Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore.
Nurse Educ Today. 2019 Oct;81:64-71. doi: 10.1016/j.nedt.2019.06.012. Epub 2019 Jul 2.
Collaborative learning in interprofessional team care delivery across different healthcare courses and institutions is constrained by geographical locations and tedious scheduling. Three dimensional virtual environments (3D-VE) are a viable and innovative tool to bring diverse healthcare students to learn together.
The aim of this study is to describe the development of a 3D-VE and to evaluate healthcare students' experiences of their collaborative learning in the environment.
A mixed methods study design was employed. Participants from six healthcare courses (Medicine, Nursing, Pharmacy, Physiotherapy, Occupational Therapy, and Medical Social Work) were recruited from three institutions to form six interprofessional teams to participate in team care delivery via a 3D-VE. Pre- and post-tests were conducted to evaluate the students' attitudes toward healthcare teams and interprofessional collaboration. Four focus groups were conducted with 27 healthcare students after they completed questionnaires to evaluate their perceived usability, the sociability of computer-supported collaborative learning, and senses of presence. Interview transcripts were analyzed using thematic analysis.
The students demonstrated significant improvements in their attitudes toward healthcare teams (p < 0.05) and interprofessional collaboration (p < 0.001) after the collaborative learning. Four themes emerged from the focus group discussions: "feeling real", whereby the students felt immersed in their own roles; the virtual environment was perceived as "less threatening" compared to face-to-face interactions; "understanding each other's roles" among different healthcare professionals; and there were some "technical hiccups" related to sound quality and navigation. The participants reported positively on the usability (mean 3.48, SD 0.64), feasibility (mean 3.39, SD 0.60) and perceived sense of presence (mean 107.24, SD 17.78) of the 3D-VE in supporting collaborative learning.
Given its flexibility, practicality, and scalability, this 3D-VE serves as a promising tool for collaborative learning across different healthcare courses and institutions in preparing for future collaborative-ready workforces.
跨不同医疗保健课程和机构的团队护理中,协作学习受到地理位置和繁琐日程安排的限制。三维虚拟环境(3D-VE)是一种可行且创新的工具,可以将不同的医疗保健学生聚集在一起学习。
本研究旨在描述 3D-VE 的开发,并评估医疗保健学生在该环境中的协作学习体验。
采用混合方法研究设计。从三个机构的六个医疗保健课程(医学、护理、药学、物理治疗、职业治疗和医疗社会工作)招募参与者,组成六个跨专业团队,通过 3D-VE 进行团队护理。在协作学习之前和之后进行了预测试和后测试,以评估学生对医疗保健团队和跨专业合作的态度。在完成问卷后,对 27 名医疗保健学生进行了四次焦点小组讨论,以评估他们对计算机支持的协作学习的可用性、社交性和存在感的感知。对访谈记录进行了主题分析。
学生在协作学习后,他们对医疗保健团队(p<0.05)和跨专业合作(p<0.001)的态度有显著改善。焦点小组讨论中出现了四个主题:“感觉真实”,学生在自己的角色中感到沉浸;与面对面互动相比,虚拟环境被认为“威胁性较小”;不同医疗保健专业人员之间“相互理解角色”;以及存在一些与音质和导航相关的“技术问题”。参与者对 3D-VE 的可用性(平均值 3.48,标准差 0.64)、可行性(平均值 3.39,标准差 0.60)和感知存在感(平均值 107.24,标准差 17.78)的评价为正面,支持协作学习。
鉴于其灵活性、实用性和可扩展性,该 3D-VE 是一种有前途的工具,可用于不同医疗保健课程和机构之间的协作学习,为未来的协作准备劳动力。