Advanced haptics simulation platform for improved nurse skills

摘要 ArchieMD建议开发先进的触觉模拟平台，以提高护士技能 外周静脉（IV）插入和鼻胃管（NGT）操作培训。有一个 理论和实践护理教育计划之间存在重大差距，使过渡变得困难 从教育到工作环境。长期以来，护理项目一直依赖于低逼真度和高保真度的人体模型， 其从具有有限或没有区别特征的人类/身体部位的简单复制品， 具有可调节生理特征的比较人体模型。然而，人体模型可能在其 提供不同患者场景或满足概念、物理和 情感/心理保真度，这将确保患者模拟是准确的。任务训练模型，例如 如用于教导IV和NG放置的那些，缺乏活组织保真度，这可以通过使用 触觉技术此外，单独的人体模型不能提供内部解剖结构的实时可视化， 模拟不正确器械放置引起的并发症的能力有限。基于仿真的 医学教育模式解决了卫生保健受训者所需技能发展的需要，包括 人体模型训练、虚拟现实和交互式医疗模拟软件。护士培训模拟的应用 据报道，在混合学习环境中， 后续患者的IV相关并发症。为了改善这种教育形式，ArchieMD将提供 护士通过沉浸式触觉训练模拟，帮助他们练习和获得技能， 进行外周静脉和NGT插入的信心。通过将可视3D计算机模型与 游戏引擎和触觉，ArchieMD将为护理提供沉浸式虚拟现实（VR）培训环境 学生这将为模拟训练提供一种新的模式，能够提供力或触觉反馈 模拟虚拟物体的物理基底。触觉技术和计算机生成的图像可以 模拟内部和外部解剖结构，加强护士培训活动，并成功地将模拟器- 获得的技能到现实世界的应用。拟议中的技术将通过以下两种方式促进改进的学习 “动手”临床教育，确保患者的忠诚度。第一阶段的研究工作将包括两个 目的：1）开发IV插入和NGT程序的模拟，结合3D计算机模型和 具有触觉反馈的触笔，以及2）进行用户研究以评估触觉模拟在以下方面的性能： 转移外周静脉注射和NGT插入技能这里设计的触觉技术将支持沉浸式 模拟培训，允许护理教育计划补充讲座或观察为基础的培训，或 更换当前任务训练器人体模型。这些易于访问的训练模拟将改善临床 技能，最终，更好的病人护理。

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.