Clay Casey J, Hochmuth Jonathan M, Wirth Oliver
Department of Special Education and Rehabilitation Counseling, Utah State University, Logan, Utah, USA.
Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.
Issues Ment Health Nurs. 2025 Jan;46(1):2-11. doi: 10.1080/01612840.2024.2429712. Epub 2025 Jan 6.
Violence against nurses and other healthcare workers is a significant and escalating concern, impeding the provision of safe and effective healthcare services. A majority of nurses experience some kind of violence, including physical and nonphysical assaults during their careers. The consequences of workplace violence extend beyond individual trauma, leading to increased burnout, turnover, and significant financial costs for healthcare systems. Training programs focused on workplace violence prevention (WVP) have become ubiquitous, with elements like situational threat assessment, de-escalation techniques, and physical skills. Studies show that experiential components, such as role play, enhance the effectiveness of these trainings. Virtual Reality (VR) offers a promising solution by providing immersive, interactive training environments that enhance decision-making, physical coordination, and team dynamics. In this article we discuss how VR simulations can replicate real-world settings, allowing healthcare workers to practice and master violence prevention and management skills in a controlled, safe environment. We also describe how VR is scalable and cost-effective, enabling widespread adoption within and across organizations with minimal logistical challenges. Integrating VR into WVP training programs could significantly improve training outcomes, reduce the need for physical and chemical restraints, and ultimately enhance the overall safety and quality of healthcare services.
针对护士及其他医护人员的暴力行为是一个日益严重且令人担忧的问题,阻碍了安全有效的医疗服务的提供。大多数护士在职业生涯中都经历过某种形式的暴力,包括身体和非身体攻击。工作场所暴力的后果不仅限于个人创伤,还会导致倦怠加剧、人员流动增加,给医疗系统带来巨大的经济成本。专注于预防工作场所暴力(WVP)的培训项目随处可见,包括情景威胁评估、缓和技术和身体技能等内容。研究表明,角色扮演等体验式元素能提高这些培训的效果。虚拟现实(VR)通过提供沉浸式、交互式培训环境,增强决策能力、身体协调性和团队协作能力,提供了一个很有前景的解决方案。在本文中,我们将讨论VR模拟如何复制现实场景,使医护人员能够在可控、安全的环境中练习和掌握暴力预防与管理技能。我们还将描述VR如何具有可扩展性且成本效益高,能够在组织内部和组织之间广泛采用,且后勤挑战最小。将VR整合到WVP培训项目中可以显著提高培训效果,减少对身体和化学约束的需求,并最终提高医疗服务的整体安全性和质量。