Magda Mohsen - menofia university egypt

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.