Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan

Journal of Educational Evaluation for Health Professions

Szu-Hsien Wu¹  Chia-Chang Huang²  Ying-Ying Yang²  Boaz Shulruf³  Chen-Huan Chen⁴  Shiau-Shian Huang⁴  Chih-Wei Liu⁴ 

[1] Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan;Division of Clinical Skills Training, Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan;Office of Medical Education, University of New South Wales Australia, Sydney, Australia;School of Medicine, National Yang-Ming University, Taipei, Taiwan;

关键词: internship and residency;    needle stick injuries;    taiwan;    universal precautions;    virtual reality;   

DOI  :  10.3352/jeehp.2020.17.1

来源: DOAJ

【 摘 要 】

Purpose Senior nursing and medical interns’ lack of familiarity and confidence with respect to practicing universal precaution for the prevention of occupational needlestick or sharp injuries may harm themselves. Trainees’ self-reported needlestick or sharp injury rate was known to be especially high during the first 2 months of internship in Taiwan. This prospective cohort study aimed to assess the effect of newly developed virtual reality (VR) game, which uses Gagne’s learning model to improve universal precaution for needlestick or sharp injury prevention and decrease the rates of needle stick or sharp injuries in new-coming medical and nursing interns in Taiwan. Methods From 2017 to 2019, the VR system was developed and applied in training of 59 new-coming nursing and 50 medical interns. Occupational needlestick or sharp injury prevention was sought to be achieved through a game of right and wrong choices for safe or unsafe universal precaution behaviors. Results In comparison with medical interns, a higher proportion of nursing interns had past experiences of deep occupational needlestick or sharp injury. Before VR training, the familiarity and confidence for needlestick or sharp injury prevention were higher among nursing interns than medical interns. Trainees with past experiences of deep needlestick or sharp injury exhibited better performance on the accuracy rate and time needed to complete 20 decisions than those without past experiences in VR practice. All trainees showed an improved performance after VR training. A high proportion of trainees reported that the VR-based training significantly decreased their anxiety about needlestick or sharp injury prevention. Conclusion This self-developed VR game system using Gagne’s flow improved universal precaution for needlestick or sharp injury prevention and reduced the needlestick or sharp injury rates in the first 2 months of nursing and medical internship.

【 授权许可】

Unknown