Training of Shoulder Dystocia Using Virtual Reality: A Feasibility Study

IF 3.4 3区医学 Q1 NURSING Clinical Simulation in Nursing Pub Date : 2024-10-10 DOI:10.1016/j.ecns.2024.101623

Fanny Mikula MD , Alex Farr MD, PhD, MPH , Tim Dorittke MD , Anja Catic MD , Florian Heinzl Mag. , Bernhard Roessler MD, PhD , Katharina Adelwoehrer MD , Philipp Foessleitner MD , Eva Karner MD , Veronica Falcone MD, PhD

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Abstract

Background

Simulation training is an important aspect of obstetric education but high-fidelity simulation is resource-intensive. This study aimed to evaluate Virtual Reality (VR) technology for simulation training of shoulder dystocia (SD).

Methods

Trainees were instructed on the technological aspects. Consequently, they managed a SD scenario in VR, following a standardized algorithm. Self-evaluation of nontechnical skills and task demands was conducted using the modified Human Factors Skills for Healthcare Instrument and the NASA Task Load Index questionnaire.

Results

We included 44 participants, who completed the scenario within a five minute time-limit. There was a significant decrease in time-to-delivery, from 136 (106-181) seconds on the first to 88 (69-135) seconds on the second attempt. Qualitative analysis indicated a high self-perceived initial human skills level and a high degree of effort with 11 (7-13) points, mental (12 [7-15]), and temporal (11.5 [9-15]) demands during training.

Conclusions

VR is a modern, feasible, and effective option for simulation training for SD. Randomized controlled trials are required to further evaluate this training modality in obstetric medical education.

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利用虚拟现实技术进行肩难产训练：可行性研究

背景模拟培训是产科教育的一个重要方面，但高保真模拟需要大量资源。本研究旨在评估虚拟现实（VR）技术在肩难产（SD）模拟训练中的应用。随后，他们按照标准化算法在 VR 中管理 SD 场景。结果我们有 44 名学员，他们在 5 分钟的时间限制内完成了情景模拟。完成时间明显缩短，从第一次的 136 秒（106-181）缩短到第二次的 88 秒（69-135）。定性分析结果表明，自我感觉的初始人类技能水平较高，在训练过程中需要付出11（7-13）分的努力、12[7-15]分的精神努力和11.5[9-15]分的时间努力。需要进行随机对照试验，以进一步评估这种培训方式在产科医学教育中的应用。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.