Rushton Melanie Ann, Drumm Ian Anthony, Campion Simon Peter, O'Hare John Joseph
Author Affiliations: School of Health and Society (Ms Rushton), The Informatics Research Centre (Dr Drumm), The School of the Built Environment (Dr Campion), and Octave Multimodal Research Platform (Dr. O'Hare), University of Salford, Manchester, UK.
Comput Inform Nurs. 2020 Jun;38(6):281-293. doi: 10.1097/CIN.0000000000000608.
The link between effective basic life support and survival following cardiac arrest is well known. Nurses are often first responders at in-hospital cardiac arrests and receive annual basic life support training to ensure they have the adequate skills, and student nurses are taught this in preparation for their clinical practice. However, it is clear that some nurses still lack confidence and skills to perform basic life support in an emergency situation. This innovative study included 209 participants, used a mixed-methods approach, and examined three environments to compare confidence and skills in basic life support training. The environments were nonimmersive (basic skills room), immersive (immersive room with video technology), and the Octave (mixed reality facility). The skills were measured using a Laerdal training manikin (QCPR manikin), with data recorded on a wireless Laerdal Simpad, and confidence levels before and after training were measured using a questionnaire. The nonimmersive and the immersive rooms were familiar environments, and the students felt more comfortable, relaxed, and, thus, more confident. The Octave offered the higher level of simulation utilizing virtual reality technology. Students felt less comfortable and less confident in the Octave; we assert that this was because the environment was unfamiliar. The study identified that placing students in an unfamiliar environment influences the confidence and skills associated with basic life support; this could be used as a way of preparing student nurses with the necessary emotional resilience to cope in stressful situations.
有效的基础生命支持与心脏骤停后的生存之间的联系是众所周知的。护士常常是医院内心脏骤停的第一反应者，并接受年度基础生命支持培训以确保他们具备足够的技能，而学生护士在临床实习准备阶段也会学习这方面的知识。然而，显然有些护士在紧急情况下进行基础生命支持时仍缺乏信心和技能。这项创新性研究纳入了209名参与者，采用混合方法，并考察了三种环境以比较基础生命支持培训中的信心和技能。这三种环境分别是非沉浸式环境（基础技能室）、沉浸式环境（配备视频技术的沉浸式房间）和八度空间（混合现实设施）。技能通过使用Laerdal训练人体模型（QCPR人体模型）进行测量，数据记录在无线Laerdal Simpad上，培训前后的信心水平通过问卷进行测量。非沉浸式和沉浸式房间是熟悉的环境，学生们感觉更舒适、放松，因此也更有信心。八度空间利用虚拟现实技术提供了更高水平的模拟。学生们在八度空间中感觉不太舒适且信心较低；我们认为这是因为环境不熟悉。该研究发现，将学生置于不熟悉的环境会影响与基础生命支持相关的信心和技能；这可以作为一种培养学生护士在压力情况下具备必要情绪恢复力的方法。
