人工智能和虚拟现实在护理疼痛教育临床模拟中的应用：一项范围综述。
Use of artificial intelligence and virtual reality within clinical simulation for nursing pain education: A scoping review.
作者信息
Harmon Joanne, Pitt Victoria, Summons Peter, Inder Kerry J
机构信息
Clinical and Health Sciences, Rosemary Bryant AO Research Centre, University of South Australia, 101 Currie street, Adelaide, SA 5001, Australia.
School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW, Australia.
出版信息
Nurse Educ Today. 2021 Feb;97:104700. doi: 10.1016/j.nedt.2020.104700. Epub 2020 Dec 9.
OBJECTIVES
To explore and map the evidence for virtual reality and artificial intelligence in simulation for the provision of pain education for pre and post registration nurses.
DESIGN
A scoping review of published and unpublished research from 2009 to 2019.
DATA SOURCES
Nine electronic databases and hand-searching of reference lists.
REVIEW METHODS
Studies were included if virtual reality or artificial intelligence interventions were used for education on pain care provision in nursing. Data were extracted and charted using an extraction tool and themes were explored using narrative analysis.
RESULTS
The review process resulted in the inclusion of four published studies. All studies used mixed methods and used artificial intelligence within clinical simulations as an intervention. No studies using virtual reality for pain education met the inclusion criteria. Participants of three studies were undergraduate nursing students in universities and participants in the fourth study were registered nurses within a hospital. Outcomes measured were user acceptance of the technology and feasibility in all studies. The context was hospital located and focused on acute pain episodes, with one exception being sickle cell pain. Three studies had adult patients and the other pediatric patients. The exclusion of input from a patient perspective was notable, as was a lack of interdisciplinary involvement.
CONCLUSION
Nurses are integral to the assessment and management of pain in many care settings requiring comprehensive communication and clinical skills. There is a paucity of research on the use of virtual reality or artificial intelligence in pain education for nurses. Current studies are preliminary in nature and/or pilot studies. Further empirical research, with robust design is required to inform nursing education, practice, and policy, thereby supporting the advancement of nursing pain education.
目的
探索并梳理虚拟现实和人工智能在模拟环境中为注册前和注册后护士提供疼痛教育的证据。
设计
对2009年至2019年已发表和未发表的研究进行范围综述。
数据来源
九个电子数据库以及对参考文献列表的手工检索。
综述方法
纳入使用虚拟现实或人工智能干预进行护理疼痛护理教育的研究。使用提取工具提取数据并绘制图表，采用叙述性分析探索主题。
结果
综述过程纳入了四项已发表的研究。所有研究均采用混合方法，并在临床模拟中使用人工智能作为干预措施。没有使用虚拟现实进行疼痛教育的研究符合纳入标准。三项研究的参与者是大学本科护理学生，第四项研究的参与者是医院的注册护士。所有研究中测量的结果都是用户对该技术的接受程度和可行性。背景是医院环境，重点是急性疼痛发作，镰状细胞疼痛是一个例外。三项研究涉及成年患者，另一项涉及儿科患者。值得注意的是，研究缺乏患者视角的输入，也缺乏跨学科参与。
结论
在许多需要全面沟通和临床技能的护理环境中，护士在疼痛评估和管理中不可或缺。关于虚拟现实或人工智能在护士疼痛教育中的应用研究匮乏。目前的研究本质上是初步的和/或试点研究。需要进一步进行设计严谨的实证研究，为护理教育、实践和政策提供信息，从而支持护理疼痛教育的发展。
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