Tracheostomy and Laryngectomy Care: Virtual Reality Training for Health Professionals

气管切开术和喉切除术护理：针对健康专业人员的虚拟现实培训

• 批准号: 10409085
• 负责人: JEFFREY P. SEARL
• 金额: $ 16.2万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10409085
• 关键词: Accident and Emergency department; Acute; Address; Adult; Advisory Committees; Agreement; Allied Health Profession; Anatomy; Area; Assessment tool; Breathing; Cancer Patient; Caring; Cessation of life; Clinical; Clinical Skills; Collaborations; Communication; Development; Discipline; Discipline of Nursing; Distant; Educational Curriculum; Educational process of instructing; Emergency Care; Emergency Medical Technicians; Excision; Feedback; Foundations; Future; Geographic Locations; Goals; Health; Health Personnel; Health Professional; Healthcare; Human Resources; Immersion; Individual; Knowledge; Language; Laryngectomy; Larynx; Learning; Longterm Follow-up; Lung; Malignant Neoplasms; Malignant neoplasm of larynx; Manuals; Measures; Medical; Medicine; Michigan; Motivation; Neck; Nurses; Outcome; Outcome Assessment; Pathologist; Patients; Performance; Personal Satisfaction; Persons; Phase; Physicians; Physiological; Physiology; Population; Process; Provider; Quality of life; Residencies; Resuscitation; Review Committee; Risk; Rotation; Sampling; Schools; Speech; Speech-Language Pathology; Students; System; Team Nursing; Testing; Thyroid Gland; Tracheostomy procedure; Training; Training Programs; Universities; Voice; Work; base; cancer care; curriculum development; design; digital; experience; health training; human old age (65+); improved; innovation; instructor; learning outcome; leukemia; medical specialties; medical supply; member; programs; routine care; simulation; skills; student training; task analysis; tool; undergraduate student; urgent care; usability; virtual environment; virtual healthcare; virtual reality; virtual reality environment; virtual reality simulation

Project Summary/Abstract The goal of the project is to develop an innovative virtual reality (VR) curriculum to train students and novice clinicians in nursing, medicine, and allied health professions such as speech-language pathology (SLP) to provide team-based care of the airway and voice for cancer patients who have a tracheostomy or a laryngectomy. Three aims are addressed. Aim 1 is to finalize curriculum content and the VR modules, working from cases and VR objects created in our work to date. Aim 2 assess the content validity and user experience of the VR curriculum from the perspective of clinical experts and from learners. Aim 3 develops assessment rubrics to accompany the curriculum so that performance in the VR simulations can be evaluated. The overall approach is an iterative process initiated by the project personnel who will further develop preliminary content in three areas that ultimately become distinct VR modules: 1) foundational knowledge of anatomy, physiology and relevant medical supplies for airway and voicing care; 2) routine care of the airway and voicing in those with tracheostomy or laryngectomy; and 3) urgent/emergency care of the airway and voicing in these populations. The preliminary curriculum content is independently reviewed by a clinical advisory committee (CAC) leading to revisions by the study team. This process of CAC review, feedback and revision is repeated. The VR development team builds and refines the VR environments and scenarios as an alpha version of the VR curriculum comprised of three modules. The alpha versions are also evaluated in an iterative process by the clinical advisory committee for accuracy, fidelity, and completeness; and user feedback from learners is obtained regarding VR usability, technical issues, and potential negative user experiences. Additionally, learner assessment rubrics will be developed in Aim 3 to accompany the curriculum; these will be designed to evaluate interprofessional practice skills and clinical knowledge and abilities in managing the airway and voicing during the VR simulations. Development of the rubrics will include determining inter-observer agreement of clinical instructors observing learners completing the VR modules. Achieving the project aims will result in a VR curriculum comprised of the three VR modules, a curriculum manual, and rubrics for assessment of learners engaged in the simulations. This curriculum can then be assessed for learning outcomes on a broader scale in future projects focused on deploying the curriculum to students and novice clinicians in various settings such as graduate schools, residency training programs, and emergency medical technician programs. A better prepared healthcare workforce ultimately will be created to support airway and voicing needs of cancer patients with a tracheostomy or a laryngectomy resulting in improved health and quality of life outcomes.

项目摘要/摘要 该项目的目的是开发创新的虚拟现实（VR）课程来培训学生和新手 护理，医学和盟友健康专业（例如语言病理学（SLP））的临床医生 为患有气管造口术或 喉切除术。解决了三个目标。 AIM 1是最终确定课程内容和VR模块，工作 从迄今为止我们的工作中创建的案例和VR对象。 AIM 2评估内容有效性和用户体验 从临床专家和学习者的角度来看，VR课程的内容。 AIM 3开发评估 伴随课程的专栏，可以评估VR模拟中的性能。总体 方法是项目人员发起的迭代过程，他们将进一步开发初步内容 在三个最终成为不同VR模块的领域：1）解剖学的基础知识，生理学 以及有关气道和声音护理的相关医疗用品； 2）呼吸道的常规护理并在那些 进行气管切开术或喉切除术； 3）气道的紧急/紧急护理并在这些中发声 人群。初步课程内容由临床咨询委员会独立审查 （CAC）导致研究团队的修订。重复了CAC审查，反馈和修订的这一过程。 VR开发团队构建并完善了VR环境和场景，作为Alpha版本 VR课程由三个模块组成。还通过迭代过程评估了alpha版本 准确性，保真度和完整性临床咨询委员会；和学习者的用户反馈是 获得有关VR可用性，技术问题和潜在的负面用户体验的获得。此外，学习者 评估专栏将在AIM 3中开发以伴随课程；这些将旨在评估 跨专业的实践技能以及临床知识和能力在管理气道和发音期间 VR模拟。专栏的开发将包括确定临床的观察者间一致 观察完成VR模块的学习者的讲师。实现项目目标将导致VR 由三个VR模块组成的课程，课程手册和用于评估学习者的专栏 进行了模拟。然后，可以评估该课程的学习成果，以更广泛的范围 未来的项目着重于在各种环境中向学生和新手临床医生部署课程 作为研究生院，居住培训计划和紧急医疗技术人员计划。更好 最终将创建准备好的医疗保健劳动力，以支持气道和表达癌症的需求 气管切开术或喉切除术的患者改善了健康和生活质量。