Magda Mohsen - menofia university egypt
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Virtual Reality Lab; Virtual Reality Lab; innovative methods in innovative methods in
Nursing Skill LaboratoryNursing Skill Laboratory
Magda Mohsen1, Omaima M.Okby2Magda Mohsen1, Omaima M.Okby2 , ,Neima A.Reiad3, Manal E.Fareed4Neima A.Reiad3, Manal E.Fareed4 , ,
Amal A.El-Sheikh5Amal A.El-Sheikh5,,Community Health Nursing1, Pediatric Nursing2 andCommunity Health Nursing1, Pediatric Nursing2 and
Adult Health Nursing 3, 4 &5Adult Health Nursing 3, 4 &5Faculty of Nursing, Menofia UniversityFaculty of Nursing, Menofia University
EgyptEgypt
IntroductionIntroduction
Virtual reality is an artificial Virtual reality is an artificial environment that is environment that is
created with software andcreated with software and
presentedpresented
to the user in such a way to the user in such a way that the user suspends that the user suspends
belief and accepts itbelief and accepts it
as a real environmentas a real environment
The virtual reality labThe virtual reality lab oror
the art of clinical the art of clinical simulation equipment simulation equipment
allows practice of allows practice of nursing skills in a nursing skills in a realistic clinical realistic clinical
environmentenvironment..
Having a full spectrumHaving a full spectrum
of simulation equipmentof simulation equipment
fromfrom
task trainers totask trainers to
virtual nursing skill virtual nursing skill simulatorssimulators
Simulation lab provide nursing Simulation lab provide nursing studentsstudents withwith
• Critical thinking practice for a wide range of conditions..
• Clinical experience in a risk-free Clinical experience in a risk-free virtual reality environment.virtual reality environment.
• Opportunity to respond in real Opportunity to respond in real time to patient situations. time to patient situations.
• promotes appropriate, timely promotes appropriate, timely decision-making in a safe, decision-making in a safe, repeatable environmentrepeatable environment
The goal of VR is The goal of VR is accuracy & accuracy &
competency ofcompetency of skillsskills
before the student before the student enters the clinical enters the clinical
environmentenvironment..
Aim of the StudyAim of the Studyinvestigate the scope and the investigate the scope and the role of virtual reality (VR) in role of virtual reality (VR) in nursing education in form of nursing education in form of three perspectives: those of three perspectives: those of students, the lecturers, and students, the lecturers, and
technological aspects technological aspects particularly in the particularly in the
development of effective development of effective virtual environmentsvirtual environments..
Subjects & MethodSubjects & Method;; lecturers of nursing facultylecturers of nursing faculty; all ; all
nursing faculty who provide nursing faculty who provide students nurse teaching in the students nurse teaching in the virtual nursing skill lab.; "adult virtual nursing skill lab.; "adult Health nursing lab" as well as Health nursing lab" as well as "Pediatric lab" was included in the "Pediatric lab" was included in the study.study.
Students nurse Students nurse in adult health in adult health nursing labs and pediatric nursing nursing labs and pediatric nursing labs were included in the study. labs were included in the study.
MethodMethod;;
After describing the different visions of After describing the different visions of VR, VR, presentation of virtual objects to all presentation of virtual objects to all students senses in a way identical to students senses in a way identical to their natural counterpart, and their natural counterpart, and computer interaction in which users computer interaction in which users are are active participants active participants within a computer.within a computer.
Tools for Data CollectionTools for Data Collection::
Questionnaire for Students nurse.Questionnaire for Students nurse.
Skill Performance for Students Skill Performance for Students nurse on CPR for adults, child and nurse on CPR for adults, child and infantsinfants
Questionnaire for lecturersQuestionnaire for lecturers
Nursing Skill LabsNursing Skill Labs
Adult Health Skill LabAdult Health Skill LabCritical Care Skill LabCritical Care Skill LabMaternal Skill LabMaternal Skill LabPediatric Nursing Skill LabPediatric Nursing Skill LabCommunity Nursing LabCommunity Nursing LabMulti-Media Skill LabMulti-Media Skill Lab
Each simulation lab has Each simulation lab has multiple programmable multiple programmable mannequins, including mannequins, including SimMan; a computer SimMan; a computer based programmable based programmable
human patient simulatorhuman patient simulator..
Maternal/Child & Pediatric Nursing Skill Lab.
Scenario incorporates MCH, pediatrics, newborn assessment
Simulation Laboratory--
Students will participate in supervised and
independent practice of selected skills, as well as
previously learned techniques including
Maternal/Child & Pediatric Nursing Skill Lab.
learned techniques including
* Care of OB/GYN patients
* Labor and Delivery
*Post-partum assessment
* Initial newborn assessment
* Pediatric Assessment
Adult Health Nursing Skill listMedication administration, IV therapy
Ambulation and transfers , Range of motion
Neuro assessment
Pain assessment
Peri-operative assessment skills
Prevention of Infection :aseptic technique, sterile dressings, wound care
Review of vital sign measurement
Safety: Use of safety side rails
Surgical wound care ( sterile dressings)
Simulation Laboratory
one mandatory scenario – general assessment
Intravenous SimulatorIntravenous Simulator
Critical Care Skill LabCritical Care Skill Lab..
Adult Nursing Skill LabAdult Nursing Skill Lab..
Pediatric SimulatorPediatric Simulator
Multi-media Skill LabMulti-media Skill Lab
ResultsResults
Knowing the Steps of CPRKnowing the Steps of CPRAdultAdultChildChildinfantinfant
11..When to activate your emergency When to activate your emergency response response
100100 knowknow8383.0.086.786.7
22 . .How to open the airwayHow to open the airway100100 knowknow100.0100.0100.0100.0
33 . .How to check breathingHow to check breathing100100 knowknow100.0100.0100.0100.0
4. How to give breathing4. How to give breathing100100 knowknow86.786.783.383.3
55 . .How to check pulseHow to check pulse100100 knowknow86.786.783.383.3
66 . .Compression locationCompression location100100 knowknow90.090.086.786.7
77 . .Compression methodCompression method100100 knowknow86.786.783.383.3
88 . .Compression depthCompression depth100100 knowknow83.383.390.090.0
99 . .Compression rateCompression rate100100 knowknow100.0100.0100.0100.0
1010 . .Compression ventilation ratioCompression ventilation ratio100100 knowknow86.786.786.786.7
Figure 1.Figure 1. Adult Checklist Performance on CPR Adult Checklist Performance on CPR
93.3
6.7
0
93.3
6.70
70
2010
0102030405060708090
100
Adult 1 Adult 2
Trad.Demo.
Done
Approp.
Unadequ.
Figure 2.Figure 2. Child Checklist Performance on Child Checklist Performance on CPR CPR
93.3
6.70
96.7
3.30
66.7
20
13.3
0102030405060708090
100
Child 1 Child 2 Trad. D
Done
App. Done
unadequa
Figure 3.Figure 3. Infant Checklist Performance Infant Checklist Performance on CPR on CPR
93.3
6.7
0
96.7
3.3
0
63.3
16.7
20
0102030405060708090
100
Infant 1 Infant 2 Trad. Demo
DoneApprop.Unadequ.
Advantages of Simulation in nursing: No threat to patient safety and ethical concerns are minimized
Active learning can occur
Specific and unique patient situations can be created
Errors can be corrected and discussed immediately
Consistent & comparable experience occur for all students
Maximal amount of learning time
Experimentation and creativity are allowed
Self-evaluation is promoted
Feedback can be elicited
Decision making can be promoted effectively
ConclusionsConclusions::
The impact of VR could be The impact of VR could be even higher allows critical even higher allows critical
thinking practice for a thinking practice for a wide range of conditions wide range of conditions
than one offered by than one offered by
the traditional the traditional demonstrationdemonstration..
ContinueContinue VR lab. is VR lab. is at the same time technology:, a at the same time technology:, a
communication interface based communication interface based on interactive 3D visualization, on interactive 3D visualization, able to collect and integrate in able to collect and integrate in single real-like experience single real-like experience different inputs and data sets. different inputs and data sets.
A significant efforts are still A significant efforts are still required to move VR into required to move VR into commercial success and commercial success and therefore routine clinical use.therefore routine clinical use.
RecommendationRecommendation::
Providing and adopting the Providing and adopting the Virtual Lab simulationVirtual Lab simulation-:-:
eliminates the serious risks eliminates the serious risks inherent in practicing nursing inherent in practicing nursing care skills on live patientscare skills on live patients
Creates a stress-free learning Creates a stress-free learning environment that environment that incorporates learning incorporates learning practice.practice.
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