Training situational awareness for scrub nurses: Error recognition in a virtual operating room

Abstract

Virtual reality simulation provides interesting opportunities to train nurses in a safe environment. While the virtual operating room has proven to be a useful training tool for technical skills, it has been less studied for non-technical skills. This study aimed to assess "Error recognition in a virtual operating room", using a simulation scenario designed to improve situation awareness. Eighteen scrub-nurse students and 8 expert scrub-nurses took part in the experiment. They were immersed in a virtual operating room and reported any errors they observed. There were nineteen errors with various degrees of severity. Measures were retrieved from logs (number of errors, time for detection, movements) and from questionnaires (situation awareness, subjective workload, anxiety and user experience). The results showed that the participants who detected most errors had a higher level of situation awareness, detected high-risk errors faster and felt more immersed in the virtual operating room than those detecting fewer errors. They also felt the workload was lighter and J o u r n a l P r e -p r o o f 3 experienced more satisfaction. Students explored the operating room more than experts did and detected more errors, especially those with moderate risk. Debriefings confirmed that virtual simulation is acceptable to trainees and motivates them. It also provides useful and original material for debriefings.

Effect evaluation of case-based learning with situated cognition theory on competence training for student nurses in pediatric surgery

“…With the improvement of nursing education, nurses are not limited to clinical practice but also need to assist doctors to promote the rapid recovery of patients. Introducing student nurses to real situational experiences is more conducive to actively guiding their ability to discover, analyze, and solve problems independently [ 35 , 36 ], as well as to facilitating nurse clinicians' transition to the nurse educator role [ 37 ]. Studies have shown that adverse events are closely related to patient safety and care quality, but about 50% of them can be prevented [ 38 , 39 ].…”

The Process of Situational Awareness Embodiment of Perioperative Scrub Nurses: An Analytic Induction Approach

“…최근 수술실 간호사의 상황인식과 관련된 선행연구로는 수 술 과정 동안 소독간호사가 외과의에게 기구를 전달하는 움직 임을 통해 상황인식의 정도를 분석했던 관찰적 문화기술지연 구(observational ethnographic research) [8], 수술실에서 의 료팀의 상황인식에 영향하는 요인을 분석하는 연구 [9], 간호사 를 대상으로 상황인식과 임상의사결정에 대한 체계적 문헌고 찰 연구 [4], 간호학생들의 상황인식을 향상시키기 위해 특별한 훈련(시뮬레이션)이 필요하다는 연구 [10,11]…”

Toward the validation of VR-HMDs for medical education: a systematic literature review

“…Virtual reality (VR) is a defined as a computer-generated reality, which creates an opportunity for learners to experience various auditory and visual stimuli experienced through specialized hardware, such as head-mounted displays (HMDs) (INACSL Standards Committee 2016 ). The implementation of VR in medicine is not new and has been used in various medical contexts, ranging from nursing, clinical psychology, hospital teamwork, anatomical discovery, surgical operational training, pre- and post-surgical training, and for augmentation, and has shown increasing potential for improving learning outcomes (Vaughan et al 2016 ; Bracq et al 2021 ; Mehrotra and Markus 2021a ).…”