Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan
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Purpose: Senior nursing and medical interns’ lack of familiarity and confidence with respect to practicing universal precaution for theprevention of occupational needlestick or sharp injuries may harm themselves. Trainees’ self-reported needlestick or sharp injury ratewas 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 needlestickor 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 orunsafe 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 amongnursing interns than medical interns. Trainees with past experiences of deep needlestick or sharp injury exhibited better performanceon the accuracy rate and time needed to complete 20 decisions than those without past experiences in VR practice. All trainees showedan improved performance after VR training. A high proportion of trainees reported that the VR-based training significantly decreasedtheir 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 injuryprevention and reduced the needlestick or sharp injury rates in the first 2 months of nursing and medical internship.
Abstract
Purpose: Senior nursing and medical interns’ lack of familiarity and confidence with respect to practicing universal precaution for theprevention of occupational needlestick or sharp injuries may harm themselves. Trainees’ self-reported needlestick or sharp injury ratewas 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 needlestickor 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 orunsafe 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 amongnursing interns than medical interns. Trainees with past experiences of deep needlestick or sharp injury exhibited better performanceon the accuracy rate and time needed to complete 20 decisions than those without past experiences in VR practice. All trainees showedan improved performance after VR training. A high proportion of trainees reported that the VR-based training significantly decreasedtheir 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 injuryprevention and reduced the needlestick or sharp injury rates in the first 2 months of nursing and medical internship.
참고문헌 (15)
- Iman Ghasemzadeh, "Sharp Injuries Among Medical Students", Global Journal of Health Science, 7(5) (2015), Canadian Center of Science and Education[DOI]
- Rahul Sharma, "Study of prevalence and response to needle stick injuries among health care workers in a tertiary care hospital in Delhi, India", Indian Journal of Community Medicine, 35(1), pp.74~ (2010), Medknow[DOI]
- LN Markovic-Denic, "The effect of training program to reduce needlestick injuries", BMC Proceedings, 5(S6) (2011), Springer Science and Business Media LLC[DOI]
- Xiaodong Gao, "A large-scale survey on sharp injuries among hospital-based healthcare workers in China", Scientific Reports, 7(1) (2017), Springer Science and Business Media LLC[DOI]
- José Miguel Padilha, "Clinical Virtual Simulation in Nursing Education: Randomized Controlled Trial", Journal of Medical Internet Research, 21(3), pp.e11529~ (2019), JMIR Publications Inc.[DOI]
- Guido Makransky, "Simulation based virtual learning environment in medical genetics counseling: an example of bridging the gap between theory and practice in medical education", BMC Medical Education, 16(1) (2016), Springer Science and Business Media LLC[DOI]
- Gentry SV, "Serious gaming and gamification education in health professions: systematic review", J Med Internet Res, 21, pp.e12994~ (2019)[DOI]
- Charlotte Buscombe, "Using Gagne’s theory to teach procedural skills", The Clinical Teacher, 10(5), pp.302~307 (2013), Wiley[DOI]
- Jemal Yasin, "Occupational exposure to blood and body fluids and associated factors among health care workers at the University of Gondar Hospital, Northwest Ethiopia", Environmental Health and Preventive Medicine, 24(1) (2019), Springer Science and Business Media LLC[DOI]
- M Seng, "Incidence of needlestick injuries among medical students after implementation of preventive training", Singapore Medical Journal, 54(9), pp.496~500 (2013), Singapore Medical Journal[DOI]
- David C. M. Taylor, "Adult learning theories: Implications for learning and teaching in medical education: AMEE Guide No. 83", Medical Teacher, 35(11), pp.e1561~e1572 (2013), Informa UK Limited[DOI]
- Parvin Lakbala, "Sharps injuries in the operating room", Environmental Health and Preventive Medicine, 19(5), pp.348~353 (2014), Springer Science and Business Media LLC[DOI]
- Laura M. Kinlin, "Use of Gloves and Reduction of Risk of Injury Caused by Needles or Sharp Medical Devices in Healthcare Workers: Results from a Case-Crossover Study", Infection Control & Hospital Epidemiology, 31(9), pp.908~917 (2010), Cambridge University Press (CUP)[DOI]
- Gudeta Kaweti, "Prevalence of percutaneous injuries and associated factors among health care workers in Hawassa referral and adare District hospitals, Hawassa, Ethiopia, January 2014", BMC Public Health, 16(1) (2015), Springer Science and Business Media LLC[DOI]
- Naghavi SH, "Post-traumatic stress disorder in trainee doctors with previous needlestick injuries", Occup Med, 63, pp.260~265 (2013)[DOI]
