DOI QR코드

DOI QR Code

Educational needs of severe trauma treatment simulation based on mixed reality: Applying focus group interviews to military hospital nurses

혼합현실 기반 중증외상 처치 시뮬레이션 교육 요구 조사: 군병원 간호사 대상 포커스 그룹 인터뷰 적용

  • Received : 2021.09.16
  • Accepted : 2021.11.02
  • Published : 2021.11.30

Abstract

Purpose: The purpose of this study is to identify the educational needs of a severe trauma treatment simulation program based on mixed reality which combines element of both virtual reality and augmented reality. Methods: Focus group interviews were conducted with ten military hospital nurses on February 4 and 5, 2021. The collected data were analyzed using a qualitative content analysis. As a framework for data analysis, the educational needs were clustered into the following four categories: teaching contents, teaching methods, teaching evaluation, and teaching environment. Results: The educational needs for each category that emerged were as follows: three subcategories including "realistic education reflecting actual clinical practice" and "motivating education" for teaching contents; five subcategories including "team-based education," "repeated education that acts as embodied learning," and "stepwise education" for teaching methods; six subcategories including "debriefing through video conferences," "team evaluation and evaluator in charge of the team," "combination of knowledge and practice evaluation" for teaching evaluation; six subcategories including "securing safety," "similar settings to real clinical environments," "securing of convenience and accessibility for learners," and "operating as continuing education" for teaching environment. Conclusion: The findings of this study can provide a guide for the development and operation of a severe trauma treatment simulation program based on mixed reality. Moreover, it suggests that research to identify the educational needs of various learners should be conducted.

Keywords

References

  1. Jung KW, Lee JC, Kim JY. Injury severity scoring system for trauma patients and trauma outcomes research in Korea. Journal of Acute Care Surgery. 2016;6(1):11-17. https://doi.org/10.17479/jacs.2016.6.1.11
  2. Jung EK. 2018 Community-based severe trauma surveillance. Cheongju: Korea Disease Control and Prevention Agency;2020. Report No.:11-1790387-000020-10.
  3. Ministry of Health and Welfare. Improvement plan of severe trauma care system [Internet]. Sejong: Ministry of Health and Welfare; 2018 [cited 2021 July 20]. Available from: https://www.korea.kr/common/download.do?fileId=185895581&tblKey=GMN
  4. Sampalis JS, Lavoie A, Williams JI, Mulder DS, Kalina M. Impact of on-site care, prehospital time, and level of in-hospital care on survival in severely injured patients. The Journal of Trauma. 1993;34(2):252-261. https://doi.org/10.1097/00005373-199302000-00014
  5. Joe SJ, Seo YM, Jeong EK, Choi JY. Educational needs assessment for nurses in the regional trauma centers. Korean Journal of Military Nursing Research. 2016;34(2):52-68. https://doi.org/10.31148/kjmnr.2016.34.2.52
  6. Jeong YJ, Hong SK, Kim YH, Kim TH, Keum MA, Ma DS, et al. Outcomes for employment of a trauma clinical nurse specialist in the treatment of trauma patients. Journal of Trauma and Injury. 2012;25(4):254-260.
  7. Jeffries PR. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives. 2005;26(2):96-103.
  8. Kim SK, Eom MR, Park MH. Effects of nursing education using virtual reality: a systematic review. The Journal of the Korea Contents Association. 2019;19(2):661-670. https://doi.org/10.5392/JKCA.2019.19.02.661
  9. Chu MS, Hwang YY. Effects of web-based simulation and high-fidelity simulation of acute heart disease patient care. The Journal of Korean Academic Society of Nursing Education. 2017;23(1):95-107. https://doi.org/10.5977/jkasne.2017.23.1.95
  10. Lee YH, Ahn HY. The effects of simulation education for new nurses on emergency management using low-fidelity simulator. The Journal of Korean Academic Society of Nursing Education. 2019;25(3):331-343. https://doi.org/10.5977/jkasne.2019.25.3.331
  11. Jung HJ, Chae MJ. Experience the core fundamental nursing skills practice of nursing students using virtual reality. The Journal of Humanities and Social Science. 2020;11(4):703-716. https://doi.org/10.22143/HSS21.11.4.51
  12. Kim YJ, Kim WJ, Min HY. Nursing students' experiences in virtual simulation practice. The Journal of Korean Academic Society of Nursing Education. 2020;26(2):198-207. https://doi.org/10.5977/jkasne.2020.26.2.198
  13. Kim YH, Lee SW, Lee JS, Noh KH. E-learning technology based on mixed reality. Electronics and Telecommunications Trends. 2009;24(1):90-100. https://doi.org/10.22648/ETRI.2009.J.240110
  14. Frost J, Delaney L, Fitzgerald R. Exploring the application of mixed reality in nurse education. BMJ Simulation and Technology Enhanced Learning. 2020:6(4):214-219. https://doi.org/10.1136/bmjstel-2019-000464
  15. Hauze SW, Hoyt HH, Frazee JP, Greiner PA, Marshall JM. Enhancing nursing education through affordable and realistic holographic mixed reality: the virtual standardized patient for clinical simulation. Biomedical Visualisation. 2019;1120:1-13. https://doi.org/10.1007/978-3-030-06070-1_1
  16. Joe SH. Ship design and surgery practice with VR and AR... the government will raise the virtual convergence economy to 30 trillion won [Internet]. Seoul: Moneytoday; 2020 [cited 2020 Sep 8]. Available from: https://news.mt.co.kr/mtview.php?no=2020121009254659423
  17. Kim KM, Kim JK. A convergence study on education status, educational needs, and nursing competence of regional trauma intensive care unit nurses. Journal of the Korea Convergence Society. 2020;11(3):321-331. https://doi.org/10.15207/JKCS.2020.11.3.321
  18. Jacobs BB, Hoyt KS. Trauma nursing core course: provider manual. Park Ridge, IL: The Emergency Nurses Association;2020. p. 290-291.
  19. Jang K. Study on establishment of clinical career development model of nurses [dissertation]. Seoul: Yonsei University;2000. p. 1-201.
  20. Shin YH, Jeong GH, Hyun MS. A study on plans for improvement of RN-BSN curriculum based on the needs of the students. The Journal of Korean Academic Society of Nursing Education. 2006;12(2):151-161.
  21. Park MA, Shin SJ. Nurses and nursing students' recognition of good instruction. Journal of Korean Academy of Nursing. 2020;50(1):101-115. https://doi.org/10.4040/jkan.2020.50.1.101
  22. David LM. Focus groups as qualitative research. 2nd ed. Korean association for qualitative research, translator. Paju: Koonja; 2007. p. 1-93.
  23. Grove SK, Burns N, Gray JR. Practice of nursing research. Park J, Jo J, Cha D, Im Y, translator. Paju: Soomoonsa; 2017. p. 1-856.
  24. Hiesh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15:1277-1288. https://doi.org/10.1177/1049732305276687
  25. INACSL Standards Committee. INACSL standards of best practice: simulation design. Clinical Simulation in Nursing. 2016;12(S):S5-S12. https://doi.org/10.1016/j.ecns.2016.09.005
  26. Kim JH, Park IH, Shin SJ. Systematic review of Korean studies on simulation within nursing education. The Journal of Korean Academic Society of Nursing Education. 2013;19(3):307-319. https://doi.org/10.5977/jkasne.2013.19.3.307