area Virtual Environment (WAVE) as a training adjunct by comparing and evaluating student performance, measuring sense of realism, and assessing the impact on student satisfaction with their training exposure in an immersive versus a field environment. METHODS This comparative prospective cohort study examined the utility of a three-screen WAVE where subjects were immersed in the training environment with medical simulators. Standard field training commenced for the control group subjects. Medical skills, time to completion, and Team Strategies and Tools to Enhance Performance and Patient Safety objective metrics were assessed for each team (n = 94). In addition, self-efficacy questionnaires were collected for each subject (N = 470). RESULTS Medical teams received poorer overall team scores (F1,186 = 0.756, P = 0.001), took longer to complete the scenario (F1,186 = 25.15, P = 0.001), and scored lower on The National Registry of Emergency Medical Technicians trauma assessment checklist (F1,186 = 1.13, P = 0.000) in the WAVE versus the field environment. Critical thinking and realism factors within the self-efficacy questionnaires scored higher in the WAVE versus the field [(F1,466 = 8.04, P = 0.005), (F1,465 = 18.57, P = 0.000), and (F1,466 = 53.24, P = 0.000), respectively]. CONCLUSIONS Environmental and emotional stressors may negatively affect critical thinking and clinical skill performance of medical teams. However, by introducing more advanced simulation trainings with added stressors, students may be able to adapt and overcome barriers to performance found in high-stress environments. |
| Databáze: | OpenAIRE |
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