Please use this identifier to cite or link to this item: https://doi.org/10.1007/s11606-022-07557-7
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dc.titleDesktop Virtual Reality Versus Face-to-Face Simulation for Team-Training on Stress Levels and Performance in Clinical Deterioration: a Randomised Controlled Trial
dc.contributor.authorLiaw, Sok Ying
dc.contributor.authorSutini
dc.contributor.authorChua, Wei Ling
dc.contributor.authorTan, Jian Zhi
dc.contributor.authorLevett-Jones, Tracy
dc.contributor.authorAshokka, Balakrishnan
dc.contributor.authorTe Pan, Terry Ling
dc.contributor.authorLau, Siew Tiang
dc.contributor.authorIgnacio, Jeanette
dc.date.accessioned2023-05-11T02:45:40Z
dc.date.available2023-05-11T02:45:40Z
dc.date.issued2022-05-02
dc.identifier.citationLiaw, Sok Ying, Sutini, Chua, Wei Ling, Tan, Jian Zhi, Levett-Jones, Tracy, Ashokka, Balakrishnan, Te Pan, Terry Ling, Lau, Siew Tiang, Ignacio, Jeanette (2022-05-02). Desktop Virtual Reality Versus Face-to-Face Simulation for Team-Training on Stress Levels and Performance in Clinical Deterioration: a Randomised Controlled Trial. JOURNAL OF GENERAL INTERNAL MEDICINE 38 (1) : 67-73. ScholarBank@NUS Repository. https://doi.org/10.1007/s11606-022-07557-7
dc.identifier.issn0884-8734
dc.identifier.issn1525-1497
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/239272
dc.description.abstractBackground: Simulation-based education can equip healthcare providers with the ability to respond to and manage stressors associated with rapidly deteriorating patient situations. However, little is known about the benefits of using virtual reality (VR) for this purpose. Objective: To compare between desktop VR and face-to-face simulation in stress responses and performance outcomes of a team-based simulation training in managing clinical deterioration. Design: A randomised controlled study Method: The study was conducted on 120 medical and nursing students working in interprofessional teams. The teams were randomly assigned to participate in a 2-h simulation using either the desktop VR or face-to-face simulation with simulated patient (SP). Biophysiological stress response, psychological stress, and confidence levels were measured before and after the simulation. Performance outcomes were evaluated after the simulation using a deteriorating patient scenario. Results: The systolic blood pressure and psychological stress response were significantly increased among participants in VR and SP groups; however, no significant differences were found between the groups. There was also no significant difference in confidence and performance outcomes between participants in the VR and SP groups for both medical and nursing students. Although the psychological stress response was negatively correlated (r = −0.43; p < 0.01) with confidence levels, there was no association between stress response and performance score. Conclusion: Despite being less immersive, the desktop VR was capable of inducing psychological and physiological stress responses by placing emotional, social, and cognitive demands on learners. Additionally, by ensuring close alignment between the simulation tasks and the clinical tasks (i.e. functional fidelity), the desktop VR may provide similar performance outcomes as conventional simulation training. This evidence is timely given the rise in the use of virtual learning platforms to facilitate training during the COVID-19 pandemic where face-to-face training may not be feasible. Trial Registration: The study was registered at ClinicalTrials.gov NCT04330924.
dc.language.isoen
dc.publisherSPRINGER
dc.sourceElements
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectHealth Care Sciences & Services
dc.subjectMedicine, General & Internal
dc.subjectGeneral & Internal Medicine
dc.subjectclinical deterioration
dc.subjectinterprofessional education
dc.subjectsimulation
dc.subjectstress
dc.subjectvirtual reality
dc.subjectHEALTH-CARE
dc.subjectANXIETY
dc.subjectEDUCATION
dc.typeArticle
dc.date.updated2023-05-11T01:00:00Z
dc.contributor.departmentALICE LEE CENTRE FOR NURSING STUDIES
dc.contributor.departmentANAESTHESIA
dc.description.doi10.1007/s11606-022-07557-7
dc.description.sourcetitleJOURNAL OF GENERAL INTERNAL MEDICINE
dc.description.volume38
dc.description.issue1
dc.description.page67-73
dc.published.statePublished
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