scholarly journals Integration of Extended Reality and a High-Fidelity Simulator in Team-Based Simulations for Emergency Scenarios

Electronics ◽  
2021 ◽  
Vol 10 (17) ◽  
pp. 2170
Author(s):  
Youngho Lee ◽  
Sun-Kyung Kim ◽  
Hyoseok Yoon ◽  
Jongmyung Choi ◽  
Hyesun Kim ◽  
...  
Keyword(s):  
Information Exchange ◽  
Health Care Team ◽  
Clinical Settings ◽  
High Fidelity ◽  
Physical Discomfort ◽  
Learning Satisfaction ◽  
Healthcare Settings ◽  
Smart Glasses ◽  
Emergency Scenarios ◽  
Strongly Agree

Wearable devices such as smart glasses are considered promising assistive tools for information exchange in healthcare settings. We aimed to evaluate the usability and feasibility of smart glasses for team-based simulations constructed using a high-fidelity simulator. Two scenarios of patients with arrhythmia were developed to establish a procedure for interprofessional interactions via smart glasses using 15-h simulation training. Three to four participants formed a team and played the roles of remote supporter or bed-side trainee with smart glasses. Usability, attitudes towards the interprofessional health care team and learning satisfaction were assessed. Using a 5-point Likert scale, from 1 (strongly disagree) to 5 (strongly agree), 31 participants reported that the smart glasses were easy to use (3.61 ± 0.95), that they felt confident during use (3.90 ± 0.87), and that that responded positively to long-term use (3.26 ± 0.89) and low levels of physical discomfort (1.96 ± 1.06). The learning satisfaction was high (4.65 ± 0.55), and most (84%) participants found the experience favorable. Key challenges included an unstable internet connection, poor resolution and display, and physical discomfort while using the smart glasses with accessories. We determined the feasibility and acceptability of smart glasses for interprofessional interactions within a team-based simulation. Participants responded favorably toward a smart glass-based simulation learning environment that would be applicable in clinical settings.

scholarly journals Integration of Extended Reality and a High-fidelity Simulator in Team-based Simulations for Arrhythmia Scenarios Among Undergraduate Nursing Students

2021 ◽  
Author(s):  
Youngho Lee ◽  
Sun Kyung Kim ◽  
Hyoseok Yoon ◽  
Jongmyung Choi ◽  
Hyesun Kim
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Health Care Team ◽  
High Fidelity ◽  
High Expectations ◽  
Physical Discomfort ◽  
Learning Satisfaction ◽  
Smart Glasses ◽  
Current Program ◽  
Quasi Experimental

Abstract Objective: The purpose of this study was to evaluate the usability and feasibility of smart glasses for team-based simulations constructed using a high-fidelity simulator. Methods: Two scenarios of patients with arrhythmia were developed to establish the process for interprofessional interaction via smart glass in 15-hour simulation training. Three to four participants made a team and took roles of either a remote supporter or bad-side trainee with smart glass. A quasi-experimental post-test design was used to evaluate the effectiveness of team-based simulation using smart glasses that assessed attitudes toward interprofessional health care teams and learning satisfaction. A scale for software evaluation was used to obtain quantitative data, and an essay questionnaire was used to assess the usability and feasibility of the current program. Statistical analyses were conducted using SPSS (version 25.0), and descriptive statistics, independent t-tests, and chi-squared tests were performed to test for homogeneity and group differences. Results: Data were obtained from 61 participants in which the scores were higher in the experimental group with smart glasses, but differences in attitude towards the interprofessional health care team and learning satisfaction were not different between groups. The current program was given an easy to use (3.61±0.95) rating, and the users reported feeling confident during use (3.90±0.87). Participants responded positively to long-term use (3.26±0.89) and low levels of physical discomfort (1.96±1.06). The likability of the smart glasses-based simulation was high, with a high rating for satisfaction (4.65±0.55). The majority (84%) of subjects provided favorable responses to their overall experience with high expectations for improving safety in future clinical practice. Key barriers and challenges of the current program include unstable internet connection, poor resolution and display, and physical discomfort of the smart glasses with accessories. Conclusion: We determined the feasibility and acceptability of smart glasses for interprofessional interaction within a team-based simulation environment. Participants responded favorably toward a smart glasses-based simulation learning environment that would be applicable in clinical settings.

scholarly journals Integration of Extended Reality and a High-fidelity Simulator in Team-based Simulations for Arrhythmia Scenarios Among Undergraduate Nursing Students

2021 ◽  
Author(s):  
Youngho Lee ◽  
Sun Kyung Kim ◽  
Hyoseok Yoon ◽  
Jongmyung Choi ◽  
Hyesun Kim
Keyword(s):  
Nursing Students ◽  
Health Care Team ◽  
High Fidelity ◽  
Undergraduate Nursing Students ◽  
High Expectations ◽  
Physical Discomfort ◽  
Undergraduate Nursing ◽  
Smart Glasses ◽  
Current Program ◽  
Barriers And Challenges

Abstract Objective: The purpose of this study was to evaluate the usability and feasibility of smart glasses for team-based simulations constructed using a high-fidelity simulator. Methods: Two scenarios of patients with arrhythmia were developed to establish the process for interprofessional interaction via smart-glass in 15 hour simulation training. Three to four participants made a team and took roles of either remote supporter and bad-side trainee with smart-glass. Usability, attitudes towards interprofessional health care team and learning satisfaction were assessed. A scale for software evaluation was used to obtain quantitative data and essay questionnaire were used to assess usability and feasibility of current program. Using SPSS (version 25.0), statistical analysis was conducted. Results: Data were obtained from 31 participants. The current program was given an easy to use (3.61±0.95) rating, and the users reported feeling confident during use (3.90±0.87). Participants responded positively to long-term use (3.26±0.89) and low levels of physical discomfort (1.96±1.06). The likability of the smart glasses-based simulation was high, with a high rating for satisfaction (4.65±0.55). The majority (84%) of subjects provided favorable responses to their overall experience with high expectations for improving safety in future clinical practice. Key barriers and challenges of the current program include unstable internet connection, poor resolution and display, and physical discomfort of the smart glasses with accessories. Conclusion: We determined the feasibility and acceptability of smart glasses for interprofessional interaction within a team-based simulation environment. Participants responded favorably toward a smart glasses-based simulation learning environment that would be applicable in clinical settings.

Abstract WP462: Improving Nurses’ Comfort and Practice Towards Neuroscience Patients Utilizing High-fidelity Simulation

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Erin Supan ◽  
Lauren Patton ◽  
Julie M Fussner ◽  
Colin Beilman ◽  
Martha Sajatovic
Keyword(s):  
Survey Design ◽  
Comfort Level ◽  
High Fidelity ◽  
Care Hospital ◽  
High Fidelity Simulation ◽  
University Hospitals ◽  
Experienced Nurses ◽  
Emergency Situations ◽  
Neurologic Emergencies ◽  
Strongly Agree

Introduction: University Hospitals Health System (UHHS) has seen an interest by nursing in using simulation and case studies as an adjunct to classroom education to instruct in emergency situations and mock codes. UHHS is currently expanding neuroscience services at 2 community hospitals while maintaining services at the quaternary care hospital. There is a need for further neuroscience education of both experienced nurses who have limited neuroscience exposure and novice nurses employed in neuroscience specialty areas. Patient simulators have been used in a variety of education settings, yet their effectiveness in training nurses to manage neurologic patients and neurologic emergencies has not been widely examined. The purpose of this project is to evaluate the use of high-fidelity simulation on nurses’ assessment skills, critical thinking and comfort in caring for neuroscience patients. Methods: A pre and post survey design was used for this project with nurses completing a survey immediately prior to and after participating in 3 simulation scenarios: intracerebral hemorrhage with intracranial pressure, subdural hematoma with seizures, and brain tumor complicated by pulmonary embolism. After completion of each scenario a debriefing occurred. Surveys allowed nurses to assess their confidence levels in responding to neurologic emergencies using a 5-point Likert-type scale (1= strongly disagree to 5 = strongly agree). Results: Comfort level was assessed in five different categories. Comfort in performing a neurologic assessment improved from a pre-survey average of 4.02 to a post-survey average of 4.59, a variance of 11.4%. Comfort in managing a stroke patient improved from 3.98 to 4.45, a variance of 9.5%. Comfort in administering emergency medications improved from 3.02 to 3.98, a variance of 19.1%. Comfort in identifying neurologic changes improved from 3.82 to 4.43, a variance of 12.3%. Comfort in communicating neurologic changes to the provider improved from 4.00 to 4.66, a variance of 13.2%. There was an overall improvement in the variance in all 5 categories of 13.1%. Conclusion: The use of high-fidelity simulation allowed nurses to gain comfort in assessment, management, and provider communication specific to neuroscience patients.

Abstract TP245: Feasibility of Mobile, Wearable Telestroke Devices

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Steven Warach ◽  
Ben T King ◽  
Kristen V Chandler ◽  
Christopher Topel ◽  
Irene A Tabas ◽  
...  
Keyword(s):  
Visual Field ◽  
Field Testing ◽  
Field Of View ◽  
Visual Field Testing ◽  
Glass Technology ◽  
Technical Problems ◽  
Smart Glasses ◽  
Patient Interaction ◽  
Video And Audio ◽  
Strongly Agree

Background: Wearable technologies offer potential telestroke applications that are more mobile and potentially less expensive than traditional telemedicine carts. In an earlier, pilot phase of this research program the best performing software and hardware combination for transmission of encrypted video and audio streaming was selected for further testing. Method: We tested Vuzix M100 smart glasses device and Pristine EyeSight HIPAA-compliant video streaming services. The device wearers, emergency physicians, performed the NIHSS, and a remote vascular neurologist or neurology resident viewed the exam. Providers recorded their score and evaluated the functionality of the device with a standardized list of questions. Results: The device was assessed in 52 subjects. The providers wearing the device reported the device useful (Agree or Strongly Agree) in making an assessment in 79% of cases and that they could assess the patient well 90% of the time. However, the wearers also reported both distraction from and interference with patient interaction due to the device in 98% of cases evaluated. The viewers also reported finding the device useful in making an assessment of stroke symptoms in 79% of cases (a different set of 79% than the wearers), but in only 65% of cases did they Agree or Strongly Agree that they could assess the patient well. Viewers reported an inadequate field of view for visual field testing in 63% of cases. The inter-rater agreement between the wearer and viewer on the total NIHSS showed moderate agreement (κ = 0.45). Although the technology was easy to use in 92% of the assessments, technical problems (mainly connectivity lags) were reported by the wearer 46% of the time and by the viewer 31% of the time. The technology was rated inadequate for assessing patients in 1 case by the wearers and 3 cases by the viewers. Conclusion: Wearable smart glass technology is feasible in assessing stroke patients and shows promise as a telestroke solution, however interference with physician-patient interaction, limited field of view for visual field testing and connectivity glitches are perceived limitations.

scholarly journals 3D Printed frames to enable reuse and improve the fit of N95 and KN95 respirators

2020 ◽  
Author(s):  
Malia McAvoy ◽  
Ai-Tram N. Bui ◽  
Christopher Hansen ◽  
Deborah Plana ◽  
Jordan T. Said ◽  
...  
Keyword(s):  
3D Printing ◽  
Design Process ◽  
Clinical Settings ◽  
Short Supply ◽  
Iterative Design ◽  
Healthcare Settings ◽  
Fit Testing ◽  
3D Printed ◽  
Single Use ◽  
Repeated Use

Background: In response to supply shortages during the COVID-19 pandemic, N95 filtering facepiece respirators (FFRs or "masks"), which are typically single-use devices in healthcare settings, are routinely being used for prolonged periods and in some cases decontaminated under "reuse" and "extended use" policies. However, the reusability of N95 masks is often limited by degradation or breakage of elastic head bands and issues with mask fit after repeated use. The purpose of this study was to develop a frame for N95 masks, using readily available materials and 3D printing, which could replace defective or broken bands and improve fit. Results: An iterative design process yielded a mask frame consisting of two 3D-printed side pieces, malleable wire links that users press against their face, and cut lengths of elastic material that go around the head to hold the frame and mask in place. Volunteers (n= 41; average BMI= 25.5), of whom 31 were women, underwent qualitative fit with and without mask frames and one or more of four different brands of FFRs conforming to US N95 or Chinese KN95 standards. Masks passed qualitative fit testing in the absence of a frame at rates varying from 48-92% (depending on mask model and tester). For individuals for whom a mask passed testing, 75-100% (average = 86%) also passed testing with a frame holding the mask in place. Among users for whom a mask failed in initial fit testing, 41% passed using a frame. Success varied with mask model and across individuals. Conclusions: The use of mask frames can prolong the lifespan of N95 and KN95 masks by serving as a substitute for broken or defective bands without adversely affecting fit. Frames also have the potential to improve fit for some individuals who cannot fit existing masks. Frames therefore represent a simple and inexpensive way of extending the life and utility of PPE in short supply. For clinicians and institutions interested in mask frames, designs and specifications are provided without restriction for use or modification. To ensure adequate performance in clinical settings, qualitative fit testing with user-specific masks and frames is required.

scholarly journals Advance Care Planning: Understanding Clinical Routines and Experiences of Interprofessional Team Members in Diverse Health Care Settings

2016 ◽  
Vol 34 (10) ◽  
pp. 946-953 ◽  
Author(s):  
Kelly Arnett ◽  
Rebecca L. Sudore ◽  
David Nowels ◽  
Cindy X. Feng ◽  
Cari R. Levy ◽  
...  
Keyword(s):  
Health Care ◽  
Advance Care Planning ◽  
Health Care Team ◽  
Care Team ◽  
Clinical Settings ◽  
Care Planning ◽  
Educational Materials ◽  
Team Members ◽  
Interprofessional Team ◽  
Advance Care

Background: Interprofessional health care team members consider advance care planning (ACP) to be important, yet gaps remain in systematic clinical routines to support ACP. A clearer understanding of the interprofessional team members’ perspectives on ACP clinical routines in diverse settings is needed. Methods: One hundred eighteen health care team members from community-based clinics, long-term care facilities, academic clinics, federally qualified health centers, and hospitals participated in a 35-question, cross-sectional online survey to assess clinical routines, workflow processes, and policies relating to ACP. Results: Respondents were 53% physicians, 18% advanced practice nurses, 11% nurses, and 18% other interprofessional team members including administrators, chaplains, social workers, and others. Regarding clinical routines, respondents reported that several interprofessional team members play a role in facilitating ACP (ie, physician, social worker, nurse, others). Most (62%) settings did not have, or did not know of, policies related to ACP documentation. Only 14% of settings had a patient education program. Two-thirds of the respondents said that addressing ACP is a high priority and 85% felt that nonphysicians could have ACP conversations with appropriate training. The clinical resources needed to improve clinical routines included training for providers and staff, dedicated staff to facilitate ACP, and availability of patient/family educational materials. Conclusion: Although interprofessional health care team members consider ACP a priority and several team members may be involved, clinical settings lack systematic clinical routines to support ACP. Patient educational materials, interprofessional team training, and policies to support ACP clinical workflows that do not rely solely on physicians could improve ACP across diverse clinical settings.

scholarly journals Clinical Pharmacist Intervention in Improving Health Outcomes by Reducing Physician’s Burden and Medication Errors: A Proposed Model

2020 ◽  
Vol 1 (2) ◽  
pp. 1-5
Author(s):  
Masood Raza Shahid ◽  
◽  
Ahmer Raza Muhammad ◽  
Aziz Shireen ◽  
Shahzad Sana ◽  
...  
Keyword(s):  
Clinical Pharmacist ◽  
Pharmacist Intervention ◽  
Health Care Team ◽  
World Health ◽  
Special Role ◽  
Team Members ◽  
Healthcare Settings ◽  
Proposed Model ◽  
Health Organization

Healthcare is a team effort. Each healthcare provider is like a member of the team with a special role. Some team members are doctors or technicians who help in diagnosing disease. Others are experts who help in treating disease or care for patients’ physical and emotional needs. Understanding the role of each member in healthcare settings can reduce the burden of duties. According to World Health Organization (WHO) reports, burden of workload on physicians is the main cause of medical errors each day practice and thousands of people die as a result each year. Such errors can be minimized by reducing the workload on physicians and strengthening the role of clinical pharmacists in healthcare settings. Key words: Health care; Team Members; Physicians; Clinical Pharmacist

scholarly journals Evidence-Based Approaches to Suicide in Older Adults—Zero Suicide

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 625-625
Author(s):  
Luming Li
Keyword(s):  
Older Adults ◽  
Suicide Prevention ◽  
Implementation Strategies ◽  
Essential Elements ◽  
Clinical Settings ◽  
Evidence Based ◽  
Term Care ◽  
Future Directions ◽  
Healthcare Settings

Abstract This individual symposium abstract will focus on evidence-based approaches to suicide in older adults, with particular focus on the Zero Suicide Model. Zero Suicide Model is a framework that applies seven essential elements of suicide care (Lead, Train, Identify, Engage, Treat, Transition, Improve). The model provides a systematic approach for quality improvement for suicide prevention and offers implementation strategies for “real-world” clinical settings using the Assess, Intervene, and Monitor for Suicide Prevention (AIM-SP) program for suicide-safer care. The authors will describe implementation of Zero Suicide in general healthcare settings that care for older adults, including health systems and outpatient clinics. The authors will also describe the value of Zero Suicide other settings such as long-term care centers, where older adults are cared for. In addition, the authors will describe future directions for research in the Zero Suicide Model and additional opportunities in public policy for suicide prevention.

scholarly journals Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055247
Author(s):  
Lisha Lo ◽  
Leahora Rotteau ◽  
Kaveh Shojania
Keyword(s):  
Patient Outcomes ◽  
Safety Climate ◽  
Data Extraction ◽  
Implementation Fidelity ◽  
Quality Measures ◽  
Relative Increase ◽  
Controlled Trials ◽  
Clinical Settings ◽  
High Fidelity ◽  
Multifaceted Interventions

ObjectiveTo characterise the extent to which health professionals perform SBAR (situation, background, assessment, recommendation) as intended (ie, with high fidelity) and the extent to which its use improves communication clarity or other quality measures.Data sourcesMedline, Healthstar, PsycINFO, Embase and CINAHL to October 2020 and handsearching selected journals.Study selection and outcome measuresEligible studies consisted of controlled trials and time series, including simple before-after design, assessing SBAR implementation fidelity or the effects of SBAR on communication clarity or other quality measures (eg, safety climate, patient outcomes).Data extraction and synthesisTwo reviewers independently abstracted data according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses on study features, intervention details and study outcomes. We characterised the magnitude of improvement in outcomes as small (<20% relative increase), moderate (20%–40%) or large (>40%).ResultsTwenty-eight studies (3 randomised controlled trials, 6 controlled before-after studies, and 19 uncontrolled before-after studies) met inclusion criteria. Of the nine studies assessing fidelity of SBAR use, four occurred in classroom settings and three of these studies reported large improvements. The five studies assessing fidelity in clinical settings reported small to moderate effects. Among eight studies measuring communication clarity, only three reported large improvements and two of these occurred in classroom settings. Among the 17 studies reporting impacts on quality measures beyond communication, over half reported moderate to large improvements. These improvements tended to involve measures of teamwork and culture. Improvements in patient outcomes occurred only with intensive multifaceted interventions (eg, early warning scores and rapid response systems).ConclusionsHigh fidelity uptake of SBAR and improvements in communication clarity occurred predominantly in classroom studies. Studies in clinical settings achieving impacts beyond communication typically involved broader, multifaceted interventions. Future efforts to improve communication using SBAR should first confirm high fidelity uptake in clinical settings rather than assuming this has occurred.PROSPERO registration numberCRD42018111377.

scholarly journals Collaboration for clinical innovation: a nursing and engineering alliance for better patient care

2020 ◽  
Vol 25 (3) ◽  
pp. 291-304
Author(s):  
Rachael Andrews ◽  
Sarah Greasley ◽  
Sarah Knight ◽  
Sonya Sireau ◽  
Andrea Jordan ◽  
...  
Keyword(s):  
Case Studies ◽  
Medical Devices ◽  
Clinical Settings ◽  
Concept Generation ◽  
Healthcare Settings ◽  
Engineering Design Process ◽  
Clinical Innovation ◽  
Specialist Knowledge ◽  
Definition Of ◽  
Prototype Evaluation

Background There is significant need and enormous potential for innovation in clinical settings. However, for various reasons, this potential is rarely realised. Aims This paper aims to present a collaborative approach to innovation between clinicians and engineers, using two nursing case studies as examples. Suggestions are offered to improve facilitation of innovation in healthcare settings. Methods An engineering design process was applied to develop novel medical devices in response to unmet clinical needs identified by nurses. This process includes problem exploration, definition of project scope, concept generation, detailed design, manufacture, prototype evaluation and iterative design improvements. Results Two case studies are presented to showcase the results of this multidisciplinary approach to innovation. Both projects resulted in novel medical devices being put into clinical use safely and effectively. Conclusions Collaboration between nurses and engineers facilitates rapid iteration of novel solutions to unmet clinical needs. Both professions have similar approaches to problem-solving, complemented by specialist knowledge in their contrasting areas of expertise, making for a highly capable multidisciplinary team.

Sign in / Sign up

Export Citation Format

Share Document