哇,赢了——医疗保健专业学生和促进者在三维虚拟世界中进行跨专业模拟的体验:一项定性评估研究。

Wow, woo, win"- Healthcare students' and facilitators' experiences of interprofessional simulation in three-dimensional virtual world: A qualitative evaluation study.

机构信息

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore 117597, Singapore.

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11 10 Medical Drive, Singapore 117597, Singapore.

出版信息

Nurse Educ Today. 2021 Oct;105:105018. doi: 10.1016/j.nedt.2021.105018. Epub 2021 Jun 17.

Abstract

BACKGROUND

In an age disrupted by COVID-19 pandemic, three-dimensional virtual world (3DVW) offers an opportunity for healthcare students from different higher education institutions to participate in interprofessional education. Despite its growing evidence, there is a need to unravel the complex learning process in order to ensure high quality of interprofessional education delivery.

AIM

This study aimed to explore the experiences of healthcare students and facilitators on the use of 3DVW for interprofessional team-based virtual simulation.

METHODS

Interprofessional teams, each comprising six different healthcare students (Medicine, Nursing, Pharmacy, Physiotherapy, Occupational Therapy, and Medical Social Work) and two clinicians who acted as facilitators, logged into the 3DVW from their own remote locations to participate in team-based care delivery that included an interprofessional bedside round and a family conference. A qualitative descriptive study was conducted on a purposive sample of 30 healthcare students and 12 facilitators using focus group discussions and individual interviews.

RESULTS

Four themes emerged from their experiences: the "wow experience", authentic experience on collaborative care, ease of learning, and preeminent role of the facilitator. The simulation provided the "wow" experiences through contextual, collaborative and experiential learning approaches. Despite technical challenges, the participants were wooed by the comforts of learning from home and the psychological safety in virtual environment. The facilitators played a critical role in optimizing learning engagement to win learners over.

CONCLUSION

Our study explicates how attention to the "wow, woo and win" trilateral factors can transform the interprofessional learning experiences offered by 3DVW simulation. Future developments in the use of this learning technology should include developing the clinicians' facilitation skills and the provision of technical support to make this 3DVW a success calls in winning students' learning engagement.

摘要

背景

在新冠疫情颠覆的时代,三维虚拟世界(3DVW)为来自不同高等教育机构的医疗保健专业学生参与跨专业教育提供了机会。尽管有越来越多的证据表明其有效性,但仍需要揭示复杂的学习过程,以确保提供高质量的跨专业教育。

目的

本研究旨在探索医疗保健专业学生和教师在使用 3DVW 进行基于跨专业团队的虚拟模拟方面的经验。

方法

跨专业团队由六名不同的医疗保健专业学生(医学、护理、药学、物理治疗、职业治疗和医疗社会工作)和两名充当促进者的临床医生组成,他们从自己的远程位置登录 3DVW,参与基于团队的护理服务,包括跨专业床边查房和家庭会议。采用目的抽样法,对 30 名医疗保健专业学生和 12 名促进者进行了定性描述性研究,使用焦点小组讨论和个人访谈。

结果

从他们的经验中出现了四个主题:“哇”的体验、协作护理的真实体验、学习的便利性和促进者的卓越作用。模拟通过情境、协作和体验式学习方法提供了“哇”的体验。尽管存在技术挑战,但参与者还是被在家学习的舒适感和虚拟环境中的心理安全感所吸引。促进者在优化学习参与度以赢得学习者方面发挥了关键作用。

结论

我们的研究阐述了如何关注“哇、呜、赢”三边因素,可以改变 3DVW 模拟提供的跨专业学习体验。未来在使用这种学习技术时,应包括培养临床医生的促进技能和提供技术支持,以使 3DVW 成为成功的学习平台,吸引学生的学习参与。

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