Liaw Sok Ying, Ooi Sim Win, Rusli Khairul Dzakirin Bin, Lau Tang Ching, Tam Wilson Wai San, Chua Wei Ling
Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.
National University Hospital, Singapore, Singapore.
J Med Internet Res. 2020 Apr 8;22(4):e17279. doi: 10.2196/17279.
Interprofessional team training is needed to improve nurse-physician communication skills that are lacking in clinical practice. Using simulations has proven to be an effective learning approach for team training. Yet, it has logistical constraints that call for the exploration of virtual environments in delivering team training.
This study aimed to evaluate a team training program using virtual reality vs conventional live simulations on medical and nursing students' communication skill performances and teamwork attitudes.
In June 2018, the authors implemented nurse-physician communication team training using communication tools. A randomized controlled trial study was conducted with 120 undergraduate medical and nursing students who were randomly assigned to undertake team training using virtual reality or live simulations. The participants from both groups were tested on their communication performances through team-based simulation assessments. Their teamwork attitudes were evaluated using interprofessional attitude surveys that were administered before, immediately after, and 2 months after the study interventions.
The team-based simulation assessment revealed no significant differences in the communication performance posttest scores (P=.29) between the virtual and simulation groups. Both groups reported significant increases in the interprofessional attitudes posttest scores from the baseline scores, with no significant differences found between the groups over the 3 time points.
Our study outcomes did not show an inferiority of team training using virtual reality when compared with live simulations, which supports the potential use of virtual reality to substitute conventional simulations for communication team training. Future studies can leverage the use of artificial intelligence technology in virtual reality to replace costly human-controlled facilitators to achieve better scalability and sustainability of team-based training in interprofessional education.
ClinicalTrials.gov NCT04330924; https://clinicaltrials.gov/ct2/show/NCT04330924.
跨专业团队培训对于提高临床实践中缺乏的护士与医生沟通技能是必要的。事实证明，使用模拟是团队培训的一种有效学习方法。然而，它存在后勤方面的限制，这就需要探索在提供团队培训时使用虚拟环境。
本研究旨在评估使用虚拟现实与传统现场模拟的团队培训项目对医学和护理专业学生沟通技能表现和团队合作态度的影响。
2018年6月，作者使用沟通工具实施了护士与医生沟通团队培训。对120名本科医学和护理专业学生进行了一项随机对照试验研究，他们被随机分配使用虚拟现实或现场模拟进行团队培训。通过基于团队的模拟评估对两组参与者的沟通表现进行测试。使用在研究干预前、干预后立即以及干预后2个月进行的跨专业态度调查来评估他们的团队合作态度。
基于团队的模拟评估显示，虚拟组和模拟组之间的沟通表现后测分数没有显著差异（P = 0.29）。两组均报告称，跨专业态度后测分数相对于基线分数有显著提高，在三个时间点上两组之间没有发现显著差异。
我们的研究结果并未表明使用虚拟现实的团队培训比现场模拟差，这支持了使用虚拟现实替代传统模拟进行沟通团队培训的可能性。未来的研究可以利用虚拟现实中的人工智能技术来取代成本高昂的人工控制促进者，以实现跨专业教育中基于团队培训的更好的可扩展性和可持续性。
ClinicalTrials.gov NCT04330924；https://clinicaltrials.gov/ct2/show/NCT04330924
