Exploring the potential of video technologies for collaboration in emergency medical care: Part II. Task performance

Söderholm, Hanna Maurin; Sonnenwald, Diane H.; Manning, James E.; Cairns, Bruce A.; Welch, Greg; Fuchs, Henry

doi:10.1002/asi.20939

Cited by 9 publications

(10 citation statements)

References 32 publications

(32 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Here, ISRI can be of practical use to identify situations that have positive or negative effects on immersion. This knowledge can help simulation educators to decide the optimal level of different fidelity dimensions [ 20 ] to create adequate and engaging learning environments.…”

Section: Discussionmentioning

confidence: 99%

Measuring participants’ immersion in healthcare simulation: the development of an instrument

et al. 2016

View full text Add to dashboard Cite

BackgroundImmersion is important for simulation-based education; however, questionnaire-based instruments to measure immersion have some limitations. The aim of the present work is to develop a new instrument to measure immersion among participants in healthcare simulation scenarios.MethodsThe instrument was developed in four phases: trigger identification, content validity scores, inter-rater reliability analysis and comparison with an existing immersion measure instrument. A modified Delphi process was used to develop the instrument and to establish validity and reliability. The expert panel consisted of 10 researchers. All the researchers in the team had previous experience of simulation in the health and/or fire and rescue services as researchers and/or educators and simulation designers. To identify triggers, the panel members independently screened video recordings from simulation scenarios. Here, a trigger is an event in a simulation that is considered a sign of reduced or enhanced immersion among simulation participants.ResultsThe result consists of the Immersion Score Rating Instrument (ISRI). It contains 10 triggers, of which seven indicate reduced and three enhanced immersion. When using ISRI, a rater identifies trigger occurrences and assigns them strength between 1 and 3. The content validity analysis shows that all the 10 triggers meet an acceptable content validity index for items (I-CVI) standard. The inter-rater reliability (IRR) among raters was assessed using a two-way mixed, consistency, average-measures intra-class correlation (ICC). The ICC for the difference between weighted positive and negative triggers was 0.92, which indicates that the raters are in agreement. Comparison with results from an immersion questionnaire mirrors the ISRI results.ConclusionsIn conclusion, we present a novel and non-intrusive instrument for identifying and rating the level of immersion among participants in healthcare simulation scenarios.Electronic supplementary materialThe online version of this article (doi:10.1186/s41077-016-0018-x) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Measuring participants’ immersion in healthcare simulation: the development of an instrument

et al. 2016

View full text Add to dashboard Cite

show abstract

“…A typical ambulance mission can be divided into a number of defined phases [12,29,30]. Earlier simulation studies of ICT technology for prehospital care [20,22,31] have only focused on one specific phase of the prehospital process, such as on-scene assessment and treatment. It is reasonable to assume that every type of new tool or healthcare technology affects different processes in the overall care chain in different and diverse ways [32].…”

Section: Study Contextmentioning

confidence: 99%

The Effects of Integrated IT Support on the Prehospital Stroke Process: Results from a Realistic Experiment

Hagiwara

Lundberg

Sjöqvist

et al. 2019

J Healthc Inform Res

View full text Add to dashboard Cite

Stroke is a serious condition and the stroke chain of care is a complex. The present study aims to explore the impact of a computerised decision support system (CDSS) for the prehospital stroke process, with focus on work processes and performance. The study used an exploratory approach with a randomised controlled crossover design in a realistic contextualised simulation experiment. The study compared clinical performance among 11 emergency medical services (EMS) teams of 22 EMS clinicians using (1) a computerised decision support system (CDSS) and (2) their usual paper-based process support. Data collection consisted of video recordings, postquestionnaires and post-interviews, and data were analysed using a combination of qualitative and quantitative approaches. In this experiment, using a CDSS improved patient assessment, decision making and compliance to process recommendations. Minimal impact of the CDSS was found on EMS clinicians' self-efficacy, suggesting that even though the system was found to be cumbersome to use it did not have any negative effects on selfefficacy. Negative effects of the CDSS include increased on-scene time and a cognitive burden of using the system, affecting patient interaction and collaboration with team members. The CDSS's overall process advantage to the prehospital stroke process is assumed to lead to a prehospital care that is both safer and of higher quality. The key to user acceptance of a system such as this CDSS is the relative advantages of improved documentation process and the resulting patient journal. This could improve the overall prehospital stroke process.

show abstract

“…Results from previous research in innovation adoption and use (e.g., Rogers, 1995;Venkatesh, Morris, Davis, & Davis, 2003) have consistently shown that when innovations are not perceived as providing advantages over current ways of working, being compatible with existing values and structures, or being easy to try out and use people will not use them unless perhaps there is strong social influence to use the innovation. Our previous research evaluated the potential impact of a new video technology, called 3D medical consultation (3DMC) (Welch et al, 2009), or 3D telepresence, on emergency healthcare Söderholm et al, 2008). In this paper we investigate its propensity for adoption and use in large and small medical centers.…”

Section: Introductionmentioning

confidence: 97%

Visioning future emergency healthcare collaboration: Perspectives from large and small medical centers

Söderholm

Sonnenwald

2010

J. Am. Soc. Inf. Sci.

Self Cite

View full text Add to dashboard Cite

New video technologies are emerging to facilitate collaboration in emergency healthcare. One such technology is 3D telepresence technology for medical consultation (3DMC) that may provide richer visual information to support collaboration between medical professionals to, ideally, enhance patient care in real time. Today only an early prototype of 3DMC exists. To better understand 3DMC's potential for adoption and use in emergency healthcare before large amounts of development resources are invested we conducted a visioning study. That is, we shared our vision of 3DMC with emergency room physicians, nurses, administrators, and information technology (IT) professionals working at large and small medical centers, and asked them to share their perspectives regarding 3DMC's potential benefits and disadvantages in emergency healthcare and its compatibility and/or lack thereof with their and their organization's current ways of working. We found that social and technical challenges can be identified regarding new innovations even before working prototypes are available. The compatibility of 3DMC with current ways of working was conceptualized by participants in terms of processes, relationships, and resources. Both common and unique perceptions regarding 3DMC emerged, illustrating the need for 3DMC, and other collaboration technologies, to support interwoven situational awareness across different technological frames.

show abstract

Exploring the potential of video technologies for collaboration in emergency medical care: Part II. Task performance

Cited by 9 publications

References 32 publications

Measuring participants’ immersion in healthcare simulation: the development of an instrument

Measuring participants’ immersion in healthcare simulation: the development of an instrument

The Effects of Integrated IT Support on the Prehospital Stroke Process: Results from a Realistic Experiment

Visioning future emergency healthcare collaboration: Perspectives from large and small medical centers

Contact Info

Product

Resources

About