Virtual Reality Simulation in Nontechnical Skills Training for Healthcare Professionals

Supplemental digital content is available in the text. Summary Statement This systematic review, conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, is aimed to review current research in virtual reality (VR) for healthcare training, specifically pertaining to nontechnical skills. PsycInfo and Medline databases were queried for relevant articles published through December 2017. Of the 1377 publications identified, 80 were assessed for eligibility and 26 were finally included in the qualitative synthesis. Overall, the use of virtual training for nontechnical skills is recent in healthcare education and has increased since 2010. Screen-based VR simulators or virtual worlds are the most frequently used systems. The nontechnical skills addressed in VR simulation include mainly teamwork, communication, and situation awareness. Most studies evaluate the usability and acceptability of VR simulation, and few studies have measured the effects of VR simulation on nontechnical skills development.

[1]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. , 2009, Journal of clinical epidemiology.

[2]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. , 2010, International journal of surgery.

[3]  S. Ogilvie,et al.  Improving interprofessional competence in undergraduate students using a novel blended learning approach , 2012, Journal of interprofessional care.

[4]  Johan Creutzfeldt,et al.  Using Virtual World Training to Increase Situation Awareness during Cardiopulmonary Resuscitation , 2014, MMVR.

[5]  D. Gaba The future vision of simulation in health care , 2004, Quality and Safety in Health Care.

[6]  Nick Sevdalis,et al.  Reliability of a revised NOTECHS scale for use in surgical teams. , 2008, American journal of surgery.

[7]  Mica R. Endsley,et al.  Toward a Theory of Situation Awareness in Dynamic Systems , 1995, Hum. Factors.

[8]  Jonathan Sherbino,et al.  Debriefing for technology‐enhanced simulation: a systematic review and meta‐analysis , 2014, Medical education.

[9]  Benjamin Lok,et al.  Using a Critical Incident Scenario With Virtual Humans to Assess Educational Needs of Nurses in a Postanesthesia Care Unit , 2015, The Journal of continuing education in the health professions.

[10]  P. Dasgupta,et al.  Simulation-based ureteroscopy skills training curriculum with integration of technical and non-technical skills: a randomised controlled trial , 2015, Surgical Endoscopy.

[11]  Fernando Bello,et al.  Full immersion simulation: validation of a distributed simulation environment for technical and non‐technical skills training in Urology , 2015, BJU international.

[12]  W. L. Heinrichs,et al.  Training Healthcare Personnel for Mass-Casualty Incidents in a Virtual Emergency Department: VED II , 2010, Prehospital and Disaster Medicine.

[13]  Teodor P Grantcharov,et al.  Virtual reality in surgical skills training. , 2010, The Surgical clinics of North America.

[14]  R. Agha,et al.  The role and validity of surgical simulation. , 2015, International surgery.

[15]  Parvati Dev,et al.  Virtual worlds and team training. , 2007, Anesthesiology clinics.

[16]  Eleni Stroulia,et al.  Developing interprofessional health competencies in a virtual world , 2012, Medical education online.

[17]  J. Windsor,et al.  Role of simulation in surgical education and training , 2009, ANZ journal of surgery.

[18]  David Cumin,et al.  A Systematic Review of Simulation for Multidisciplinary Team Training in Operating Rooms , 2013, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[19]  Simon Weidert,et al.  Vertebroplasty Performance on Simulator for 19 Surgeons Using Hierarchical Task Analysis , 2015, IEEE Transactions on Medical Imaging.

[20]  Sébastien Delorme,et al.  Fundamentals of neurosurgery: virtual reality tasks for training and evaluation of technical skills. , 2013, World neurosurgery.

[21]  A. Cheng,et al.  More Than One Way to Debrief: A Critical Review of Healthcare Simulation Debriefing Methods , 2016, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[22]  Nick Sevdalis,et al.  The impact of nontechnical skills on technical performance in surgery: a systematic review. , 2012, Journal of the American College of Surgeons.

[23]  Laura A Taylor,et al.  Second Life simulation as a strategy to enhance decision-making in diabetes care: a case study. , 2015, Journal of clinical nursing.

[24]  B. N. Harder,et al.  Use of simulation in teaching and learning in health sciences: a systematic review. , 2010, The Journal of nursing education.

[25]  P. Baker,et al.  Non‐technical skills training to enhance patient safety: a systematic review , 2012, Medical education.

[26]  Suvranu De,et al.  OR fire virtual training simulator: design and face validity , 2017, Surgical Endoscopy.

[27]  R. Ramloll,et al.  vTrain: A Novel Curriculum for Patient Surge Training in a Multi-User Virtual Environment (MUVE) , 2013, Prehospital and Disaster Medicine.

[28]  L. Niemi-Murola,et al.  Simulation in Interprofessional Clinical Education: Exploring Validated Nontechnical Skills Measurement Tools , 2017, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[29]  Suvranu De,et al.  Face and construct validation of a next generation virtual reality (Gen2-VR©) surgical simulator , 2016, Surgical Endoscopy.

[30]  Peter Jaye,et al.  Development and implementation of centralized simulation training: evaluation of feasibility, acceptability and construct validity , 2013, BJU international.

[31]  Daniel Katz,et al.  A Systematic Review of Serious Games in Training Health Care Professionals , 2016, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[32]  R Flin,et al.  Development of a rating system for surgeons' non‐technical skills , 2006, Medical education.

[33]  R. Satava,et al.  Virtual Reality Simulation for the Operating Room: Proficiency-Based Training as a Paradigm Shift in Surgical Skills Training , 2005, Annals of surgery.

[34]  Andrea Gaggioli,et al.  Virtual Reality Training for Health-Care Professionals , 2003, Cyberpsychology Behav. Soc. Netw..

[35]  C. Fertleman,et al.  A Discussion of Virtual Reality As a New Tool for Training Healthcare Professionals , 2018, Front. Public Health.

[36]  Rhona Flin,et al.  Safety at the Sharp End: A Guide to Non-Technical Skills , 2008 .

[37]  Karl F. MacDorman,et al.  The Uncanny Valley [From the Field] , 2012, IEEE Robotics Autom. Mag..

[38]  Nick Sevdalis,et al.  Framework for incorporating simulation into urology training , 2011, BJU international.

[39]  M. Rothmund,et al.  The Impact of Self-Belief on Laparoscopic Performance of Novices and Experienced Surgeons , 2008, World Journal of Surgery.

[40]  Valeriy Kozmenko,et al.  From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. , 2007, Journal of surgical education.

[41]  Rohit Das,et al.  TeamSTEPPS Virtual Teams: Interactive Virtual Team Training and Practice for Health Professional Learners , 2017, Creative Nursing.

[42]  J. Barsuk,et al.  Does Simulation-Based Medical Education With Deliberate Practice Yield Better Results Than Traditional Clinical Education? A Meta-Analytic Comparative Review of the Evidence , 2011, Academic medicine : journal of the Association of American Medical Colleges.

[43]  M. Krijn,et al.  Treatment of acrophobia in virtual reality: the role of immersion and presence. , 2004, Behaviour research and therapy.

[44]  A. Darzi,et al.  Efficient implementation of patient-specific simulated rehearsal for the carotid artery stenting procedure: part-task rehearsal. , 2011, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[45]  Nick Sevdalis,et al.  Tactical and operational response to major incidents: feasibility and reliability of skills assessment using novel virtual environments. , 2013, Resuscitation.

[46]  Arjun Nagendran,et al.  A Unified Framework for Individualized Avatar-Based Interactions , 2014, PRESENCE: Teleoperators and Virtual Environments.

[47]  Mithra Vankipuram,et al.  Collaborative virtual reality based advanced cardiac life support training simulator using virtual reality principles , 2014, J. Biomed. Informatics.

[48]  Jason Banfelder,et al.  Virtual operating room for team training in surgery. , 2015, American journal of surgery.

[49]  W. L. Heinrichs,et al.  Design, Development, and Evaluation of an Online Virtual Emergency Department for Training Trauma Teams , 2008, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[50]  Sumit Ghosh,et al.  Immersive Virtual Reality Simulations in Nursing Education , 2010, Nursing education perspectives.

[51]  Luke Rogers,et al.  Developing simulations in multi-user virtual environments to enhance healthcare education , 2011, Br. J. Educ. Technol..

[52]  Simon C Blackburn,et al.  Role of simulation in training the next generation of endoscopists. , 2014, World journal of gastrointestinal endoscopy.

[53]  James A. Jones,et al.  Virtual TeamSTEPPS(®) Simulations Produce Teamwork Attitude Changes Among Health Professions Students. , 2016, The Journal of nursing education.

[54]  Robert J Stone,et al.  A ‘mixed reality’ simulator concept for future Medical Emergency Response Team training , 2017, Journal of the Royal Army Medical Corps.

[55]  Colin D. Bicknell,et al.  Endovascular Repair of Ruptured Abdominal Aortic Aneurysm: Technical and Team Training in an Immersive Virtual Reality Environment , 2013, CardioVascular and Interventional Radiology.

[56]  Donovan A. McFarlane,et al.  Evaluating Training Programs: The Four Levels , 2006 .

[57]  Roger Kneebone,et al.  Evaluating Clinical Simulations for Learning Procedural Skills: A Theory-Based Approach , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[58]  C. Walsh,et al.  Simulation-Based Training of Non-Technical Skills in Colonoscopy: Protocol for a Randomized Controlled Trial , 2017, JMIR research protocols.

[59]  Rajesh Aggarwal,et al.  Cognitive training improves clinically relevant outcomes during simulated endovascular procedures. , 2008, Journal of vascular surgery.

[60]  Glenn Regehr,et al.  Teaching cognitive skills improves learning in surgical skills courses: a blinded, prospective, randomized study. , 2004, Canadian journal of surgery. Journal canadien de chirurgie.

[61]  Matt C. Howard Investigating the simulation elements of environment and control: Extending the Uncanny Valley Theory to simulations , 2017, Comput. Educ..

[62]  C. Walsh,et al.  Impact of a simulation training curriculum on technical and nontechnical skills in colonoscopy: a randomized trial. , 2015, Gastrointestinal endoscopy.

[63]  David M. Gaba,et al.  The Role of Debriefing in Simulation-Based Learning , 2007, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[64]  Marlies P. Schijven,et al.  European consensus on a competency-based virtual reality training program for basic endoscopic surgical psychomotor skills , 2010, Surgical Endoscopy.