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Advanced haptics simulation platform for improved nurse skills

先进的触觉模拟平台可提高护士技能

基本信息

批准号：
10383492
负责人：
ROBERT J LEVINE
金额：
$ 25.66万
依托单位：
ARCHIEMD, INC.
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-21 至 2024-09-20
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10383492
关键词：
3-Dimensional Address Anatomy Body part Caring Catheters Cessation of life Characteristics Clinical Clinical Skills Cognitive Science Computer Models Computer Simulation Computers Devices Discipline of Nursing Education Effectiveness Emotional Ensure Environment Esthesia Failure Feedback Health Health Care Costs Healthcare Hospitals Human Imagery Immersion Infection Instruction Intravenous Knowledge Learning Link Manikins Medical Medical Education Methods Modality Modeling Movement Nurses Nursing Education Nursing Students Participant Patient Care Patient Simulation Patients Performance Peripheral Phase Physiological Practical Nursing Procedures Reporting Research Severities Site Statistical Data Interpretation System Tactile Techniques Technology Therapeutic Time Tissues Training Training Activity Tube Visual Visualization base clinical practice comparative computer generated design driving skills educational atmosphere experience flexibility force feedback haptic feedback haptic technology haptics human model improved lectures meetings models and simulation novel nursing skill professional atmosphere programs psychologic real world application simulation simulation software skill acquisition skills skills training student training trait user-friendly virtual virtual patient virtual platform virtual reality virtual reality environment virtual reality simulation

项目摘要

Abstract ArchieMD proposes developing an advanced haptics simulation platform for improved nurse skills training for peripheral intravenous (IV) insertion and nasogastric tube (NGT) procedures. There is a significant gap between theoretical and practical nursing education programs, making for a difficult transition from education to work environments. Nursing programs have long relied on low- and high-fidelity manikins, which vary from simply replicas of human beings/body parts with limited to no distinguishing features to comparative human models with adjustable physiological traits. However, manikins can be limited in their effectiveness in providing diverse patient scenarios or meeting the requirements for conceptual, physical, and emotional/psychological fidelity that will ensure that patient simulation is accurate. Task training manikins, such as those used to teach IV and NG placement, lack live tissue fidelity, which could be significantly enhanced with haptic technology. Further, manikins alone cannot provide real-time visualization of internal anatomy and a limited capacity to simulate complications from incorrect device placement. The emergence of simulation-based models for medical education addresses the need for required skill development of healthcare trainees, including manikin training, virtual reality, and interactive medical simulation software. The use of nurse training simulations in a blended learning environment has been reported to lower the number of IV insertion attempts and reduce IV-related complications on subsequent patients. To improve this form of education, ArchieMD will provide nurses with immersive haptic training simulations to help them practice and acquire skills and gain confidence in performing peripheral IV and NGT insertion. By integrating visual 3D computer models with a game engine and haptics, ArchieMD will provide an immersive virtual reality (VR) training environment for nursing students. This will offer a new modality for simulation training, with the ability to provide force or tactile feedback that simulates a virtual object's physical substrate. Haptics technology and computer-generated imagery can simulate internal and external anatomy, enhance nurse training activities, and successfully transfer simulator- acquired skills to real-world applications. The proposed technology will promote improved learning through both "hands-on" clinical education and ensure patient fidelity. The Phase I research effort will be comprised of two aims: 1) Develop simulations for IV insertion and NGT procedures, incorporating 3D computer models and a stylus with haptic feedback, and 2) Carry out a user study to evaluate the haptic simulations' performance in transferring peripheral IV and NGT insertion skills. The haptics technology designed here will support immersive simulation training, allowing nursing education programs to supplement lecture- or observation-based training or replace current task trainer manikins. These easily accessed training simulations will result in improved clinical skills and, ultimately, better patient care.

摘要 ArchieMD建议开发高级触觉模拟平台以提高护士技能外周静脉插管(IV)和鼻胃管(NGT)操作的培训。有一个理论护理教育与实践护理教育之间的巨大差距，导致艰难的转型从教育到工作环境。护理项目长期以来一直依赖于低保真和高保真的人体模型，从人类/身体部位的简单复制品到没有区别特征的简单复制品具有可调节生理特征的比较人体模型。然而，Manikin可以限制在他们的在提供多样化的患者场景或满足概念、物理和情感/心理的保真度将确保患者模拟的准确性。任务训练人体模型，如像那些用来教授静脉注射和NG放置的人一样，缺乏活组织的保真度，这可以通过触觉技术。此外，仅有Manikin不能提供内部解剖的实时可视化和模拟设备放置不正确导致的并发症的能力有限。以仿真为基础的技术的出现医学教育模式解决了保健实习生所需技能发展的需求，包括人体模型训练、虚拟现实和交互式医学模拟软件。护士培训模拟的应用据报道，在混合式学习环境中可以降低静脉插管尝试的次数并减少静脉注射相关并发症对后续患者的影响。为了改善这种教育形式，ArchieMD将提供护士通过身临其境的触觉培训模拟，帮助他们练习并获得技能和收获有信心进行外周静脉注射和NGT插入。通过将可视3D计算机模型与游戏引擎和触觉，ArchieMD将为护理人员提供沉浸式虚拟现实(VR)培训环境学生们。这将为模拟训练提供一种新的方式，能够提供力量或触觉反馈模拟虚拟物体的物理衬底。触觉技术和计算机生成的图像可以模拟内外解剖，加强护士培训活动，成功转移模拟器- 在实际应用中获得技能。拟议中的技术将通过以下两种方式促进改进学习 “亲力亲为”的临床教育，确保患者忠诚度。第一阶段的研究工作将由两部分组成目标：1)开发静脉插管和NGT过程的模拟，结合3D计算机模型和具有触觉反馈的触控笔，以及2)进行用户研究以评估触觉模拟在传授外周静脉注射和NGT插入技能。这里设计的触觉技术将支持身临其境模拟培训，允许护理教育计划补充讲课或基于观察的培训或更换当前任务教练员的人体模型。这些易于访问的培训模拟将改善临床技能，最终，更好的病人护理。