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Organizational Behavior Presentation
Using Virtual Simulations to Assess Situational
Awareness and Communication in Medical and
Nursing Education: A Technical Feasibility Study
Authors
Steven J. Anbro, Alison J. Szarko, Ramona A. Houmanfar, Amber M.
Maraccini, Laura H. Crosswell, Frederick C. Harris, Michelle Rebaleati & Luka
Starmer
University of Nevada, Behavior Analysis Program, Reno, Nevada USA
Renown Health, Reno, Nevada, USA
INTRODUCTI
ON
Introduction
 In this research work a situation awareness and communication in medical and nursing
education is presented.
 Situation Awareness explains human behavior in different complex systems.
 This research is virtual simulation based and done by using audio/video recordings.
 From 1987 to 2010, 46 simulation based researches were done on situation awareness in
medical and nursing field.(2 paper per year approx.)
 From 2011 to 2018,it was extended to 49 research papers.(7 papers per year approx.)
 In 1988, different methods were proposed for situation awareness in this field e.g.
audio/video recording, face expression recoding, eye tracking sensors etc.
 TeamSTEPPS
 A lot of patients died in USA due to lack of situation awareness.
MATERIALS &
METHODS
Methods
A pre/post comparative analysis is proposed in this research work.
This research work is done at Medical School Campus using its 5-
standard patients rooms to run Virtual Reality(VR) simulations.
Total of 105(63 females,42 males) students participated in this
experiment out of which 49 were medical students and 56 nursing
students.
Then Pre-Training VR-Simulations were recorded.
After a Week Post-Training VR-Simulations were recorded.
Materials
Five HTC headsets were used.
One of the HTC contained eye tracking sensor.
Verbal responses managed from control room.
A physician played the role of a medical doctor in
simulation.
A medical technician behaved as a nurse in simulation.
All the students played role of patients.
Procedure
Participants entered the room and fitted with HTC vive VR
headsets.
They told to say “start” on visual prompt in headset.
22 students uses HTC headsets with eye tracking sensor.
All the procedure was done before training.
Then participants were trained to improve SA.
Rules of practice session were
 No Talking
 Only team leader may talk
 All team members may talk
Procedure
Correct response within 2 seconds
Erred responses
Missing responses
RESULTS &
DISCUSSION
Results
Out of 10-verbal check back opportunity only 5&7 results
are in 50%.
They have estimated these results by finding Mean(M) and
Standard Deviation(SD).
For pre test M=1.72 and SD=2.49
For post test M=4.14 and SD=3.11
Results
Results
CONCLUSION
Conclusion
In this research work a VR simulation based approach is
presented for situation awareness in medical and nursing.
The high-precision is directly tied to VR.
In future it can be more effective by measuring different
expressions and reactions.
The cost of VR technology is continue to decrease. So it can
be used in everyday application for behavior analysis.
It can be used in training of different behavioral skills.

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OB - Presentation.pptx

  • 2. Using Virtual Simulations to Assess Situational Awareness and Communication in Medical and Nursing Education: A Technical Feasibility Study Authors Steven J. Anbro, Alison J. Szarko, Ramona A. Houmanfar, Amber M. Maraccini, Laura H. Crosswell, Frederick C. Harris, Michelle Rebaleati & Luka Starmer University of Nevada, Behavior Analysis Program, Reno, Nevada USA Renown Health, Reno, Nevada, USA
  • 4. Introduction  In this research work a situation awareness and communication in medical and nursing education is presented.  Situation Awareness explains human behavior in different complex systems.  This research is virtual simulation based and done by using audio/video recordings.  From 1987 to 2010, 46 simulation based researches were done on situation awareness in medical and nursing field.(2 paper per year approx.)  From 2011 to 2018,it was extended to 49 research papers.(7 papers per year approx.)  In 1988, different methods were proposed for situation awareness in this field e.g. audio/video recording, face expression recoding, eye tracking sensors etc.  TeamSTEPPS  A lot of patients died in USA due to lack of situation awareness.
  • 6. Methods A pre/post comparative analysis is proposed in this research work. This research work is done at Medical School Campus using its 5- standard patients rooms to run Virtual Reality(VR) simulations. Total of 105(63 females,42 males) students participated in this experiment out of which 49 were medical students and 56 nursing students. Then Pre-Training VR-Simulations were recorded. After a Week Post-Training VR-Simulations were recorded.
  • 7. Materials Five HTC headsets were used. One of the HTC contained eye tracking sensor. Verbal responses managed from control room. A physician played the role of a medical doctor in simulation. A medical technician behaved as a nurse in simulation. All the students played role of patients.
  • 8. Procedure Participants entered the room and fitted with HTC vive VR headsets. They told to say “start” on visual prompt in headset. 22 students uses HTC headsets with eye tracking sensor. All the procedure was done before training. Then participants were trained to improve SA. Rules of practice session were  No Talking  Only team leader may talk  All team members may talk
  • 9. Procedure Correct response within 2 seconds Erred responses Missing responses
  • 11. Results Out of 10-verbal check back opportunity only 5&7 results are in 50%. They have estimated these results by finding Mean(M) and Standard Deviation(SD). For pre test M=1.72 and SD=2.49 For post test M=4.14 and SD=3.11
  • 15. Conclusion In this research work a VR simulation based approach is presented for situation awareness in medical and nursing. The high-precision is directly tied to VR. In future it can be more effective by measuring different expressions and reactions. The cost of VR technology is continue to decrease. So it can be used in everyday application for behavior analysis. It can be used in training of different behavioral skills.