Karunaratne Dilroshini, Whittock Jessica, Moore Amber, Dasigan Krishna, Chevolleau Jasmine, Bartholomew Brent, Kelly Nikki, Cohen Charlotte E
Department of Medical Education, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.
Department of Safeguarding Adults and Children, Chelsea and Westminster NHS Foundation Trust, Standing Together Against Domestic Abuse, London, United Kingdom.
JMIR Form Res. 2025 Mar 19;9:e60075. doi: 10.2196/60075.
BACKGROUND: Legislative policies published by National Health Service, England and the UK Government focus on prioritizing the creation of a stronger system. These frameworks emphasize on the improvement of health care staff's ability to identify and refer domestic abuse (DA) survivors as key areas for supporting workforce development. Health care staff are often the first professional contact of survivors of DA, and insufficient staff training is a key barrier to survivors being identified and directed to support. The Microsoft HoloLens2 is a mixed-reality headset that allows virtual objects (holograms) to be integrated into the real world. Mixed-reality headsets are being increasingly used within medical education and have the advantage of independent operation, reducing the staffing requirements for teaching. The HoloLens2 can be used to project HoloPatients (HPs), which resemble clinically unwell patients, into the classroom. Two of these HPs have been specifically designed to portray survivors of DA and sexual violence (SV). OBJECTIVE: This study explored potential uses of the HP in DA and SV training as a potential survivor-centered educational initiative that could be used as an adjunct to existing training for health care professionals and community sector workers. METHODS: Frontline staff and community stakeholders from the national health service, DA, and law enforcement sectors were invited on 3 separate occasions (n=14, 12, 22) to a HoloLens2 demonstration that displayed 9 HPs. The patient voice was to be outlined by personalized scripts, co-created alongside sector charities, ensuring survivor engagement and participation. Participants were given the opportunity to wear the headset and familiarize themselves with the technology during the sessions. A post-intervention evaluation research model was used to explore the feasibility and functionality of the HP as an educational tool. RESULTS: Thematic analysis described the HP as a "realistic," "adjustable" tool that "creates a safe learning environment." Participants suggested it could be useful in "pre-exposure preparation" by "improving communication" and allowing different approaches to be trialed in a safe environment. The use of survivor scripts was described as a useful tool to "bring the survivor into the learning space" in a safe way. Participants identified the HP as a suitable tool for workers inside and outside health care, including social sectors such as law enforcement (32%). CONCLUSIONS: The HP acts as a low-risk, adaptable tool for trainees to develop skills in a safe environment. This study demonstrates that professionals perceived the HoloLens as an innovative means to amplify the lived experience voice. Further research will evaluate this additional impact on trainees' confidence and responses to survivors disclosing DA and SV within different disciplines to drive improved outcomes.
背景:英国国家医疗服务体系(National Health Service)和英国政府发布的立法政策着重于优先创建一个更强大的体系。这些框架强调提高医护人员识别和转介家庭虐待(DA)幸存者的能力,将其作为支持劳动力发展的关键领域。医护人员往往是家庭虐待幸存者的首个专业接触对象,而工作人员培训不足是阻碍幸存者被识别并获得支持的关键障碍。微软HoloLens2是一款混合现实头戴设备,它能让虚拟物体(全息图)融入现实世界。混合现实头戴设备在医学教育中的使用越来越广泛,且具有独立操作的优势,可减少教学所需的人员配备。HoloLens2可用于将类似临床不适患者的全息患者(HP)投影到教室中。其中两名全息患者被专门设计用来描绘家庭虐待和性暴力(SV)的幸存者。 目的:本研究探索了全息患者在家庭虐待和性暴力培训中的潜在用途,将其作为一项以幸存者为中心的潜在教育举措,可作为医护专业人员和社区部门工作者现有培训的补充。 方法:分别邀请了来自国家医疗服务体系、家庭虐待领域和执法部门的一线工作人员及社区利益相关者(n = 14、12、22)参加三场HoloLens2演示,演示展示了9名全息患者。患者的声音将通过与行业慈善机构共同创作的个性化脚本来呈现,以确保幸存者的参与。在演示过程中,参与者有机会佩戴头戴设备并熟悉该技术。采用干预后评估研究模型来探索全息患者作为教育工具的可行性和功能。 结果:主题分析将全息患者描述为一种“逼真”“可调整”且能“营造安全学习环境”的工具。参与者认为它在“预接触准备”方面可能有用,可通过“改善沟通”并允许在安全环境中尝试不同方法来实现。使用幸存者的脚本被视为一种有用的工具,能以安全的方式“将幸存者带入学习空间”。参与者认为全息患者是医护人员及其他人员(包括执法等社会部门人员,占32%)适用的工具。 结论:全息患者是一种低风险、适应性强的工具,可供学员在安全环境中培养技能。本研究表明,专业人员将HoloLens视为放大幸存者生活经历声音的创新手段。进一步的研究将评估这对学员信心以及他们在不同学科中对披露家庭虐待和性暴力的幸存者的反应的额外影响,以推动改善结果。
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