Applications of Virtual Simulation and Virtual Reality in Nursing

A special issue of Informatics (ISSN 2227-9709). This special issue belongs to the section "Health Informatics".

Deadline for manuscript submissions: closed (30 August 2020) | Viewed by 16554

Special Issue Editor


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Guest Editor
School of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USA
Interests: virtual simulation; educational technology; cultural humility

Special Issue Information

Dear Colleagues,

Healthcare education is challenging. For nurse educators, aptly preparing nursing students to function in fast-paced, high-acuity settings with diverse patients and providers is an arduous task. Fortunately, experiential learning modalities including virtual simulation and virtual reality are showing promise to provide learners with better opportunities to practice a variety of high-level thinking skills prior to entering the profession. Research has demonstrated that virtually simulated experiences result in higher cognitive learning outcomes and longer retention of learning when compared to traditional teaching methods such as reading or lecture. Further, application of virtual simulation and virtual reality is beginning to emerge in the context of patient care. For example, virtual reality is being used to decrease patients’ experiences of anxiety and pain. As the use of virtual simulation and virtual reality are growing in nursing practice, this Special Issue seeks contributions about the use of virtual simulation, virtual reality, augmented reality, or mixed reality (XR) in the context of nursing or nursing education. Topics include but are not limited to:

  • applications of virtual simulation or XR to improve nursing student learning outcomes;
  • research (including feasibility studies) with virtual simulation, virtual reality, augmented reality, or mixed reality in the context of nursing;
  • quality improvement projects (or data-based projects) in practice settings about virtual simulation, virtual reality, augmented reality, or mixed reality in the context of nursing;
  • toolkits or strategies to assist in the design or development of virtual simulations or XR;
  • cost–benefit analyses of virtual simulation or XR in comparison to traditional means.

Dr. Cynthia L. Foronda
Guest Editor

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Keywords

  • virtual simulation
  • virtual reality
  • mixed reality
  • augmented reality
  • XR
  • nursing

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Published Papers (3 papers)

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Research

13 pages, 12977 KiB  
Article
Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students
by Linda Wunder, Nicole A. Gonzaga Gomez, Juan E. Gonzalez, Greta Mitzova-Vladinov, Max Cacchione, Jampierre Mato, Cynthia L. Foronda and Jeffrey A. Groom
Informatics 2020, 7(4), 40; https://doi.org/10.3390/informatics7040040 - 30 Sep 2020
Cited by 10 | Viewed by 4918
Abstract
Background: The occurrence of a fire when implementing anesthesia is a high-risk, low-frequency event. The operating room is a high-stakes environment that has no room for error. Mixed reality simulation may be a solution to better prepare healthcare professionals. The purpose of this [...] Read more.
Background: The occurrence of a fire when implementing anesthesia is a high-risk, low-frequency event. The operating room is a high-stakes environment that has no room for error. Mixed reality simulation may be a solution to better prepare healthcare professionals. The purpose of this quantitative, descriptive study was to evaluate the technical and non-technical skills of student registered nurse anesthetists (SRNAs) who participated in a mixed reality simulation of an operating room fire. Methods: Magic Leap OneTM augmented reality headsets were used by 32 student registered nurse anesthetists to simulate an emergent fire during a simulated tracheostomy procedure. Both technical and non-technical skills were evaluated by faculty members utilizing a checklist. Results: The SRNAs’ overall mean technical skill performance was 18.16 ± 1.44 out of a maximum score of 20, and the mean non-technical skill performance was 91.25% out of 100%. Conclusions: This study demonstrated the utility and limitations in applying novel technology in simulation. Participants demonstrated a strong performance of technical and non-technical skills in the management of a simulated operating room fire. Recommendations for future applications include the use of multiple sensory inputs into the scenario design and including all core team members in the immersive mixed reality environment. Full article
(This article belongs to the Special Issue Applications of Virtual Simulation and Virtual Reality in Nursing)
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10 pages, 892 KiB  
Article
Use of Virtual Reality to Reduce Anxiety and Pain of Adults Undergoing Outpatient Procedures
by Kizzanna Brown and Cynthia Foronda
Informatics 2020, 7(3), 36; https://doi.org/10.3390/informatics7030036 - 19 Sep 2020
Cited by 12 | Viewed by 6176
Abstract
(1) Background: Research has demonstrated that virtual reality (VR) has reduced pain and anxiety for patients undergoing health procedures. The aim of this quality improvement project was to implement and evaluate immersive VR as a non-pharmacological intervention to reduce pain and anxiety [...] Read more.
(1) Background: Research has demonstrated that virtual reality (VR) has reduced pain and anxiety for patients undergoing health procedures. The aim of this quality improvement project was to implement and evaluate immersive VR as a non-pharmacological intervention to reduce pain and anxiety in those adults undergoing outpatient procedures under monitored anesthesia care. (2) Methods: This quality improvement project incorporated the Plan-Do-Study-Act (PDSA) model and employed a pre/post-implementation evaluation. Seven patients used VR during outpatient surgeries. Pain and anxiety scores were evaluated. (3) Results: Patients using VR exhibited lower pain and anxiety scores post-procedure compared to pre-procedure. Both patients and providers indicated high satisfaction with the VR experience. (4) Conclusions: This quality improvement project demonstrated the successful translation of research into practice. VR is a novel intervention that can reduce both pain and anxiety to improve the patient’s perioperative experience. Full article
(This article belongs to the Special Issue Applications of Virtual Simulation and Virtual Reality in Nursing)
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9 pages, 550 KiB  
Article
Crossing the Power Line: Using Virtual Simulation to Prepare the First Responders of Utility Linemen
by Alaina Herrington and Joseph Tacy
Informatics 2020, 7(3), 26; https://doi.org/10.3390/informatics7030026 - 29 Jul 2020
Cited by 5 | Viewed by 3659
Abstract
Virtual reality (VR) healthcare simulation has helped learners develop skills that are transferable to real-word conditions. Innovative strategies are needed to train workers to improve community safety. The purpose of this pilot project was to evaluate the use of a VR simulation applying [...] Read more.
Virtual reality (VR) healthcare simulation has helped learners develop skills that are transferable to real-word conditions. Innovative strategies are needed to train workers to improve community safety. The purpose of this pilot project was to evaluate the use of a VR simulation applying the International Nursing Association for Clinical Simulation and Learning (INACSL) Standards of Best Practice: SimulationSM Simulation Design with eight power line workers. Six power industry supervisors and educators assisted in facilitating three VR simulations with eight linemen participants. Kotter’s eight steps to leading change and the INACSL Standards of Best Practice: SimulationSM Simulation Design were utilized in working with energy leaders and VR developers to carry out this pilot project. Pre- and post-implementation surveys demonstrated a 28% improvement in participants’ learning outcomes. All three learning objectives were met. This project demonstrated the successful application of a translational framework and the INACSL Standards of Best Practice: SimulationSM in a VR context in the power industry. This process may be helpful to guide or inspire further adoption of VR in unconventional settings. Full article
(This article belongs to the Special Issue Applications of Virtual Simulation and Virtual Reality in Nursing)
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