PURPOSE: To describe results of a study evaluating a Projected Augmented Reality (P-AR) system for its potential to enhance nursing education about pressure injuries. DESIGN: Pilot evaluation survey. SUBJECTS AND SETTING: The sample comprised nursing students and faculty at a school of nursing in a large, Midwestern public university. A total of 32 participants, which included 27 students (30% BSN, 44% MN, and 26% DNP students; 81% female) and 5 faculty members (80% female) participated. METHODS: The P-AR system was prototyped using commercial-off-the-shelf components and software algorithms, applied to pressure injury nursing education content. After interaction with the P-AR system, participants completed a survey evaluating the following features of the P-AR system for potential: engagement, effectiveness, usefulness, user-friendliness, and realism, and users' overall impression and satisfaction with system features. Evaluation statements used a 5-level Likert-scale; open-ended questions about what was liked, disliked, or anything else offered opportunity for comments. RESULTS: Student and faculty median evaluation scores were 5 (strongly agree or very satisfied) and 4 (agree or satisfied) for nearly all evaluation and satisfaction statements. Students' satisfaction with “realism” received a median score of 3 (neutral). The P-AR system was refined to include realistic still and animated images. CONCLUSION: The P-AR system, an innovative technology using 3-dimensional dynamic images, was applied to nursing education content about pressure injury and was evaluated as having potential to enhance pressure injury teaching and learning. Education about complex processes of pressure injury development and management may benefit from using cutting-edge simulation technologies such as P-AR.
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The opinions of cognitively intact current wheelchair users and their professional caregivers were solicited to explore acceptability of the concept of a passive electric wheelchair-mounted movement monitor to track driving safety and cognitive impairment. Two focus groups of electric wheelchair users (N = 9), and two focus groups of staff caregivers (N = 8) were conducted at a congregate care facility. Participants also completed a questionnaire examining their perceptions of the concept. The results indicated most wheelchair users and staff caregivers were receptive to the idea of a passive safety monitoring system for wheelchairs to detect cognitive impairment. Three main and interrelated themes emerged regarding how the device could promote safety, how such a system might infringe upon the users' autonomy, and how and to whom the cognitive state information should be communicated. Legal, training, and marketing issues reflected similar concerns over balancing autonomy with safety issues. If successfully addressed, it appears there would be support for the device's use not only for older adults in institutional settings, but perhaps also among community living younger and older adults. A passive safety monitoring system for wheelchairs is acceptable to wheelchair users and can be successfully marketed if developers balance autonomy and safety concerns.
The i s s u e of whether exposure t o e l e c t r o m a g n e t i c r a d i a t i o n c a n have d e l i t e r i o u s e f f e c t s on human h e a l t h h a s r e c e i v e d wides p r e a d a t t e n t i o n i n both t h e p o p u l a r and s c i e n t i f i c p r e s s . Recent s t u d i e s have shown t h a t such e f f e c t s can he d e r i v e d even from f i e l d s of very s m a l l s t r e n g t h s . Given t h i s c o n c e r n , i t might prove u s e f u l t o examine t h e c a p a c i t y of f e d e r a l and s t a t e a g e n c i e s concerned w i t h t h e maintenance of p u b l i c h e a l t h t o cope w i t h t h i s problem. Using t h e c a s e of t h e Vernon Township, New J e r s e y as a primary example, we f i n d t h a t t h e i r e f f e c t i v e n e s s i s a p p a r e n t l y compromised by a v a r i e t y of f a c t o r s , r a i s i n g q u e s t i o n s c o n c e r n i n g t h e i r c a p a c i t y t o d e a l w i t h t h i s p a r t i c u l a r e a s e , and w i t h t h e i r past and f u t u r e performance on t h i s i s s u e as a w h o l e .BACKGROUND
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