E Learning Department, Virtual School of Medical Education and Management. Shahid, Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of.
E-Learning in Medical Education, Department of E-Learning in Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of.
BMC Med Educ. 2024 Jan 4;24(1):22. doi: 10.1186/s12909-023-04803-2.
Teamwork has played a critical role in ensuring patients' safety and preventing human errors in surgery. With advancements in educational technologies, including virtual reality, it is necessary to develop new teaching methods for interpersonal teamwork based on local needs assessments in countries with indigenous cultures. This study aimed to design and develop a new method of teaching teamwork in cesarean section surgery using virtual reality; we further evaluated the effects of this method on healthcare professionals' knowledge and attitudes about teamwork.
This study was designed using the ADDIE instructional design model. The TeamSTEPPS Learning Benchmarks questionnaire was used to assess the educational needs of 85 participants who were members of the cesarean section surgery team. A specialized panel analyzed the extracted needs, and the scenario was compiled during the design stage. Finally, four virtual reality contents were created using 360-video H.265 format, which were prepared from specified scenarios in the development of the educational program. The TeamSTEPPS Learning Benchmarks questionnaire was used to measure knowledge, and the T-TAQ was used to measure the participants' attitudes.
Six micro- skills were identified as training needs, including briefing, debriefing, cross-monitoring, I'M SAFE checklist, call-out and check-back, and two-challenge rule. Intervention results showed that the virtual reality content improved teamwork competencies in an interprofessional team performing cesarean section surgery. A significant increase was observed in the mean score of knowledge and attitude after the intervention.
Through addressing the need for teamwork training, utilizing the TeamSTEPPS strategy, and incorporating new educational technologies like virtual reality, the collaboration among surgical team members can be enhanced.
团队合作在确保患者安全和防止手术中的人为错误方面发挥了关键作用。随着教育技术的进步，包括虚拟现实，有必要根据具有本土文化的国家的当地需求评估，为基于人际关系的团队合作开发新的教学方法。本研究旨在设计和开发一种使用虚拟现实进行剖宫产手术团队合作的新教学方法；我们进一步评估了这种方法对医疗保健专业人员关于团队合作的知识和态度的影响。
本研究采用 ADDIE 教学设计模型设计。使用 TeamSTEPPS 学习基准问卷评估了 85 名剖宫产手术团队成员的教育需求。一个专门的小组分析了提取的需求，并在设计阶段编制了方案。最后，使用 360 度视频 H.265 格式创建了四个虚拟现实内容，这些内容是从教育计划的指定方案中开发的。使用 TeamSTEPPS 学习基准问卷来衡量知识，使用 T-TAQ 来衡量参与者的态度。
确定了 6 个微技能作为培训需求，包括简报、汇报、交叉监测、I'M SAFE 清单、呼叫和检查、以及两挑战规则。干预结果表明，虚拟现实内容提高了从事剖宫产手术的跨专业团队的团队合作能力。干预后知识和态度的平均分显著增加。
通过满足团队合作培训的需求，利用 TeamSTEPPS 策略，并结合虚拟现实等新的教育技术，可以增强手术团队成员之间的协作。
