Effects of Virtual Reality Simulation on Worker Emergency Evacuation of Neonates

描述（由申请人提供）：在紧急情况和灾害期间及时有效地疏散新生儿是国土安全部和卫生与公众服务部确定的紧急优先事项。新生儿重症监护病房提供了独特的挑战，在医院紧急情况需要疏散。在这种环境中，对卫生保健提供者进行的关于为这些危重婴儿提供安全医疗护理的最佳做法的培训和教育有限，但需求很大。向保健工作者提供紧急疏散教育和培训的一种潜在创新方法是使用虚拟现实模拟。鉴于缺乏关于新生儿灾难疏散的研究和证据，这项拟议的研究将极大地扩展一个极其被忽视的领域。本研究的目的是检验接受VRS NICU紧急疏散培训的医护人员与仅接受网络培训的医护人员在学习结果上的差异。学习成果包括：a)与传统学习方法相比，在VRS后获得的知识和记忆；b)对涉及婴儿的疏散程序的信心；c)基于现场疏散演习表现的精神运动学习。还将定量和定性地探讨医疗工作者使用VRS的经验，以确定沉浸感、真实性和导航场景的能力。将建立纵向、重复测量、随机实验设计，将90名卫生保健工作者随机分配到VRS培训和基于网络的模块（45人），而对照组（45人）只接受基于网络的模块。将创建五个VRS场景，以增强网络模块中提供的新生儿疏散培训材料。学习将通过认知评估、自我效能问卷和现场演练的表现来衡量。数据将在基线、后期、6个月和12个月收集，并在广义线性模型框架内使用广义估计方程分析进行分析。对于涉及参与者对VRS情景的看法的定性部分，将对焦点小组数据进行内容分析，并确定和核实主题。从这项研究的结果将扩大证据有关培训卫生保健工作者提供疏散新生儿在灾难期间。

DESCRIPTION (provided by applicant): The timely and effective evacuation of neonates during emergencies and disasters is an urgent priority identified by the Department of Homeland Security and the Department of Health and Human Services. Neonatal intensive care units provide unique challenges during hospital emergencies requiring evacuation. Training and education of healthcare providers in this environment around best practices to maintain safe, medical care for these critically ill infants are limited but the need is great. One potential innovative method to provide emergency evacuation education and training to healthcare workers is through the use of virtual reality simulation (VRS). Given the paucity of research and evidence pertaining to disaster evacuation of neonates, this proposed study will greatly expand an extremely neglected area. The purpose of this study is to examine differences in learning outcomes among healthcare workers who undergo VRS emergency evacuation training of NICU to those who receive web-based alone. Learning outcomes include a) knowledge gained and retention post VRS compared with traditional learning techniques, b) confidence with evacuation procedures involving infants, and c) psychomotor learning based upon performance in a live evacuation drill. Healthcare worker experiences with VRS will also be explored quantitatively and qualitatively to determine immersiveness, reality, and ability to navigate scenarios. A longitudinal, repeated measures, randomized-experimental design will be instituted with a convenience sample of 90 healthcare workers randomly assigned to the VRS training and web-based modules (45) versus a control group (45) that receives the web-based modules alone. Five VRS scenarios will be created that augment neonate evacuation training materials presented in the web-based modules. Learning will be measured using cognitive assessment, self-efficacy questionnaire and performance in a live drill. Data will be collected at baseline, post, 6, and 12 months and analyzed using generalized estimating equations analysis within a generalized linear model framework. For the qualitative component involving participants' perceptions of the VRS scenarios, content analysis of focus group data will be performed with identification and verification of themes. Results from this study will expand the evidence pertaining to training of healthcare workers as provide evacuation of neonates during a disaster.