Dr. Jacqueline McCallum, Val Ness, Theresa Price, Andy Whiteford School of Nursing, Midwifery & Community Health July 2009 Using a virtual learning environment (Second Life) to deliver simulation education

The Results The team and avatars

Need to teach decision-making skills in nursing Clinical simulation laboratory stretched to capacity Glasgow Caledonian University bought an island on Second Life Dedicated support team for Second Life Background

Need to teach decision-making skills in nursing

Clinical simulation laboratory stretched to capacity

Glasgow Caledonian University bought an island on Second Life

Dedicated support team for Second Life

Research Questions 1.To progress students beyond using Second Life for social networking and explore their experience of this learning environment. 2. To explore the use of Second Life to develop Non-Technical skills in nursing such as decision-making. The Study

Research Questions

1.To progress students beyond using Second Life for social networking and explore their experience of this learning environment.

2. To explore the use of Second Life to develop Non-Technical skills in nursing such as decision-making.

Caledonian University Saltire Centre created on Second Life university island

Inside the Saltire centre

The real CSL - add photo from my desktop at work The real clinical simulation laboratory

The real CSL - add photo from my desktop at work

The virtual clinical simulation laboratory on Second Life

Action Research Ethical approval gained from School ethics committee Access granted from the Dean, programme leader and module leader 350 students invited to participate 12 Replied and were given information sheet 6 consented to the study and attended training 5 completed the study (1 withdrew) Methodology & Method

Action Research

Ethical approval gained from School ethics committee

Access granted from the Dean, programme leader and module leader

350 students invited to participate

12 Replied and were given information sheet

6 consented to the study and attended training

5 completed the study (1 withdrew)

Qualitative Data analysis exploring decisions made Written communication transcripts form the simulation Qualitative one-to-one interviews after the simulation Transcribed by one researcher Analysed using Dieklemann finding themes Methodology & Method

Qualitative Data analysis exploring decisions made

Written communication transcripts form the simulation

Qualitative one-to-one interviews after the simulation

Transcribed by one researcher

Analysed using Dieklemann finding themes

Six patients report given using SBAR One hour working in the Second Life CSL Assisted by a nurse avatar (researcher) Patients controlled by 2 nurse lecturers remotely The Simulation

Six patients

report given using SBAR

One hour working in the Second Life CSL

Assisted by a nurse avatar (researcher)

Patients controlled by 2 nurse lecturers remotely

The patients May Colin Willie Laura Anne Precilla

May

Colin

Willie

Laura

Anne

Precilla

The Simulation

Most proactive with Anne Possible due to feeling competent at wound care Least proactive with Colin, who has just returned from theatre The Results - text May Laura William Colin Precilla Anne Proactive 1 2 2 0 1 3 Reactive 4 3 3 5 4 2 Delegated 4 5 5 5 5 5

Most proactive with Anne

Possible due to feeling competent at wound care

Least proactive with Colin, who has just returned from theatre

The Results - interview Theme 1 Theme 2

Theme 1

Theme 2

More reactive than proactive with decisions – links to them stating they do not get experience on clinical placement No analytical decision-making, didn’t use any charts, e.g. EWS, pre-op checklist Delegated a great deal – had some experience of this on clinical placement Recognised the sick patient, but no assessment conducted Simulation on Second Life made them realise that they were doing decision-making Ignored May most of the time – not seen as a priority patient The Discussion

More reactive than proactive with decisions – links to them stating they do not get experience on clinical placement

No analytical decision-making, didn’t use any charts, e.g. EWS, pre-op checklist

Delegated a great deal – had some experience of this on clinical placement

Recognised the sick patient, but no assessment conducted

Simulation on Second Life made them realise that they were doing decision-making

Ignored May most of the time – not seen as a priority patient

get a good photo from second life for here. Questions

get a good photo from second life for here.