Bridging the gap of work-as-imagined versus work-as-done through use of multiuser immersive virtual reality simulation.
Bridging the gap of work-as-imagined versus work-as-done through use of multiuser immersive virtual reality simulation.
复制标题
通过使用多用户沉浸式虚拟现实模拟，缩小想象中的工作与完成的工作之间的差距。
DOI：
10.1002/jhm.13281
复制
发表时间：
2024
影响因子：
2.6
通讯作者：
Markham,JessicaL
中科院分区：
文献类型：
--
作者：
Platt,Michael;Chan,YRaymond;Markham,JessicaL
在詹姆斯·赫里奥特(James Herriot)备受喜爱的经典之作《万物有灵》(All Creatures Great And Small)中，临床医生最容易联想到的场景之一是开场，赫里奥特哀叹，在教科书上理想化的形象中，赫里奥特在无菌、舒适的工作环境中快乐的兽医，与肮脏、没有供暖的谷仓和一个不高兴的牛病人的实际工作环境之间存在着极端的脱节。“想象中的工作”和“完成的工作”之间的不协调是许多医疗保健专业人员的生活现实，也是我们所有人都克服的共同障碍。在传统的讲座、教科书和期刊文章中，经常缺少的是行医系统的细微差别，包括分心、必要的多任务、疲劳、不可避免的沟通错误和技术障碍。临床医生需要反复和不同的疾病过程接触，以发展在不同背景下以高可靠性管理它的能力，而不考虑经验的保真度。从历史上看，临床医生培训通过强化的、有监督的现实生活体验来解决“想象中的工作”和“实际完成的工作”之间的差距。然而，生活中的自然变化有时会导致人们对基本经历的接触不足。正是在这一差距中，基于模拟的体验可以成为从想象到现实的垫脚石。1
One of the most relatable scenes for clinicians in James Herriot’s beloved classic All Creatures Great and Small is the opening scene in which Dr. Herriot bemoans the extreme disconnect from the textbook idealized image of a cheerful veterinary surgeon in a sterile, comfortable work environment to the actual work environment of a dirty, unheated barn with an unhappy bovine patient. The dissonance between the “work-as-imagined” and the “work-as-done” is a fact of life for many healthcare professionals and a common barrier that we have all overcome. What is frequently absent in traditional lectures, textbooks, and journal articles are the nuances of the system in which medicine is practiced including the distractions, requisite multi-tasking, fatigue, inevitable miscommunications, and technology hiccups.A clinician needs repeated and varied encounters with a disease process to develop the ability to manage it with high reliability within different contexts, regardless of the fidelity of the experience. Historically, clinician training has addressed this gap between the “workas-imagined” and the “work-as-done” through intensive, supervised real-life experience. However, the natural variation in life sometimes contributes to under-exposure to essential experiences. It is in this gap that simulation-based experiences can become a stepping stone from the imagined to reality. 1