scholarly journals Simulating impairment through virtual reality

2020 ◽  
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
Robyn Harkness
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Virtual Reality ◽  
Emotional Responses ◽  
Future Research ◽  
Exploratory Research ◽  
Virtual Reality Simulation ◽  
Significant Potential ◽  
Planning And Design ◽  
Participatory Processes

Research on architectural technology for health care has rapidly increased in recent years; however, little research has been conducted on the use of virtual reality for simulating impairment. This exploratory research maps the experiences of people with impairments in the often-overlooked corridors and waiting rooms of an emergency department. It questions whether the experience of an impairment can be usefully simulated for empathetic design. While using participatory processes to develop a virtual reality simulation of waiting areas, this research applies three representative impairments and then surveys 30 architectural designers to find the emotional responses of the unimpaired to the design intervention. While this research is preliminary, it is particularly valuable for the comprehension of proposed designs during the early planning and design phases, without costly and time-consuming use of full participatory processes. It finds there is significant potential for the use of virtual reality as a technology to simulate the experiences of these spaces by individuals with impairment, enabling empathetic design, and offers direction for future research.

scholarly journals Simulating impairment through virtual reality

2021 ◽  
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
Robyn Harkness
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Virtual Reality ◽  
Emotional Responses ◽  
Future Research ◽  
Exploratory Research ◽  
Virtual Reality Simulation ◽  
Significant Potential ◽  
Planning And Design ◽  
Participatory Processes

Research on architectural technology for health care has rapidly increased in recent years; however, little research has been conducted on the use of virtual reality for simulating impairment. This exploratory research maps the experiences of people with impairments in the often-overlooked corridors and waiting rooms of an emergency department. It questions whether the experience of an impairment can be usefully simulated for empathetic design. While using participatory processes to develop a virtual reality simulation of waiting areas, this research applies three representative impairments and then surveys 30 architectural designers to find the emotional responses of the unimpaired to the design intervention. While this research is preliminary, it is particularly valuable for the comprehension of proposed designs during the early planning and design phases, without costly and time-consuming use of full participatory processes. It finds there is significant potential for the use of virtual reality as a technology to simulate the experiences of these spaces by individuals with impairment, enabling empathetic design, and offers direction for future research.

scholarly journals Simulating impairment through virtual reality

2020 ◽  
Vol 18 (3) ◽  
pp. 284-295
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
Robyn Harkness
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Virtual Reality ◽  
Emotional Responses ◽  
Future Research ◽  
Exploratory Research ◽  
Virtual Reality Simulation ◽  
Significant Potential ◽  
Planning And Design ◽  
Participatory Processes

Research on architectural technology for health care has rapidly increased in recent years; however, little research has been conducted on the use of virtual reality for simulating impairment. This exploratory research maps the experiences of people with impairments in the often-overlooked corridors and waiting rooms of an emergency department. It questions whether the experience of an impairment can be usefully simulated for empathetic design. While using participatory processes to develop a virtual reality simulation of waiting areas, this research applies three representative impairments and then surveys 30 architectural designers to find the emotional responses of the unimpaired to the design intervention. While this research is preliminary, it is particularly valuable for the comprehension of proposed designs during the early planning and design phases, without costly and time-consuming use of full participatory processes. It finds there is significant potential for the use of virtual reality as a technology to simulate the experiences of these spaces by individuals with impairment, enabling empathetic design, and offers direction for future research.

scholarly journals Simulating impairment through virtual reality

2021 ◽  
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
Robyn Harkness
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Virtual Reality ◽  
Emotional Responses ◽  
Future Research ◽  
Exploratory Research ◽  
Virtual Reality Simulation ◽  
Significant Potential ◽  
Planning And Design ◽  
Participatory Processes

Research on architectural technology for health care has rapidly increased in recent years; however, little research has been conducted on the use of virtual reality for simulating impairment. This exploratory research maps the experiences of people with impairments in the often-overlooked corridors and waiting rooms of an emergency department. It questions whether the experience of an impairment can be usefully simulated for empathetic design. While using participatory processes to develop a virtual reality simulation of waiting areas, this research applies three representative impairments and then surveys 30 architectural designers to find the emotional responses of the unimpaired to the design intervention. While this research is preliminary, it is particularly valuable for the comprehension of proposed designs during the early planning and design phases, without costly and time-consuming use of full participatory processes. It finds there is significant potential for the use of virtual reality as a technology to simulate the experiences of these spaces by individuals with impairment, enabling empathetic design, and offers direction for future research.

scholarly journals Simulating impairment through virtual reality

2020 ◽  
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
Robyn Harkness
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Virtual Reality ◽  
Emotional Responses ◽  
Future Research ◽  
Exploratory Research ◽  
Virtual Reality Simulation ◽  
Significant Potential ◽  
Planning And Design ◽  
Participatory Processes

Research on architectural technology for health care has rapidly increased in recent years; however, little research has been conducted on the use of virtual reality for simulating impairment. This exploratory research maps the experiences of people with impairments in the often-overlooked corridors and waiting rooms of an emergency department. It questions whether the experience of an impairment can be usefully simulated for empathetic design. While using participatory processes to develop a virtual reality simulation of waiting areas, this research applies three representative impairments and then surveys 30 architectural designers to find the emotional responses of the unimpaired to the design intervention. While this research is preliminary, it is particularly valuable for the comprehension of proposed designs during the early planning and design phases, without costly and time-consuming use of full participatory processes. It finds there is significant potential for the use of virtual reality as a technology to simulate the experiences of these spaces by individuals with impairment, enabling empathetic design, and offers direction for future research.

scholarly journals Improving Care in the Pediatric Emergency Department With Virtual Reality (Preprint)

2018 ◽  
Author(s):  
Jessica DeClercq ◽  
Marie Bowen ◽  
Shelia R. Cotten ◽  
Aileen Hansen ◽  
Kelly Hebert ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Virtual Reality ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Group Versus ◽  
Human Interaction ◽  
Psychosocial Needs ◽  
Care Experience ◽  
Use Of Technology

BACKGROUND Emergency departments (EDs) are often perceived as scary and have been shown to induce anxiety in children. Some hospitals utilize Certified Child Life Specialists (CCLS), hospital staff trained to meet the psychosocial needs of children, to assist when children show signs of anxiety and/or pain during treatment. The CCLS will distract the child, such as with an iPad; however, the child may still watch the IV start, which could result in a failure of the distraction. Digital distraction, distracting a child with technology during stressful procedures, has shown to reduce pain and anxiety better than medications or no distraction at all. Virtual reality (VR) is one form of digital distraction and is increasingly being used in hospitals, as both vision and hearing are blocked by the headset. Previous research shows that the more senses used in the distraction, the less likely the patient will experience pain and anxiety. OBJECTIVE The main goal of this study was to improve care delivery for children in the ED while receiving IV placements. To achieve this, we utilized VR to determine whether it could decrease pain and anxiety for children by acting as a form of digital distraction. METHODS The intervention included patients between the ages of 5 and 12 who needed an IV in the ED at a public, Michigan hospital. Each participant was randomly assigned to either VR or the standard of care distraction (SD). For those in the VR group, the child played a game while wearing a VR headset. For those in the SD group, the CCLS used standard distraction methods, such as watching a video on an iPad. The guardian then completed a survey to measure the effectiveness and satisfaction of the distraction. RESULTS Thirty children participated in the study. Of those who participated, 12 guardians from the VR group and 16 from the SD completed surveys. Seventy-five percent of the VR group and 94 percent of the SD agreed that the distraction reduced the child’s anxiety, while 75 percent of the VR group and 88 percent of the SD agreed that the distraction reduced the child’s pain during the IV placement. Sixty-seven percent of the VR group versus 94 percent of the SD were more satisfied with health care delivery because of the distraction, and 83 percent of the VR group while 88 percent of the SD were more likely to choose this hospital again because of the distraction. CONCLUSIONS Although there is potential for the use of VR in health care settings, the use of technology in addition to the CCLS shows great potential to reduce pain and anxiety while improving health care delivery and patient satisfaction. Because most guardians reported positive outcomes with both VR and the SD, the use of technology compared to no distraction should be examined in larger studies to fully understand the effect of digital distraction along with human interaction. With the option of technology in conjunction with caregiver guidance, pediatric patients may perceive less pain and have a better care experience during IV placements in the Emergency Department.

scholarly journals LO030: Inter-rater agreement of nurse and clinical expert tremor assessments for patients with alcohol withdrawal syndrome in the emergency department

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S40-S40
Author(s):  
B. Borgundvaag ◽  
S.L. McLeod ◽  
T.E. Dear ◽  
S.M. Carver ◽  
N. Norouzi ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Workers ◽  
Alcohol Withdrawal ◽  
Withdrawal Syndrome ◽  
Alcohol Withdrawal Syndrome ◽  
Future Research ◽  
Rater Agreement ◽  
Care Workers ◽  
Severity Scores

Introduction: Of the domains assessed by the CIWA-Ar, tremor is the most objective, and reliable clinical symptom of alcohol withdrawal syndrome. Even so, anecdotal evidence suggests that the ability of health care workers to reliably rate tremor severity is highly variable, and there is no high quality, readily available training to teach this competency. Improper evaluation and interpretation of tremor may result in under or over treatment, posing serious risks to patient safety, prolonging emergency department (ED) length of stay, and increasing the likelihood of complications/hospital admission. The objective of this study was to prospectively compare tremor assessment scores assigned by nurses and clinical experts for patients with alcohol withdrawal syndrome in the ED. Methods: A prospective observational study was conducted for patients ≥18 years presenting to an academic ED in alcohol withdrawal from Oct 2014 to Aug 2015. Individual tremor assessments were videotaped by a research assistant and subsequently reviewed by 3 clinical experts, blinded to the primary clinical assessment. Tremor severity was scored using the 8-point CIWA scale (0=no tremor, 7=severe tremor). Tremor severity scores assigned in real-time by the nurses were compared to expert assessments of each video. Inter-rater agreement was estimated using Cohen’s kappa (k) statistic. Results: 31 patients with 62 tremor recordings were included. Nurse-derived tremor scores matched exactly with expert assessor scores in 11 (17.7%) cases, within 1 point for 29 (46.8%) cases and differed by ≥ 2 points in 33 (53.3%) cases. The overall kappa for agreement within 1 point for tremor severity was ‘fair’ 0.39 (95% CI: 0.25, 0.53). Conclusion: These results confirm the high variability in the assessment of alcohol withdrawal tremor by health care workers. Future research should focus on ways to improve the accuracy of tremor in alcohol withdrawal patients, and the development and implementation of an educational program to improve the individual competencies of clinical staff in the recognition and treatment of alcohol withdrawal in the ED.

Virtual Reality Simulation in Interprofessional Round Training for Health Care Students: A Qualitative Evaluation Study

2020 ◽  
Vol 45 ◽  
pp. 42-46 ◽  
Author(s):  
Sok Ying Liaw ◽  
Ling Ting Wu ◽  
Shawn Leng Hsien Soh ◽  
Charlotte Ringsted ◽  
Tang Ching Lau ◽  
...  
Keyword(s):  
Health Care ◽  
Virtual Reality ◽  
Qualitative Evaluation ◽  
Evaluation Study ◽  
Virtual Reality Simulation ◽  
Health Care Students

Creating Telepresence in Virtual Mediated Environments

2008 ◽  
pp. 1575-1581
Author(s):  
Sana Debbabi ◽  
Serge Baile
Keyword(s):  
Virtual Reality ◽  
Human Performance ◽  
New Technologies ◽  
Three Dimensional ◽  
Future Research ◽  
Virtual Reality Simulation ◽  
High Definition ◽  
Media Technologies ◽  
High Definition Television ◽  
Computer Mediated

Why examine the concept of telepresence? A number of emerging technologies, including virtual reality, simulation, home theater, state-of-the-art video conferencing and virtual three-dimensional (3-D) environment, are designed to give the user a type of mediated experience that has never been possible before. This new experience seems to be “real,” “direct” and “immediate.” The term telepresence has been used to describe this compelling sense of being present in these mediated virtual environments (Held & Durlach, 1992; Steuer, 1992). On the empirical side, the use of this new revolution in media technologies has expanded to telemedicine, telepsychiatry, distance learning, legal testimony from remote locations, arcade games and more (see Lombard & Ditton, 1997). An enhanced sense of telepresence is central to the usefulness and profitability of the new technologies mentioned above, and others such as the World Wide Web and high-definition television. As underlined by Zhang, Benbasat, Carey, Davis, Galletta and Strong (2002) in the management information systems field, the concept of telepresence has become an important component of our understanding of how people experience computer-mediated environments. On the theoretical side, researchers in communication, psychology and other fields are interested in particular in how people are influenced by media presentations. An understanding of telepresence can enhance our theories here, too. Despite the centrality and importance of telepresence, it has not yet been carefully defined and explicated. In fact, researchers, especially those working on human performance in virtual reality, have noted the need to conceptualize and measure telepresence more effectively (e.g., Held & Durlach, 1992; Sheridan, 1992). In the remainder of this article, we (a) review several conceptualizations of telepresence and presence in literature, (b) review telepresence determinants, (c) outline the main methods commonly used for measuring telepresence and (d) recommend attributes of future research concerning this concept.

scholarly journals Health Care Crowds: Collective Intelligence in Public Health

2017 ◽  
Author(s):  
John Prpić
Keyword(s):  
Public Health ◽  
Health Care ◽  
Collective Intelligence ◽  
Public Health Care ◽  
Future Research ◽  
Exploratory Research ◽  
University Of Michigan ◽  
Health Maintenance ◽  
Early Results ◽  
Care Health

For what purposes are crowds being implemented in health care? Which crowdsourcing methods are being used? This work begins to answer these questions by reporting the early results of a systematic literature review of 110 pieces of relevant research. The results of this exploratory research in progress reveals that collective intelligence outcomes are being generated in three broad categories of public health care; health promotion, health research, and health maintenance, using all three known forms of crowdsourcing. Stemming from this fundamental analysis, some potential implications of the research are discussed and useful future research is outlined.Prpić, J., (2015). Health Care Crowds: Collective Intelligence in Public Health. Collective Intelligence 2015. Center for the Study of Complex Systems, University of Michigan.

scholarly journals 2061

2017 ◽  
Vol 1 (S1) ◽  
pp. 68-68
Author(s):  
Michelle Patch ◽  
Jacquelyn Campbell
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care System ◽  
Qualitative Data ◽  
Future Research ◽  
Adult Women ◽  
Care Seeking ◽  
Individual Interviews ◽  
Ed Visits ◽  
Care System

OBJECTIVES/SPECIFIC AIMS: Aim 1—estimate prevalence and associated characteristics of nonfatal, non-self-inflicted strangulation among women ages 18 and older who presented to a US emergency department between 2006 and 2013. Aim 2—explore care-seeking behaviors, the context of the care seeking, treatment expectations and perceived diagnosis in a sample of women ages 18 and older who present to a US emergency department and report being strangled by an intimate partner. Aim 3—merge and synthesize findings from both the quantitative and qualitative strands to provide a more complete understanding of post-strangulation emergency care of women. METHODS/STUDY POPULATION: This mixed-methods study will use a convergent parallel design, with a single phase of concurrent and independent data collection. Analysis of quantitative and qualitative data will be performed separately then compared, with main findings integrated during the interpretation phase and presented in a merged data analysis display. IRB review and approval will be obtained before initiating this study. Aim 1 will include a cross-sectional analysis of 2006–2013 Nationwide Emergency Department Sample (NEDS) data, from the Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project (HCUP). NEDS is the US’s largest all-payer emergency department (ED) database, providing national estimates of hospital-based ED visits from ~120 to 135 million ED visits/year (weighted). For this study, we will examine data from patients meeting inclusion criteria with an International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM; Medicode, 1996) code of strangulation. For this strand, females aged 18 years or older who presented to a US emergency department between 2006 and 2013 will be included. The outcome variable will be non-fatal, non-self-inflicted strangulation, defined using at least one of the ICD-9-CM codes for strangulation. These codes are: 994.7 (“asphyxiation and strangulation”), E963 (“assault by hanging and strangulation”), E983.8 (“strangulation or suffocation by other specified means undetermined whether accidentally or purposely inflicted”), and E983.9 (“strangulation or suffocation by unspecified means undetermined whether accidentally or purposely inflicted”). Patients with a concurrent ICD-9-CM code for suicide attempt (E953, “Suicide and self-inflicted injury by hanging, strangulation and suffocation”) will be excluded, to minimize self-inflicted assault events. Aim 2 will employ a narrative descriptive approach, with semistructured individual interviews to gather more information about women’s experiences when engaging the health care system after being strangled. Medical records related to the strangulation event will also be reviewed for diagnostic codes and other nursing and/or medical notes that may relate to diagnoses, treatment and referrals. For this strand, women aged 18 years or older who present for care to an urban, academic ED will be recruited, purposely sampling those reporting strangulation as a reason for their visit. We anticipate interviewing ~20–30 women to achieve saturation of information. RESULTS/ANTICIPATED RESULTS: Data from the NEDS from 2006 to 2013 will be analyzed for prevalence and associated characteristics of women seeking care after being strangled. Individual interviews and medical record reviews of a small sample of adult women will be conducted to explore women’s in-depth experiences within the health care system. Results from both the quantitative and qualitative analyses will then be collectively compared and interpreted to better synthesize the evidence from this work. Convergent and divergent findings will be presented in a merged data analysis display (Creswell and Plano Clark, 2011). Qualitative data will be used to fill the knowledge gap remaining from the quantitative analysis, and to explain and contextualize some of the findings. Such integration will help expand the current limited evidence on care of strangled women, and will identify additional research questions that will guide future research in this area. DISCUSSION/SIGNIFICANCE OF IMPACT: To our knowledge, this study will be the first to explore this issue using a nationally representative sample of adult women who sought emergency medical care for strangulation analyzed in conjunction with a detailed qualitative analysis of strangled women’s experiences with the health care system. The resulting knowledge will be critical to informing clinical assessment, intervention and prevention efforts for this vulnerable population, as well as public policy and future research regarding this specific violence tactic.

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