MESH360: a framework for designing MMR-enhanced clinical simulations

Abstract

This article evaluates the results of two prototype iterations of a design-based research project that explores the application of mobile mixed reality (MMR) to enhance critical care clinical health education simulation in Paramedicine. The project utilises MMR to introduce critical elements of patient and practitioner risk and stress into clinical simulation learning scenarios to create more authentic learning environments. Subjective participant feedback is triangulated against participant biometric data to validate the level of participant stress introduced to clinical simulation through the addition of MMR. Results show a positive impact on the learning experience for both novice and professional paramedic practitioners. The article highlights the development of implementation and data triangulation methodologies that can be utilised to enhance wider clinical simulation contexts than the original context of Paramedicine education. We argue that our collaborative transdisciplinary design team model provides a transferable framework for designing MMR-enhanced clinical simulation environments.

PJTEL Editorial 2019-2021

“…This is illustrated by the impact statistics of the top full paper published in PJTEL so far (Blaschke & Hase, 2019). Hase with citations in Q1 and Q2 ranked journals such as BJET (Lock et al, 2021), the International Journal of Educational Technology in Higher Education (Lynch et al, 2021) and RLT (Cochrane, Aiello, et al, 2020;Cochrane, Birt, et al, 2020). article provides insights into using H5P for developing online interactive learning content and Thomas' (2019) article discusses the use of Google Apps for education as a learning platform.…”

“…Their paper was the first full article published by PJTEL and currently has the top impact metrics of all the articles published in PJTEL. With 45 citations recorded via Google Scholar the article is the highest cited article published in 2019 by both Blaschke andHase with citations in Q1 and Q2 ranked journals such as BJET(Lock et al, 2021), the International Journal of Educational Technology in Higher Education(Lynch et al, 2021) and RLT(Cochrane, Aiello, et al, 2020;Cochrane, Birt, et al, 2020).…”

Enhancing Health Care Education and Practice Post COVID

“…Transferable design principles will be introduced for enhancing healthcare education that will improve practice in a COVID19 world, particularly drawing from eight healthcare projects including: STUDIO602 -enhancing clinical practice with mobile technologies (Cochrane & Sinfield, 2022), developing a virtual reality handover experience for healthcare students (Cochrane et al, 2018), using immersive reality to develop critical thinking in clinical health education (Stretton et al, 2018), enhancing first responder clinical simulation education using immersive reality and biometrics (Cochrane et al, 2020), designing authentic learning for graduate entry nursing students (Macdiarmid et al, 2021), designing public and environmental health education (Kersey et al, 2018),…”

Special collection on mobile mixed reality 2019 update

“…They conclude the study by stating that mixed VR offers significant opportunities for facilitating learning; however, further research is needed to explore the attributes of a constructive and effective mixed VR design. Cochrane et al (2020), the authors, report on their findings from a design-based research project of designing and implementing an MMR virtual environment for use in paramedicine. In an attempt to design and investigate an authentic MMR learning environment, the authors derived a set of guiding principles from the literature.…”