using a virtual environment (second life)
DESCRIPTION
Using a virtual environment (Second Life®) to simulate decision-making in a ward simulation and provide feedbackTRANSCRIPT
School of Health, Department of Acute Nursing and Health
Using a virtual environment (Second Life®) to simulate decision-making in a ward simulation and provide feedback
Background A review of fitness for practice identified that decision making skills were poor in new graduates. New methods of
teaching skills were being explored by university – who have bought an island on Second Life ®. Second Life is an Internet 3-D virtual world that is built and owned by its residents (avatars).
Methodology and Method• Qualitative evaluation of the student experience• 350 3rd year students invited to participate, 6 consented to study and 5 participated.• The Simulation - Students given report using ‘SBAR’ relating to 6 patients who are being cared for in a surgical ward .
The scenario runs for 1 hour in Second Life. The student is assisted by a nurse avatar – who is their mentor. The patients are controlled by 2 lecturers
• Communication and feedback from the patients and mentor is in real time and interactive via text, which appears on the screen.
• A transcript of the communication is generated at the end of the scenario and presented in a Word document• After the simulation students were asked to reflect on experience using one to one interviews.
Analysis and Results Communication text was descriptively analysed to determine level of decision making (pro-activity or re activity of student to
patient situations).
• Most were proactive with Anne – possibly due to feeling competent about wound care• None were proactive with Colin who had just returned from theatre.• Not all students recognised that May required reassurance or prevented her from leaving the ward• 1 student undertook vital sign assessment when William’s condition deteriorated• No student undertook a EWS without prompting from mentor
Qualitative analysis of method of feedback (text conversation appearing on screen and debrief interview)
• Students felt it was a ‘realistic’ experience • Feedback from patient avatars in real time was ‘ very valuable’ • Chance to ‘debrief’ to review communication and actions, were necessary for learning experience• Missed auditory queues – such as hearing a patient vomiting or groaning in pain• Couldn’t type as quickly as I could think and make decisions so decision making was slowed down• Typing stilts conversation and it is difficult to take part in a discussion with several people at the same time – so you
cant do a dressing and speak to another patient at the same time
Future Plans• To provide students with written transcript of the communication• To explore use of headsets and microphones to replace text• Conduct scenario using Bots (programmed avatars)
copyright
Aim of Study Provide feedback to 3rd year student nurses’ on their decision-making skills in a simulated ward using Second Life
Patient scenariosMay ,88, on ward for 3 weeks. Waiting for bed in elderly care unit. She has Alzheimer's type dementia and is confused, disorientated and anxious.
Laura,39, awaiting an upper gastric endoscopy
William,56, was admitted 10-15 mins earlier with acute R sided upper abdominal pain. Given Morphine 10mgs IM approximately 30 minutes ago
Colin ,22, professional rugby player just back from theatre following a left knee arthroscopy.
Priscilla,62, awaiting discharge following an appendicetomy .Needs OPD and District Nurse appointments and a prescription for analgesia
Anne, 44 is 5 days post open cholecystectomy. Up and about and eating well. Wound is very red and moist in appearance. She is waiting for her MRSA screen results.
PLEASE CONTACT Theresa Price, Senior Lecturer E: [email protected] Jacqueline McCallum, Senior Lecturer E: [email protected] Valerie Ness, Lecturer E: [email protected]