OBJECTIVE: This study examined differences in learning outcomes among newborn intensive care unit (NICU) workers who underwentvirtual reality simulation (VRS) emergency evacuation training versus those who received web-based clinical updates (CU). Learning outcomes included a) knowledge gained, b) confidence with evacuation, and c) performance in a live evacuation exercise. METHODS: A longitudinal, mixed-method, quasi-experimental design was implemented utilizing a sample of NICU workers randomly assigned to VRS training or CUs. Four VRS scenarios were created that augmented neonate evacuation training materials. Learning was measured using cognitive assessments, self-efficacy questionnaire (baseline, 0, 4, 8, 12 months), and performance in a live drill (baseline, 12 months). Data were collected following training and analyzed using mixed model analysis. Focus groups captured VRS participant experiences. RESULTS: The VRS and CU groups did not statistically differ based upon the scores on the Cognitive Assessment or perceived self-efficacy. The virtual reality group performance in the live exercise was statistically (P<.0001) and clinically (effect size of 1.71) better than that of the CU group. CONCLUSIONS: Training using VRS is effective in promoting positive performance outcomes and should be included as a method for disaster training. VRS can allow an organization to train, test, and identify gaps in current emergency operation plans. In the unique case of disasters, which are low-volume and high-risk events, the participant can have access to an environment without endangering themselves or clients. (Disaster Med Public Health Preparedness. 2019;13:301-308).
RCT Entities:
OBJECTIVE: This study examined differences in learning outcomes among newborn intensive care unit (NICU) workers who underwent virtual reality simulation (VRS) emergency evacuation training versus those who received web-based clinical updates (CU). Learning outcomes included a) knowledge gained, b) confidence with evacuation, and c) performance in a live evacuation exercise. METHODS: A longitudinal, mixed-method, quasi-experimental design was implemented utilizing a sample of NICU workers randomly assigned to VRS training or CUs. Four VRS scenarios were created that augmented neonate evacuation training materials. Learning was measured using cognitive assessments, self-efficacy questionnaire (baseline, 0, 4, 8, 12 months), and performance in a live drill (baseline, 12 months). Data were collected following training and analyzed using mixed model analysis. Focus groups captured VRS participant experiences. RESULTS: The VRS and CU groups did not statistically differ based upon the scores on the Cognitive Assessment or perceived self-efficacy. The virtual reality group performance in the live exercise was statistically (P<.0001) and clinically (effect size of 1.71) better than that of the CU group. CONCLUSIONS: Training using VRS is effective in promoting positive performance outcomes and should be included as a method for disaster training. VRS can allow an organization to train, test, and identify gaps in current emergency operation plans. In the unique case of disasters, which are low-volume and high-risk events, the participant can have access to an environment without endangering themselves or clients. (Disaster Med Public Health Preparedness. 2019;13:301-308).
Authors: Deepika Mohan; Baruch Fischhoff; Coreen Farris; Galen E Switzer; Matthew R Rosengart; Donald M Yealy; Melissa Saul; Derek C Angus; Amber E Barnato Journal: Med Decis Making Date: 2013-10-14 Impact factor: 2.583
Authors: Philip H Pucher; Nicola Batrick; Dave Taylor; Muzzafer Chaudery; Daniel Cohen; Ara Darzi Journal: J Trauma Acute Care Surg Date: 2014-08 Impact factor: 3.313
Authors: Daniel Cohen; Nick Sevdalis; Vishal Patel; Michael Taylor; Henry Lee; Mick Vokes; Mick Heys; David Taylor; Nicola Batrick; Ara Darzi Journal: Resuscitation Date: 2013-01-26 Impact factor: 5.262
Authors: Deepika Mohan; Matthew R Rosengart; Baruch Fischhoff; Derek C Angus; Coreen Farris; Donald M Yealy; David J Wallace; Amber E Barnato Journal: BMC Emerg Med Date: 2016-11-11
Authors: Steven L Dubovsky; Daniel Antonius; David G Ellis; Werner Ceusters; Robert C Sugarman; Renee Roberts; Sevie Kandifer; James Phillips; Elsa C Daurignac; Kenneth E Leonard; Lisa D Butler; Jessica P Castner; G Richard Braen Journal: BMC Res Notes Date: 2017-01-03