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用于体验式学习的虚拟现实:提升医学生的躁动管理技能、自信心和同理心。

Virtual reality for experiential learning: enhancing agitation management skills, confidence, and empathy in healthcare students.

作者信息

Tay Gabrielle Wann Nii, Tong Mian Mian, Yap John, Mak Hon Keat, Goh Shawn Yong Shian, Ho Cyrus Su Hui

机构信息

Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Application Architecture and Technology at NUS Information Technology, National University of Singapore, Singapore, Singapore.

出版信息

Med Educ Online. 2025 Dec;30(1):2542809. doi: 10.1080/10872981.2025.2542809. Epub 2025 Aug 6.

Abstract

Agitation in healthcare, particularly in psychiatric settings, is a prevalent and escalating global concern. Despite its significance, healthcare students often feel underprepared to manage agitation, citing fear, stigma, and limited clinical exposure. Traditional teaching methods, such as lectures or simulations, are resource-intensive and offer limited opportunities for repeated practice in low-risk environments. Virtual reality (VR) offers a promising alternative, providing immersive, standardised, and repeatable training for high-stress clinical scenarios. In response, the education team at [redacted for peer review], developed the Managing AGgression using Immersive Content (MAGIC) programme. This three-hour blended learning workshop, a mandatory component of the psychiatry curriculum for medical and nursing students, integrates didactic teaching, role-play, and the Virtual Reality in Agitation Management (VRAM) activity. Through experiential learning, MAGIC aims to enhance healthcare students' confidence, empathy, mental health literacy, and competence in managing agitation in psychiatric healthcare settings. Using a pre- and post-test quasi-experimental design, we evaluated the programme's effectiveness among 152 medical and nursing students. Results demonstrated significant improvements in mental health literacy, self-perceived proficiency, and confidence in managing agitated patients; there was also a marked reduction in stigma towards individuals with mental health conditions. In addition, participants responded positively to all aspects of the VRAM software, underscoring its usability and educational value. These findings highlight the potential of integrating immersive VR technology with traditional pedagogical methods to transform healthcare education by fostering deeper engagement, enhancing clinical competence, and ultimately improving patient outcomes.

摘要

医疗保健中的躁动,尤其是在精神科环境中,是一个普遍且日益严重的全球问题。尽管其重要性,但医学生常常觉得自己在应对躁动方面准备不足,理由包括恐惧、耻辱感以及临床接触有限。传统教学方法,如讲座或模拟,资源密集且在低风险环境中提供的重复练习机会有限。虚拟现实(VR)提供了一种有前景的替代方案,为高压力临床场景提供沉浸式、标准化且可重复的培训。作为回应,[为同行评审而编辑]的教育团队开发了使用沉浸式内容管理攻击行为(MAGIC)项目。这个为期三小时的混合式学习工作坊是医学和护理专业学生精神病学课程的必修部分,融合了理论教学、角色扮演以及躁动管理中的虚拟现实(VRAM)活动。通过体验式学习,MAGIC旨在提高医学生在精神科医疗环境中应对躁动的信心、同理心、心理健康素养和能力。我们采用前后测准实验设计,评估了该项目在152名医学生和护理学生中的效果。结果表明,在心理健康素养、自我感知的熟练程度以及应对躁动患者的信心方面有显著提高;对有心理健康问题的人的耻辱感也明显降低。此外,参与者对VRAM软件的各个方面都给予了积极回应,强调了其可用性和教育价值。这些发现凸显了将沉浸式VR技术与传统教学方法相结合的潜力,通过促进更深入的参与、提高临床能力并最终改善患者结局来变革医疗保健教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8600/12329851/8a6dd35d9c09/ZMEO_A_2542809_F0001_OC.jpg

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