Development and Validation of a Hybrid Virtual/Physical Nuss Procedure Surgical Trainer

With continuous advancements and adoption of minimally invasive surgery, proficiency with nontrivial surgical skills involved is becoming a greater concern. Consequently, the use of surgical simulation has been increasingly embraced by many for training and skill transfer purposes. Some systems utilize haptic feedback within a high-fidelity anatomically-correct virtual environment whereas others use manikins, synthetic components, or box trainers to mimic primary components of a corresponding procedure. Surgical simulation development for some minimally invasive procedures is still, however, suboptimal or otherwise embryonic. This is true for the Nuss procedure, which is a minimally invasive surgery for correcting pectus excavatum (PE) – a congenital chest wall deformity. This work aims to address this gap by exploring the challenges of developing both a purely virtual and a purely physical simulation platform of the Nuss procedure and their implications in a training context. This work then describes the development of a hybrid mixed-reality system that integrates virtual and physical constituents as well as an augmentation of the haptic interface, to carry out a reproduction of the primary steps of the Nuss procedure and satisfy clinically relevant prerequisites for its training platform. Furthermore, this work carries out a user study to investigate the system’s face, content, and construct validity to establish its faithfulness as a training platform

Spartan Daily September 30, 2009

Volume 133, Issue 17https://scholarworks.sjsu.edu/spartandaily/1285/thumbnail.jp

216 Jewish Hospital of St. Louis

https://digitalcommons.wustl.edu/bjc_216/1185/thumbnail.jp

Healthy You Hazleton

https://scholarlyworks.lvhn.org/healthy-you/1104/thumbnail.jp

The Utah Statesman, April 20, 2011

Weekly student newspaper of Utah State University in Logan.https://digitalcommons.usu.edu/newspapers/1166/thumbnail.jp

The Utah Statesman, April 20, 2011

Weekly student newspaper of Utah State University in Logan.https://digitalcommons.usu.edu/newspapers/1166/thumbnail.jp

The Impact of High Fidelity Simulation on Situational Awareness of Cardiac Related Obstetric Emergencies in Novice Nurses

Obstetric complications can be anticipated based on certain risk factors before they become emergent such as maternal post-partum hemorrhage. The challenge for smaller hospitals is that there is a low incidence rate of obstetrical emergencies for nurses to develop and maintain competency in providing care. A component to providing competent care is the possession of the non-clinical skill of Situational Awareness (SA). High-fidelity simulation technology has generated opportunities to create realistic simulations during which nurses can develop components that promote SA (confidence, knowledge, and critical thinking ability) without endangering real patients. Patients deserve safe and quality care from practitioners regardless of prior training; therefore, there is a need to examine how simulation is an effective way to train all nurses for complex and rare patient situations. The purpose of this system change project was to review and analyze the literature as well as evaluate participant data related to the effect of high-fidelity simulation education on a nurse’s situational awareness. Ten novice obstetric nurses from Mayo Clinic Health System – Franciscan Healthcare participated in the simulation study at Viterbo University’s Simulation Learning Center. SA was measured as a latent variable and evaluated on whether participants improved their knowledge levels, confidence levels, and showed evidence of clinical decision making following the simulation. The Confidence and Knowledge surveys were evaluated separately by a t-test to determine statistical significance. The Clinical Decision Making ability was assessed by the researcher based on whether the participants met pre-set benchmarks within the simulation. The results from the study showed evidence that there were participants that increased their knowledge level, confidence level and demonstrated critical thinking but not all three Impact of High Fidelity Simulation components together. Overall the data revealed a trend towards the participants increasing the components of SA and therefore a trend toward increasing their SA. Anecdotal comments from the participants were also collected. Critical to increasing and maintaining the nursing workforce is the successful training of nurses in the work setting. Increasing specialized training and dedicating educational resources for nurses may help produce a staff with more competent nurses. This SCP does provide support for the use of high fidelity simulation education to develop SA for critical experiences in the acute care setting

The Impact of High Fidelity Simulation on Situational Awareness of Cardiac Related Obstetric Emergencies in Novice Nurses

Obstetric complications can be anticipated based on certain risk factors before they become emergent such as maternal post-partum hemorrhage. The challenge for smaller hospitals is that there is a low incidence rate of obstetrical emergencies for nurses to develop and maintain competency in providing care. A component to providing competent care is the possession of the non-clinical skill of Situational Awareness (SA). High-fidelity simulation technology has generated opportunities to create realistic simulations during which nurses can develop components that promote SA (confidence, knowledge, and critical thinking ability) without endangering real patients. Patients deserve safe and quality care from practitioners regardless of prior training; therefore, there is a need to examine how simulation is an effective way to train all nurses for complex and rare patient situations. The purpose of this system change project was to review and analyze the literature as well as evaluate participant data related to the effect of high-fidelity simulation education on a nurse’s situational awareness. Ten novice obstetric nurses from Mayo Clinic Health System – Franciscan Healthcare participated in the simulation study at Viterbo University’s Simulation Learning Center. SA was measured as a latent variable and evaluated on whether participants improved their knowledge levels, confidence levels, and showed evidence of clinical decision making following the simulation. The Confidence and Knowledge surveys were evaluated separately by a t-test to determine statistical significance. The Clinical Decision Making ability was assessed by the researcher based on whether the participants met pre-set benchmarks within the simulation. The results from the study showed evidence that there were participants that increased their knowledge level, confidence level and demonstrated critical thinking but not all three components together. Overall the data revealed a trend towards the participants increasing the components of SA and therefore a trend toward increasing their SA. Anecdotal comments from the participants were also collected. Critical to increasing and maintaining the nursing workforce is the successful training of nurses in the work setting. Increasing specialized training and dedicating educational resources for nurses may help produce a staff with more competent nurses. This SCP does provide support for the use of high fidelity simulation education to develop SA for critical experiences in the acute care setting

Exploration, design and application of simulation based technology in interventional cardiology

Medical education is undergoing a vast change from the traditional apprenticeship model to technology driven delivery of training to meet the demands of the new generation of doctors. With the reduction in the training hours of junior doctors, technology driven education can compensate for the time deficit in training. Each new technology arrives on a wave of great expectations; sometimes our expectations of true change are met and sometimes the new technology remains as a passing fashion only. The aim of the thesis is to explore, design and apply simulation based applications in interventional cardiology for educating the doctors and the public. Chapters 1and 2 present an overview of the current practice of education delivery and the evidence concerning simulation based education in interventional cardiology. Introduction of any new technology into an established system is often met with resistance. Hence Chapters 3 and 4 explore the attitudes and perceptions of consultants and trainees in cardiology towards the integration of a simulation based education into the cardiology curriculum. Chapters 5 and 6 present the “i-health project,” introduction of an electronic form for clinical information transfer from the ambulance crew to the hospital, enactment of case scenarios of myocardial infarction of varied levels of difficulty in a simulated environment and preliminary evaluation of the simulation. Chapter 7 focuses on educating the public in cardiovascular diseases and in coronary interventional procedures through simulation technology. Finally, Chapter 8 presents an overview of my findings, limitations and the future research that needs to be conducted which will enable the successful adoption of simulation based education into the cardiology curriculum.Open Acces