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Interactive Anatomy-Augmented Virtual Simulation Training

Published:December 11, 2017DOI:https://doi.org/10.1016/j.ecns.2017.09.008

      Highlights

      • The students like the graphics, fun games and interactive activities.
      • The anatomy-augmented reality trainer was better at visualizing internal structures.
      • The anatomy-augmented reality trainer mixes video and virtual elements.

      Abstract

      Background

      Traditionally, clinical psychomotor skills are taught through videos and demonstration by faculty, which does not allow for the visualization of internal structures and anatomical landmarks that would enhance the learner skill performance.

      Method

      Sophomore and junior nursing students attending a large Midwestern institution (N = 69) participated in this mixed methods study. Students demonstrated their ability to place a nasogastric tube (NGT) after being randomly assigned to usual training (control group) or an iPad anatomy-augmented virtual simulation training module (augmented reality [AR] group). The ability of the participants to demonstrate competence in placing the NGT was assessed using a 17-item competency checklist. After the demonstration, students completed a survey to elicit information about students' level of training, prior experience with NGT placement, satisfaction with the AR technology, and perceptions of AR as a potential teaching tool for clinical skills training.

      Results

      The ability to correctly place the NGT through all the checklist items was statistically significant in the AR group compared with the control group (p = .011). Eighty-six percent of participants in the AR group rated AR as superior/far superior with other procedural training programs to which they had been exposed, whereas, only 5.9% of participants in the control group rated the control program as superior/far superior (p < .001).

      Conclusions

      Overall, the AR module was better received compared with the control group with regard to realism, identifying landmarks, visualization of internal organs, ease of use, usefulness, and promoting learning and understanding.

      Keywords

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      References

        • Aebersold M.
        The history of simulation and its impact on the future.
        AACN. Advanced Critical Care. 2016; 27: 56-61
        • Aebersold M.
        • Tschannen D.
        Simulation in nursing practice: The impact on patient care.
        The Online Journal of Issues in Nursing. 2013; 18: 6
        • American Association of Colleges of Nursing (AACN)
        Fact sheets. Nursing faculty shortage.
        2015 (Retrieved from)
        • Bacca J.
        • Baldiris S.
        • Fabregat R.
        • Graf S.
        Augmented reality trends in education: A systematic review of research and applications.
        Journal of Educational Technology & Society. 2014; 17: 133-149
        • Barsom E.Z.
        • Graafland M.
        • Schijven M.P.
        Systematic review on the effectiveness of augmented reality applications in medical training.
        Surgical Endoscopy. 2016; 30: 4174-4183
        • Braga M.S.
        • Tyler M.D.
        • Rhoads J.M.
        • Cacchio M.P.
        • Auerbach M.
        • Nishisaki A.
        • Larson R.J.
        Effect of just-in-time simulation training on provider performance and patient outcomes for clinical procedures: A systematic review.
        BMJ Simulation and Technology Enhanced Learning. 2015; 1: 94-102
        • Cant R.P.
        • Cooper S.J.
        Simulation in the internet age: The place of web-based simulation in nursing education. An integrative review.
        Nurse Education Today. 2014; 34: 1435-1442
        • Cant R.P.
        • Cooper S.J.
        Simulation-based learning in nurse education: Systematic review.
        Journal of Advanced Nursing. 2010; 66: 3-15
        • Decker S.
        • Sportsman S.
        • Puetz L.
        • Billings L.
        The evolution of simulation and its contribution to competency.
        The Journal of Continuing Education in Nursing. 2008; 39: 74-80
        • Ferguson C.
        • Davidson P.M.
        • Scott P.J.
        • Jackson D.
        • Hickman L.D.
        Augmented reality, virtual reality and gaming: An integral part of nursing.
        Contemporary Nurse. 2015; 51: 1-4
        • Garrett B.M.
        • Jackson C.
        • Wilson B.
        Augmented reality m-learning to enhance nursing skills acquisition in the clinical skills laboratory.
        Interactive Technology and Smart Education. 2015; 12: 298-314
        • Gonzalez L.
        • Kardong-Edgren S.
        Deliberate practice for mastery learning in nursing.
        Clinical Simulation in Nursing. 2017; 13: 10-14
        • Hayden J.K.
        • Smiley R.A.
        • Alexander M.
        • Kardong-Edgren S.
        • Jeffries P.R.
        The NCSBN national simulation study: A longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education.
        Journal of Nursing Regulation. 2015; 5: S1-S64
        • Hsu L.L.
        • Chang W.H.
        • Hsieh S.I.
        The effects of scenario-based simulation course training on nurses' communication competence and self-efficacy: A randomized controlled trial.
        Journal of Professional Nursing. 2015; 31: 37-49
        • INACSL Standards Committee
        INACSL standards of best practice: SimulationSM simulation design.
        Clinical Simulation in Nursing. 2016; 12: S5-S12
        • Jacobson T.
        • Belcher E.
        • Sarr B.
        • Ruitta E.
        Clinical scenarios: Enhancing the skill set of the nurse as a vigilant guardian.
        The Journal of Continuing Education in Nursing. 2010; 41: 347-353
        • Kilmon C.A.
        • Brown L.
        • Ghosh S.
        • Mikitiuk A.
        Immersive virtual reality simulations in nursing education.
        Nursing Education Perspectives. 2010; 31: 314-317
        • Lasater K.
        High-fidelity simulation and the development of clinical judgment: Student's experiences.
        Journal of Nursing Education. 2007; 46: 269-276
        • Lateef F.
        Simulation-based learning: Just like the real thing.
        Journal of Emergencies, Trauma, and Shock. 2010; 3: 348
        • Lee K.
        Augmented reality in education and training.
        TechTrends. 2012; 56: 13-21
        • Neumann U.
        • Majoros A.
        Cognitive, performance, and systems issues for augmented reality applications in manufacturing and maintenance.
        in: Virtual reality Annual International Symposium, 1998. Proceedings, IEEE 1998. IEEE, Atlanta, Georgia1998: 4-11
        • Onda E.
        Situated cognition: Its relationship to simulation in nursing education.
        Clinical Simulation in Nursing. 2011; 8: e273-e280
        • Radu I.
        Augmented reality in education: A meta-review and cross-media analysis.
        Personal and Ubiquitous Computing. 2014; 18: 1533-1543
        • Rochlen L.R.
        • Levine R.
        • Tait A.R.
        First person point of view augmented reality for central line insertion training: A usability and feasibility study.
        Simulation in Healthcare. 2017; 12: 57-62
        • Saltan F.
        • Arslan Ö
        The use of augmented reality in formal education: A scoping review.
        Eurasia Journal of Mathematics, Science & Technology Education. 2017; 13: 503-520
        • Schiavenato M.
        Re-evaluating simulation in nursing education: Beyond the human patient simulator.
        Journal of Nursing Education. 2009; 48: 388e-394e
        • Searl K.R.
        • McAllister M.
        • Dwyer T.
        • Krebs K.L.
        • Anderson C.
        • Quinney L.
        • McLellan S.
        Little people, big lessons: An innovative strategy to develop interpersonal skills in undergraduate nursing students.
        Nurse Education Today. 2014; 34: 1201-1206
        • Shin S.
        • Park J.H.
        • Kim J.H.
        Effectiveness of patient simulation in nursing education: Meta-analysis.
        Nurse Education Today. 2015; 35: 176-182
        • Vaughn J.
        • Lister M.
        • Shaw R.J.
        Piloting augmented reality technology to enhance realism in clinical simulation.
        CIN: Computers, Informatics, Nursing. 2016; 34: 402-405
        • Watson R.
        • Stimpson A.
        • Topping A.
        • Porock D.
        Clinical competence assessment in nursing: A systematic review of the literature.
        Journal of Advanced Nursing. 2002; 39: 421-431
        • Zhu E.
        • Hadadgar A.
        • Masiello I.
        • Zary N.
        Augmented reality in healthcare education: An integrative review.
        PeerJ. 2014; 2: e469