The Use of a Novel Virtual Reality Training Tool for Peritoneal Dialysis: Qualitative Assessment Among Health Care Professionals.

IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES JMIR Medical Education Pub Date : 2024-08-06 DOI:10.2196/46220
Caterina Lonati, Marie Wellhausen, Stefan Pennig, Thomas Röhrßen, Fatih Kircelli, Svenja Arendt, Ulrich Tschulena
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Abstract

Background: Effective peritoneal dialysis (PD) training is essential for performing dialysis at home and reducing the risk of peritonitis and other PD-related infections. Virtual reality (VR) is an innovative learning tool that is able to combine theoretical information, interactivity, and behavioral instructions while offering a playful learning environment. To improve patient training for PD, Fresenius Medical Care launched the stay•safe MyTraining VR, a novel educational program based on the use of a VR headset and a handheld controller.

Objective: This qualitative assessment aims to investigate opinions toward the new tool among the health care professionals (HCPs) who were responsible for implementing the VR application.

Methods: We recruited nursing staff and nephrologists who have gained practical experience with the stay•safe MyTraining VR within pilot dialysis centers. Predetermined open-ended questions were administered during individual and group video interviews.

Results: We interviewed 7 HCPs who have 2 to 20 years of experience in PD training. The number of patients trained with the stay•safe MyTraining VR ranged from 2 to 5 for each professional. The stay•safe MyTraining VR was well accepted and perceived as a valuable supplementary tool for PD training. From the respondents' perspective, the technology improved patients' learning experience by facilitating the internalization of both medical information and procedural skills. HCPs highlighted that the opportunity offered by VR to reiterate training activities in a positive and safe learning environment, according to each patient's needs, can facilitate error correction and implement a standardized training curriculum. However, VR had limited use in the final phase of the patient PD training program, where learners need to get familiar with the handling of the materials. Moreover, the traditional PD training was still considered essential to manage the emotional and motivational aspects and address any patient-specific application-oriented questions. In addition to its use within PD training, VR was perceived as a useful tool to support the decision-making process of patients and train other HCPs. Moreover, VR introduction was associated with increased efficiency and productivity of HCPs because it enabled them to perform other activities while the patient was practicing with the device. As for patients' acceptance of the new tool, interviewees reported positive feedback, including that of older adults. Limited use with patients experiencing dementia or severe visual impairment or lacking sensomotoric competence was mentioned.

Conclusions: The stay•safe MyTraining VR is suggested to improve training efficiency and efficacy and thus could have a positive impact in the PD training scenario. Our study offers a process proposal that can serve as a guide to the implementation of a VR-based PD training program within other dialysis centers. Dedicated research is needed to assess the operational benefits and the consequences on patient management.

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腹膜透析新型虚拟现实培训工具的使用:医护人员的定性评估。
背景:有效的腹膜透析(PD)培训对于在家进行透析以及降低腹膜炎和其他 PD 相关感染的风险至关重要。虚拟现实(VR)是一种创新的学习工具,它能够将理论信息、互动性和行为指导结合起来,同时提供一个有趣的学习环境。为了改善对腹膜透析患者的培训,费森尤斯医疗用品公司推出了 "保持安全的MyTraining VR",这是一个基于VR头显和手持控制器的新型教育项目:本定性评估旨在调查负责实施VR应用的医护人员(HCPs)对这一新工具的看法:我们招募了在试点透析中心使用过 stay-safe MyTraining VR 的护理人员和肾病专家。我们在个人和小组视频访谈中提出了预先设定的开放式问题:我们采访了 7 位在透析培训方面拥有 2 到 20 年经验的 HCP。每位专业人员接受过 stay-safe MyTraining VR 培训的患者人数从 2 人到 5 人不等。stay-safe MyTraining VR 被广泛接受,并被认为是一种有价值的腹膜透析培训辅助工具。从受访者的角度来看,该技术通过促进医疗信息和程序技能的内化,改善了患者的学习体验。医疗保健人员强调,虚拟现实技术可提供机会,在积极和安全的学习环境中根据每位病人的需要重申培训活动,有助于纠正错误和实施标准化的培训课程。然而,VR 在患者 PD 培训计划的最后阶段作用有限,因为在这一阶段学员需要熟悉材料的操作。此外,传统的病前指导培训仍被认为是管理情绪和动机方面以及解决患者具体应用问题的关键。除了在病程发展培训中使用外,VR 还被认为是支持患者决策过程和培训其他医疗保健人员的有用工具。此外,引入虚拟现实技术还能提高医护人员的工作效率和生产率,因为在患者使用设备练习时,医护人员可以从事其他活动。至于患者对这一新工具的接受程度,受访者报告了积极的反馈,包括老年人的反馈。有受访者提到,对于患有痴呆症、严重视力障碍或缺乏感知能力的患者,该工具的使用受到限制:保持安全的 MyTraining VR 被认为可以提高训练效率和效果,因此可以对肢体障碍训练产生积极影响。我们的研究提供了一个流程建议,可作为在其他透析中心实施基于 VR 的 PD 培训计划的指南。我们还需要开展专门研究,以评估其运营效益和对患者管理的影响。
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来源期刊
JMIR Medical Education
JMIR Medical Education Social Sciences-Education
CiteScore
6.90
自引率
5.60%
发文量
54
审稿时长
8 weeks
期刊最新文献
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