Department of Geriatrics, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Development and Implementation Age Friendly Care and 4Ms through Virtual Reality, Fort Lauderdale, FL 33328, USA.
South Florida Geriatric Workforce Enhancement Program, Department of Geriatrics, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL 33328, USA.
Int J Environ Res Public Health. 2024 Sep 25;21(10):1279. doi: 10.3390/ijerph21101279.
With an increase in the aging population, the application of evidence-based practice in geriatric education can strengthen knowledge, skills, and clinical experience for healthcare students caring for older adults. The Age-Friendly Health System (AFHS) is one of the frameworks founded on providing evidence-based and low-risk care centered on what matters most to older adults, their families, and caregivers. Virtual reality (VR) platforms are gaining popularity due to their ability to provide an immersive, hands-on learning experience resembling an actual medical practice or care setting. Immersive learning enhances students' sensory perceptions, promoting an innovative and engaging way of acquiring concepts that are difficult to teach in real life. This study aimed to design, develop, implement, and evaluate a case-based training module highlighting AFHS and educating medical students on the 4Ms approach in geriatric care (What Matters, Medication, Mentation, and Mobility).
The project was a feasibility study completed in two phases. Phase one included planning and developing a case-based scenario incorporating the 4Ms of AFHS. Phase two included implementing and evaluating the VR training module into the geriatric curriculum for medical students.
The final VR case displays a hospital and post-acute setting where an elderly patient is admitted for a hip fracture. Students learn how to triage and treat patients from admission to discharge while demonstrating their knowledge of AFHSs. Approximately 10% of students completed the evaluation survey, and preliminary results indicate significant knowledge change in pre-post scenario-based training on an AFHS.
The VR education platform and embedded scenario promise an innovative adaptation of technology in learning the concepts of the 4Ms of AFHSs. However, future studies should explore VR education with clinical assessment evaluation to ensure competence in providing age-friendly care.
随着人口老龄化的增加,将循证实践应用于老年医学教育可以增强医疗保健学生照顾老年人的知识、技能和临床经验。老年友善健康系统(AFHS)是一个以提供循证、低风险的护理为基础的框架之一,其核心是为老年人、他们的家庭和护理人员提供最重要的护理。虚拟现实(VR)平台因其能够提供身临其境的、实践式的学习体验而受到欢迎,这种体验类似于实际的医疗实践或护理环境。沉浸式学习增强了学生的感官感知,为学生提供了一种创新且引人入胜的方式来获取在现实生活中难以教授的概念。本研究旨在设计、开发、实施和评估一个基于案例的培训模块,重点介绍 AFHS 并教育医学生老年护理中的 4Ms 方法(重要的、药物、心理和移动性)。
该项目是一项可行性研究,分两个阶段完成。第一阶段包括规划和开发一个包含 AFHS 的 4Ms 的基于案例的场景。第二阶段包括将 VR 培训模块实施到医学生的老年课程中并进行评估。
最终的 VR 案例展示了一个医院和康复后期设置,一位老年患者因髋部骨折入院。学生们学习如何从入院到出院对患者进行分诊和治疗,同时展示他们对 AFHS 的了解。大约 10%的学生完成了评估调查,初步结果表明,在基于情景的预-后训练中,AFHS 的知识发生了显著变化。
VR 教育平台和嵌入式情景有望成为学习 4Ms 的 AFHS 概念的创新技术应用。然而,未来的研究应该探索 VR 教育与临床评估相结合,以确保提供老年友善护理的能力。