Building a Handoff Communication Virtual Experience for Nursing Students Using Virtual Humans
Building a Handoff Communication Virtual Experience for Nursing Students Using Virtual Humans
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DOI：
10.1097/cin.0000000000000760
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发表时间：
2021-12-01
影响因子：
1.3
通讯作者：
Lok, Benjamin
中科院分区：
文献类型：
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作者：
Stuart, Jacob;Aul, Karen;Lok, Benjamin
医疗保健专业人员之间的有效沟通对于提供安全、高质量的患者护理至关重要。护生必须掌握的一项重要的实际技能是生成准确的交接沟通报告。本研究的中心目标是建立、评估和修改虚拟体验模拟，允许护生在沉浸式环境中观察标准化的临床情况，然后练习situation-background-assessment-recommendation交流方法。这项组间实验研究根据新冠肺炎的担忧进行了修改，评估了69名获得执照前的护生在观看虚拟人类患者和护士在分诊评估场景中互动后对移交沟通报告的理解程度。结果表明，学生的理解水平并不因使用两种元认知策略中的哪一种而不同。两个研究组的参与者都能够基于虚拟体验准确地完成situation-background-assessment-recommendation仪器。此外，他们认为，观看虚拟护士进行分诊评估将有助于他们在类似的虚拟环境中进行分诊评估。在模拟的背景下，还有一个意想不到的研究发现与患者安全有关。这一发现需要进一步的研究，以修订用于培训未来护士的虚拟体验。
Effective communication among healthcare professionals is critical to delivering safe, high-quality patient care. One important real-world skill that nursing students must acquire is generating accurate handoff communication reports. The central aim of this study was to build, assess, and revise a virtual experience simulation that allows nursing students to observe a standardized clinical situation in an immersive environment and then practice the situation-background-assessment-recommendation communication method. This between-groups experimental study, which was modified in light of COVID-19 concerns, evaluated how well 69 prelicensure nursing students understood a handoff communication report after viewing a virtual human patient and nurse interact during a triage assessment scenario. Results indicate student comprehension levels did not differ based on which of two metacognitive learning strategies was used. Participants in both study groups were able to accurately complete a situation-background-assessment-recommendation instrument based on the virtual experience. Further, they believed that watching a virtual nurse perform a triage assessment would help them perform one themselves in a similar virtual environment. There was also an unexpected study finding related to patient safety within the context of the simulation. This finding warrants further research that will lead to revision of the virtual experience used to train future nurses.