Effects of Virtual Reality Simulation on Worker Emergency Evacuation of Neonates

描述(由申请人提供)：在紧急情况和灾难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一项紧急优先事项。新生儿重症监护病房在需要疏散的医院紧急情况下带来了独特的挑战。在这种环境下，围绕最佳实践对医疗保健提供者进行培训和教育，以保持对这些危重婴儿的安全医疗护理是有限的，但需求是巨大的。为医护人员提供紧急疏散教育和培训的一个潜在的创新方法是使用虚拟现实模拟(VRS)。鉴于缺乏关于新生儿灾难后送的研究和证据，这项拟议的研究将极大地扩大一个极其被忽视的领域。本研究的目的是检验接受NICU VRS紧急疏散培训的医护人员与仅接受基于网络的培训的医护人员在学习结果上的差异。学习结果包括：a)与传统学习技术相比，VRS后获得的知识和保持能力；b)对涉及婴儿的疏散程序的信心；c)基于现场疏散演习的精神运动学习。还将定量和定性地探索医护人员使用VRS的体验，以确定沉浸感、真实性和导航场景的能力。采用纵向、重复测量、随机实验设计，将90名医护人员随机分配到VRS培训和基于网络的模块(45)与只接受基于网络的模块的对照组(45)进行便利抽样。将创建五个VRS情景，以补充基于网络的模块中提供的新生儿疏散培训材料。学习将使用认知评估、自我效能问卷和现场演练中的表现来衡量。将在基线、后、6和12个月收集数据，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，将对重点小组数据进行内容分析，并确定和核实主题。这项研究的结果将扩大与培训医护人员有关的证据，以便在灾难期间提供新生儿疏散。

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.