2. I have nothing to discloseI have nothing to disclose
I have nothing to disclose
3. 1. Describe the implementation of a non-
acute care clinical experience usingVirtual
Reality Simulation.
2. Discuss the results of this study
including how it increased student
awareness of the challenges of chronic
illness self-management in diverse
populations.
5. 50% in US have at least 1 chronic
illness
70% of deaths per year are related
to chronic illness
An increase in chronic illness care
knowledge and participation is
necessary within the structure of
ACA
(CDC, 2013)
6. Self-Management Support
A primary role for the RN
Does not include “telling” patients what to do
Support the patients’ efforts to daily manage
Provide information as needed/desired – remember
that the most important assessment for patient
education is the readiness to learn
Emotional support – might just need to listen
Problem solving strategies – different for each
person
Interprofessional teamwork
7. Management and care of
patients with chronic
illness
Ambulatory care
Local community clinic
Care of patients with
chronic disease acute
care focused
9. Variety of patients
Various levels of self-management ability
Comorbidities that impact self-management
Self-management of more than one chronic
illness
Focus illnesses: diabetes and chronic heart
failure
10. This is not a new concept
Internet-based computer applications in
which simulated environments are
created.
Active learning out of the gaming world
“Residents” in the form of Avatars
communicate, attend meetings and take
part in simulations.
(Skiba,2009; Robbins-Bell, 2010)
11. New Generation of learners
Application ofTeamwork and
Collaboration
Universities and Healthcare Practice
Facilities all over the world - usingVR
for their everyday classes, meetings
and seminars.
Over 150 Higher-Ed institutions
24. What are some
challenges in the
ambulatory care
environment?
Chronic illness in
ambulatory vs
acute care?
Why is it important
to use motivational
interviewing
techniques?
What did you learn
about chronic
illness from your
patients?
How do
psychosocial
issues affect
patient outcomes
25. Pre-and post simulation knowledge quiz.
Self-efficacy in Self-management
support survey
Anecdotal comments from students
Debriefing
26. 1St year: Grad student with low
computer self-efficacy - students
on one day rated experience with
grad student low and students
working with experienced faculty
on another day rated their
experience high.
27. 2nd year: Changed theVirtual Simulation
modules, pre/post test, and self-efficacy
survey.
Students felt better prepared for discharge
teaching
Statistically significant increase in student
self-efficacy for providing support to
patient/client for self-management of
chronic disease.
28. Students learned and increased self-
efficacy from Role Playing
Student Feedback
Felt more confident – using avatar
No one was watching them like in
traditional simulation
Opportunity to practice self-management
support
Applied what they learned in clinical
29. Innovative ideas – student experience in
community/ambulatory care
Students report that role-playing increases
their self-efficacy
Can be developed for the simulation lab –
set up like a clinic room – use standardized
patients for role-playing
30.
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Education/Eduserv Foundation, 32-45.
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disease prevention and health promotion. Retrieved from
http://www.cdc.gov/chronicdisease/overview
Clint, M. (2007, August 10). Educational Uses of Second Life [Video
file].Video posted to
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Davidson, S.J. (2008). An immersive perspective on the second life
virtual world. The Computer & Internet Lawyer 25(3). 1-16.
32. Doyle, J. J., & Leighton, K. (2010). A curriculum for the pre-
licensure nursing program. InW. M. Nehring, & F. R. Lashley
(Eds.), High fidelity patient simulation in nursing education
(pp. 387-404). Sudbury, MA: Jones and Bartlett Publishers.
Gruber, J. (2007). New advances in technology. Retrieved from
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change, advancing health. Washington, DC:The National
Academies Press
Keesey,C. R. (2007, February 15). Ohio University Second Life
Campus [Video file].Video posted to
http://www.youtube.com/watch?v=aFuNFRie8wA.
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autobiography and constructivist design. Nurse Educator, 29,
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conversation. Educause Review, 43(5).
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