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Evaluating virtual and VR sims Suzie Kardong-Edgren PhD, RN, ANEF, CHSE, FSSH, FAAN Nurse Scientist Virtual screen based simulationscomputer screen based Computer screen based simulations Ryerson University free and beautifully


  1. Evaluating virtual and VR sims Suzie Kardong-Edgren PhD, RN, ANEF, CHSE, FSSH, FAAN Nurse Scientist

  2. “Virtual” screen based simulations…computer screen based • Computer screen based simulations • Ryerson University free and beautifully done • Many commercial companies • Many companies excellent back-end metrics • Work all sims yourself so you can debrief

  3. Virtual reality • Telepresence • Emerging research at this time • IT support…are they there? • Beware cyber sickness…around 5-10% • Does VR translate into Kirkpatrick level III behaviors in clinical?

  4. Transfer validity from VR to clinical…yes!

  5. Briefing and Debriefing for VSim or VR • Assess student experience with programs and equipment • Clarify misperceptions • Stay in touch with student learning • Relate virtual experience to actual clinical • DASH tool- https://harvardmedsim.org/debriefing-assessment-for- simulation-in-healthcare-dash/ • Facilitator Competency Rubric- https://sites.google.com/view/evaluatinghealthcaresimulation/fcr?au thuser=0

  6. For any new product…Usability studies needed • Ask any company what research they have done with their product • System Usability Scale from sus.gov • Research page at sus.gov https://www.usability.gov/how-to-and- tools/index.html • User research methods at SUS https://www.usability.gov/how-to-and- tools/methods/user-research/index.html

  7. References • https://business.oculus.com/ • Kardong-Edgren, S., Breitkreutz, K., Werb, M., Foreman, S., & Ellertson, A. (2018). Evaluating the usability of a second-generation VR game for refreshing sterile urinary catheterization skills. Nurse Educator, Published ahead of print July. doi: 10.1097/NNE.0000000000000570 . • Butt, A., Kardong-Edgren, S., Ellertson, A. (2018). Using game-based virtual reality with haptics for skill acquisition. Clinical Simulation in Nursing, 16 (3), 25-32. doi:10.1016/j.ecns.2017.010. (Awarded 2018 Research Article of the Year) • Kardong-Edgren, S., Fara, S., Young, M., Alinier, G. (2019). A call to unify definition of virtual reality. Clinical Simulation in Nursing, 31 , 28-34. Doi: https://doi.org/10.1016/ • j.ecns.2019.02.006.

  8. References • Verkuyl, M., Atack, L., McCulloch, T., Liu, L., Betts, L., Lapum, J. L., Hughes, M., Mastrilli, P., & Romaniuk, D. (2018, June). Comparison of debriefing methods after a virtual simulation: An experiment. Clinical Simulation in Nursing, 19, 1-7. https://doi.org/10.1016/j.ecns.2018.03.002. • Verkuyl, M., Lapum, J. L., Hughes, M., McCulloch, T., Liu, L., Mastrilli, P., Romaniuk, D., & Betts, L. (2018, July). Virtual gaming simulation: Exploring self-debriefing, virtual debriefing, and in-person debriefing. Clinical Simulation in Nursing, 20, 7-14. https://doi.org/10.1016/j.ecns.2018.04.006. • The PEARLS Healthcare Debriefing Tool Academic Medicine 93(2):336, February 2018.

  9. Marge Verkuyl…Ryerson University Canada • Trailer https://www.youtube.com/watch?v=oMk7Fyqqm3o • https://de.ryerson.ca/games/nursing/mental-health/ • https://de.ryerson.ca/games/nursing/post-op/ • https://de.ryerson.ca/games/nursing/maternity/prenatal/game/#/ • https://de.ryerson.ca/games/nursing/maternity/labour-and- delivery/game/#/ • https://de.ryerson.ca/games/nursing/maternity/postpartum/game/#

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