Impact of Using a Robot Patient for Nursing Skill Training in Patient Transfer

In the past few decades, simulation training has been used to help nurses improve their patient-transfer skills. However, the effectiveness of such training remains limited because it lacks effective ways of simulating patients’ actions realistically. It is difficult for nurses to use the skills learned from simulation training to transfer an actual patient. Therefore, we developed a robot patient that could simulate the behavior of patients’ limbs for patient-transfer training. This study examined the performance of the robot used in training and evaluated its training effectiveness. Four nursing teachers individually transferred the robot patient and then scored the robot patient's ability to simulate patients’ actions and its suitability for skill training. An experiment using pre-post control group design was carried out to examine the robot patient's training effectiveness compared with the human simulated patient. The participants were 20 nursing students and one nursing teacher who was responsible for scoring the students’ skills in the pre-test and post-test. All of the students were assigned to train with either the proposed robot patient or a healthy person simulating the patient. The results show that all four nursing teachers regarded the robot patient's actions as realistic. In addition, all four teachers agreed that the robot patient was suitable for skill training. The results also show that the proposed robot patient is more challenging than the current method, which employs a healthy person to simulate the patient. Significant skill improvement (p < 0.01) was observed in the experimental group when transferring the robot patient.

[1]  Azize Karahan,et al.  Determination of the usage of body mechanics in clinical settings and the occurrence of low back pain in nurses. , 2004, International journal of nursing studies.

[2]  Y. Mae,et al.  Human-like patient robot with chaotic emotion for injection training , 2009, 2009 ICCAS-SICE.

[3]  Chunbao Wang,et al.  Development of the airway management training system WKA-4: For improved high-fidelity reproduction of real patient conditions, and improved tongue and mandible mechanisms , 2011, 2011 IEEE International Conference on Robotics and Automation.

[4]  Tadashi Kitamura,et al.  Mechanical modeling of a beating heart for a cardiac palpation training system , 2003, Adv. Robotics.

[5]  J B Cooper,et al.  A brief history of the development of mannequin simulators for clinical education and training , 2004, Quality and Safety in Health Care.

[6]  S. Clemes,et al.  What constitutes effective manual handling training? A systematic review. , 2010, Occupational medicine.

[7]  S Hignett,et al.  Work-related back pain in nurses. , 1996, Journal of advanced nursing.

[8]  Shirley A. Smoyak Classroom Skills for Nurse Educators , 1980 .

[9]  Woojin Ahn,et al.  Design of a Haptic Interface for a Gastrointestinal Endoscopy Simulation , 2012, Adv. Robotics.

[10]  Gregory J. Gerling,et al.  The Design and Evaluation of a Computerized and Physical Simulator for Training Clinical Prostate Exams , 2009, IEEE Transactions on Systems, Man, and Cybernetics - Part A: Systems and Humans.

[11]  Yasuhiro Akiyama,et al.  Simulated crepitus and its reality-based specification using wearable patient dummy , 2015, Adv. Robotics.

[12]  Thesegan Moodley,et al.  Airway skills training using a human patient simulator , 2014 .

[13]  C. Cooper,et al.  Manual handling activities and risk of low back pain in nurses. , 1995, Occupational and environmental medicine.

[14]  Karl H.E. Kroemer,et al.  Personnel training for safer material handling , 1992 .

[15]  Anne Griffin Perry,et al.  Basic Nursing: Essentials for Practice , 2002 .

[16]  Suwoong Lee,et al.  Development of haptic devices using flexible sheets for virtual training of abdominal palpation , 2014, Adv. Robotics.

[17]  J. Cooper,et al.  A brief history of the development of mannequin simulators for clinical education and training , 2004, Quality and Safety in Health Care.

[18]  Robert Fox,et al.  Training for Shoulder Dystocia: A Trial of Simulation Using Low-Fidelity and High-Fidelity Mannequins , 2006, Obstetrics and gynecology.

[19]  Y. Kawakami,et al.  Basic Research on the Upper Limb Patient Simulator , 2007, 2007 IEEE 10th International Conference on Rehabilitation Robotics.

[20]  Jane Swain,et al.  Do they practise what we teach? A survey of manual handling practice amongst student nurses. , 2003, Journal of clinical nursing.

[21]  Mary T. Kowalski,et al.  Textbook of Basic Nursing , 1966 .

[22]  K. Suzuki,et al.  Dental Patient Robot as a Mechanical Human Simulator , 2007, 2007 IEEE International Conference on Mechatronics.

[23]  Rn Rm Rnt Jane Swain Mn,et al.  Do they practise what we teach? A survey of manual handling practice amongst student nurses , 2003 .

[24]  Hyung-Soon Park,et al.  Development of a Haptic Elbow Spasticity Simulator (HESS) for Improving Accuracy and Reliability of Clinical Assessment of Spasticity , 2012, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[25]  T. Krummel,et al.  Use of a human patient simulator in the development of resident trauma management skills. , 2001, The Journal of trauma.

[26]  Hiroshi Kobayashi,et al.  Depression patient robot for diagnostic training in psychiatric education , 2011, 2011 IEEE/ASME International Conference on Advanced Intelligent Mechatronics (AIM).

[27]  M. Lacroix,et al.  Student perceptions of using a human patient simulator for basic cardiac assessment , 2012 .

[28]  Chunbao Wang,et al.  Development of a face robot for cranial nerves examination training , 2012, 2012 IEEE International Conference on Robotics and Biomimetics (ROBIO).

[29]  Guillaume Alinier,et al.  Effectiveness of intermediate-fidelity simulation training technology in undergraduate nursing education. , 2006, Journal of advanced nursing.

[30]  Chunbao Wang,et al.  Development of an arm robot for neurologic examination training , 2012, 2012 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[31]  Jane Marie Cioffi,et al.  A pilot study to investigate the effect of a simulation strategy on the clinical decision making of midwifery students. , 2005, The Journal of nursing education.

[32]  Purang Abolmaesumi,et al.  An Augmented Reality Haptic Training Simulator for Spinal Needle Procedures , 2013, IEEE Transactions on Biomedical Engineering.

[33]  R. P. Mccall Physics of the human body , 2010 .

[34]  Jun Ota,et al.  Design and evaluation of robot patient for nursing skill training in patient transfer , 2015, Adv. Robotics.

[35]  A. Garg,et al.  An ergonomic evaluation of nursing assistants' job in a nursing home. , 1992, Ergonomics.

[36]  Anders Kjellberg,et al.  Evaluation of nursing students' work technique after proficiency training in patient transfer methods during undergraduate education. , 2006, Nurse education today.

[37]  Kevin A Hallgren,et al.  Computing Inter-Rater Reliability for Observational Data: An Overview and Tutorial. , 2012, Tutorials in quantitative methods for psychology.

[38]  R. E. Hall,et al.  Human patient simulation is effective for teaching paramedic students endotracheal intubation. , 2005, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[39]  Takashi Komeda,et al.  Design of Upper Limb Patient Simulator , 2012 .

[40]  B. Ho,et al.  Teaching first-year medical students physiology: does the human patient simulator allow for more effective teaching? , 2002, Singapore medical journal.

[41]  Matthias Harders,et al.  Adaptive Space Warping to Enhance Passive Haptics in an Arthroscopy Surgical Simulator , 2013, IEEE Transactions on Visualization and Computer Graphics.