Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan

Purpose Senior nursing and medical interns’ lack of familiarity and confidence with respect to practicing universal precaution for the prevention of occupational needlestick or sharp injuries may harm themselves. Trainees’ self-reported needlestick or sharp injury rate was known to be especially hig...

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Main Authors: Szu-Hsien Wu, Chia-Chang Huang, Shiau-Shian Huang, Ying-Ying Yang, Chih-Wei Liu, Boaz Shulruf, Chen-Huan Chen
Format: Article
Language:English
Published: Korea Health Personnel Licensing Examination Institute 2020-01-01
Series:Journal of Educational Evaluation for Health Professions
Subjects:
Online Access:http://www.jeehp.org/upload/jeehp-17-01.pdf
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author Szu-Hsien Wu
Chia-Chang Huang
Shiau-Shian Huang
Ying-Ying Yang
Chih-Wei Liu
Boaz Shulruf
Chen-Huan Chen
author_facet Szu-Hsien Wu
Chia-Chang Huang
Shiau-Shian Huang
Ying-Ying Yang
Chih-Wei Liu
Boaz Shulruf
Chen-Huan Chen
author_sort Szu-Hsien Wu
collection DOAJ
description Purpose Senior nursing and medical interns’ lack of familiarity and confidence with respect to practicing universal precaution for the prevention of occupational needlestick or sharp injuries may harm themselves. Trainees’ self-reported needlestick or sharp injury rate was 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 needlestick or 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 or unsafe 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 among nursing interns than medical interns. Trainees with past experiences of deep needlestick or sharp injury exhibited better performance on the accuracy rate and time needed to complete 20 decisions than those without past experiences in VR practice. All trainees showed an improved performance after VR training. A high proportion of trainees reported that the VR-based training significantly decreased their 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 injury prevention and reduced the needlestick or sharp injury rates in the first 2 months of nursing and medical internship.
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spelling doaj.art-bb9470543a7b47469143376a4b506a6d2023-09-02T12:30:54ZengKorea Health Personnel Licensing Examination InstituteJournal of Educational Evaluation for Health Professions1975-59372020-01-011710.3352/jeehp.2020.17.1349Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in TaiwanSzu-Hsien Wu0Chia-Chang Huang1Shiau-Shian Huang2Ying-Ying Yang3Chih-Wei Liu4Boaz Shulruf5Chen-Huan Chen6Department of Surgery, Taipei Veterans General Hospital, Taipei, TaiwanDivision of Clinical Skills Training, Department of Medical Education, Taipei Veterans General Hospital, Taipei, TaiwanSchool of Medicine, National Yang-Ming University, Taipei, TaiwanDivision of Clinical Skills Training, Department of Medical Education, Taipei Veterans General Hospital, Taipei, TaiwanSchool of Medicine, National Yang-Ming University, Taipei, TaiwanOffice of Medical Education, University of New South Wales Australia, Sydney, AustraliaSchool of Medicine, National Yang-Ming University, Taipei, TaiwanPurpose Senior nursing and medical interns’ lack of familiarity and confidence with respect to practicing universal precaution for the prevention of occupational needlestick or sharp injuries may harm themselves. Trainees’ self-reported needlestick or sharp injury rate was 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 needlestick or 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 or unsafe 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 among nursing interns than medical interns. Trainees with past experiences of deep needlestick or sharp injury exhibited better performance on the accuracy rate and time needed to complete 20 decisions than those without past experiences in VR practice. All trainees showed an improved performance after VR training. A high proportion of trainees reported that the VR-based training significantly decreased their 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 injury prevention and reduced the needlestick or sharp injury rates in the first 2 months of nursing and medical internship.http://www.jeehp.org/upload/jeehp-17-01.pdfinternship and residencyneedle stick injuriestaiwanuniversal precautionsvirtual reality
spellingShingle Szu-Hsien Wu
Chia-Chang Huang
Shiau-Shian Huang
Ying-Ying Yang
Chih-Wei Liu
Boaz Shulruf
Chen-Huan Chen
Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan
Journal of Educational Evaluation for Health Professions
internship and residency
needle stick injuries
taiwan
universal precautions
virtual reality
title Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan
title_full Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan
title_fullStr Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan
title_full_unstemmed Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan
title_short Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan
title_sort effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new coming medical and nursing interns in taiwan
topic internship and residency
needle stick injuries
taiwan
universal precautions
virtual reality
url http://www.jeehp.org/upload/jeehp-17-01.pdf
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