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范围综述:跨专业虚拟现实模拟的有效性

Scoping Review: The Effectiveness of Interprofessional Virtual Reality Simulation.

作者信息

Alghanaim Nebras, Hart Jo, Finn Gabrielle

机构信息

Division of Medical Education, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

Faculty of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

出版信息

J Med Educ Curric Dev. 2025 Jul 17;12:23821205251346327. doi: 10.1177/23821205251346327. eCollection 2025 Jan-Dec.

Abstract

BACKGROUND

Interprofessional education (IPE) is utilised as a teaching strategy for future health practitioners to be effective team members in the healthcare system. Technology such as simulation is widely used in education. Virtual reality (VR) is a branch of simulation where learners interact in a virtual world. This scoping review aimed to evaluate the effectiveness of virtual reality simulation modality in interprofessional (VR-Sim IPE) health education schemes, specifically for non-technical skills.

METHOD

The PRISMA-ScR checklist and the Arksey and O'Malley methodological framework were used. Databases searched were Web of Science, ProQuest, OVID, SCOPUS, CINAHL Plus and British Educational Index from 2010 to 2025. Twelve articles met the search criteria. Articles were reviewed using three high-quality assessment tools: MERSQI, CASP and MMAT.

RESULTS

To explore effectiveness, four models were used. Firstly, findings were mapped to the four IPE domains/capabilities: Ethical practice, knowledge in practice, interprofessional working and reflection (learning). The second model was the 6 levels of learning efficacy; most studies showed level 4 of learning efficacy, while few articles captured the highest level (level 6). Thirdly, according to Revised Bloom's taxonomy learning domain (specifically the knowledge-cognitive dimension), 42% of the articles were categorised in analysing cognitive level and conceptual knowledge dimension. The highest level detected was evaluating cognitive level and procedural knowledge dimension. Finally, the modified Kirkpatrick's model for evaluating the effectiveness of educational outcomes was detected in 42% of the studies at level 3, ie, change in behaviours, the highest level captured in the review.

DISCUSSION AND CONCLUSION

This study showed how VR might be used in IPE activities. None of the articles assessed a procedure's technical skills or algorithm. Future considerations of implementing IPE using VR in undergraduate health students' modules and utilising the VR in assessment, for example, formative or summative objective structured clinical examinations (OSCEs), are required.

摘要

背景

跨专业教育(IPE)被用作一种教学策略,以使未来的医疗从业者在医疗系统中成为有效的团队成员。模拟等技术在教育中被广泛使用。虚拟现实(VR)是模拟的一个分支,学习者在虚拟世界中进行交互。本综述旨在评估虚拟现实模拟模式在跨专业(VR-Sim IPE)健康教育计划中的有效性,特别是对于非技术技能的有效性。

方法

使用PRISMA-ScR清单和阿克斯赛与奥马利的方法框架。检索的数据库有2010年至2025年的科学网、ProQuest、OVID、SCOPUS、CINAHL Plus和英国教育索引。12篇文章符合检索标准。使用三种高质量评估工具对文章进行评审:MERSQI、CASP和MMAT。

结果

为探索有效性,使用了四种模型。首先,研究结果被映射到四个IPE领域/能力:道德实践、实践知识、跨专业协作和反思(学习)。第二个模型是学习效果的6个水平;大多数研究显示学习效果为4级,而很少有文章达到最高水平(6级)。第三,根据修订后的布鲁姆分类法学习领域(特别是知识-认知维度),42%的文章被归类为分析认知水平和概念知识维度。检测到的最高水平是评估认知水平和程序知识维度。最后,在42%的研究中检测到了用于评估教育成果有效性的修改后的柯克帕特里克模型的3级,即行为改变,这是本综述中捕捉到的最高水平。

讨论与结论

本研究展示了VR如何用于IPE活动。没有文章评估程序的技术技能或算法。未来需要考虑在本科健康专业学生的模块中使用VR实施IPE,并在评估中使用VR,例如形成性或总结性客观结构化临床考试(OSCE)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d431/12276473/ff3df2b8984e/10.1177_23821205251346327-fig1.jpg

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