Evaluating virtual and VR sims Suzie Kardong-Edgren PhD, RN, ANEF, CHSE, FSSH, FAAN Nurse Scientist
“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
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?
Transfer validity from VR to clinical…yes!
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
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
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.
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.
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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