VIDA-Nursing v1.0: immersive virtual reality in vacuum blood collection among adults

Souza-Junior, Valtuir Duarte De; Mendes, Isabel Amélia Costa; Tori, Romero; Marques, Leonardo Prates; Mashuda, Felipe Kenzo Kusakawa; Hirano, Leonardo Akira Fattore; Godoy, Simone De

doi:10.1590/1518-8345.3685.3263

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Revista Latino-Americana de Enfermagem

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Original Article • Rev. Latino-Am. Enfermagem 28 • 2020 • https://doi.org/10.1590/1518-8345.3685.3263 copy

VIDA-Nursing v1.0: immersive virtual reality in vacuum blood collection among adults^* * This article refers to the call “Educational technologies and innovative teaching methods in the training of human resources in health”. Paper extracted from doctoral dissertation “Immersive virtual reality simulation in the peripheral venipuncture procedure for vacuum blood collection”, presented to Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Brazil. Dissertation rewarded citation, CAPES Award Thesis, 2018. Supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), Grant # 2016/19920-0, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

to develop and validate the first immersive virtual reality simulation addressing vacuum blood collection in adult patients - VIDA-Nursing v1.0.

Method:

methodological study to validate 14 steps of the vacuum blood collection procedure in adults, designed to develop the immersive virtual reality simulator VIDA-Nursing v1.0. It was assessed by 15 health workers and 15 nursing undergraduate students in terms of visual, interactive, movement simulation reality, teaching and user-friendly aspects.

Results:

the workers considered 79.6% of the items to be valid, while the students considered 66.7% of the items valid; most of the demands can be implemented in the system by improving future versions.

Conclusion:

the simulator was considered a promising and innovative tool to teach vacuum blood collection in adults as it can be combined with other resources currently used to introduce this topic and technique in the education of undergraduate nursing students.

Descriptors:
Virtual Reality; Simulation; Simulation Training; Blood Specimen Collection; Technological Development and Innovation Projects; Nursing

	Background	Time since graduation	Years in current occupation	Previous occupation
1	Nurse	30 years	Teaching (12 years)	Care delivery (18 years)
2	Nurse	8 years	Graduate student	Medical Clinic (3 years)
3	Biochemical pharmacist	6 years	Public employee (8 years)	Teaching (10 years)
4	Nurse	15 years	Teaching (2 years)	Hospital Care (15 years); Intensive Care (6 years)
5	Nurse	3 years	Graduate student	Primary healthcare (11 months); Urgency/Trauma (2 years); Intensive Care (6 months)
6	Nurse	12 years	Graduate student	Care delivery (8 years); Teaching (4 years)
7	Nurse	6 years	Graduate student; Teaching (2 years)	Pre-hospital care (3 years); Intensive Care (2 years)
8	Nurse	7 years	Graduate student; Teaching-Administrative (3 years)	Primary Healthcare (2 years)
9	Nurse	16 years	Teaching (9 years)	Care delivery (7 years)
10	Nurse	15 years	Teaching (12 years)	-
11	Nurse	7 years	Teaching in Family Health (2 years)	Head of a Primary Healthcare Unit (1 year)
12	Nurse	5 years	Graduate student	Care delivery (1 year); Deft interpreter (5 years)
13	Nurse	4 years	Teaching (2 months); Care delivery (1 month)	-
14	Nurse	5 years	Graduate student	Teaching (4 months)
15	Nurse	3 years	Graduate student	-

Performance	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	Total
Duration of 1^st environment	00'50''	01'15''	02'25''	01'38''	01'21''	02'34''	01'29''	05'10''	01'52''	02'25''	03'20''	02'20''	02'44''	01'24''	01'57''	32'44'' (M^* * M=Mean; -02'11'')
Duration of simulation	16'38''	07'38''	15'00''	20'10''	23'53''	18'21''	08'58''	28'49''	22'38''	11'09''	15'48''	16'12''	19'28''	10'48''	13'47''	249'17'' (M^* * M=Mean; -16'37'')
Duration/first attempt	16'28'' /11^th	07'23'' /2^nd	14'31'' /5^th	06'58'' /2^nd	20'36'' /11^th	14'20'' /10^th	08'37'' /3^rd	-	-	05'37'' /2^nd	11'50'' /5^th	06'59'' /2^nd	08'51'' /3^rd	06'13'' /1^st	08'17'' /3^rd	-
Correct answers/ Attempts	1/11	1/2	1/5	4/9	2/13	2/11	1/3	0/12	0/11	2/5	2/7	3/7	3/9	2/2	2/5	26/112 (M^* * M=Mean; -1.7/7.5) (23.2% correct)
Asked demonstration	Yes	No	Yes	No	Yes	Yes	No	Yes	Yes	No	No	No	No	No	No	6 (40%)
Recently used Kinect/Xbox	No	No	No	No	No	No	No	No	No	No	No	No	No	No	Yes	1 (6.7%)
Prescription glasses	Yes	No	No	No	No	No	No	No	No	No	No	No	No	Yes	No	2 (13.3%)
Right/Left Handed	R^† † R=Right handed;	L^‡ ‡ L=Left handed	R^† † R=Right handed;	R^† † R=Right handed;	R^† † R=Right handed;	R^† † R=Right handed;	R^† † R=Right handed;	L^‡ ‡ L=Left handed	R^† † R=Right handed;	R^† † R=Right handed;	R^† † R=Right handed;	L^‡ ‡ L=Left handed	R^† † R=Right handed;	R^† † R=Right handed;	R^† † R=Right handed;	R^† † R=Right handed; -12 (80%)/ L^‡ ‡ L=Left handed -3 (20%)

Performance	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	Total
Duration of 1^st environment	01'25''	01'04''	01'31''	01'15''	02'06''	02'45''	02'19''	02'00''	03'30''	01'25''	02'02''	01'21''	01'10''	01'40''	01'45''	27'18'' (M^* * M = Média; -01'49'')
Duration of simulation	10'47''	12'55''	08'00''	09'16''	18'32''	16'30''	25'37''	20'37''	17'09''	22'22''	08'52''	37'00''	16'09''	06'29''	24'49''	255'04'' (M^* * M = Média; -17'00'')
Duration/first attempt	10'35'' /4ª	12'41'' /7ª	06'12'' /2ª	06'32'' /3ª	08'57'' /3ª	07'04'' /1ª	09'08'' /3ª	18'17'' /9ª	14'09'' /7ª	06'50'' /5ª	06'53'' /3ª	30'43'' /18ª	04'29'' /1ª	05'51'' /2ª	24'39'' /19ª	-
Correct answers/ Attempts	1/4	1/7	2/3	2/5	3/12	4/5	3/15	1/11	2/9	10/23	2/4	2/21	2/8	1/2	1/19	37/148 (M^* * M = Média; - 2.5/9.9) (25% correct answers)
Asked demonstration	Yes	Yes	No	No	No	No	No	Yes	Yes	No	No	Yes	No	No	Yes	6 (40%)
Recently used Kinect/Xbox	No	No	Yes	No	No	No	No	Yes	No	Yes	Yes	Yes	Yes	No	No	6 (40%)
Prescription glasses	Yes	Yes	No	No	Yes	No	No	No	No	No	Yes	No	No	No	No	4 26.7%)
Right/Left Handed	R^† † D = Destro;	L^‡ ‡ S = Sinistro	R^† † D = Destro;	R^† † D = Destro;	L^‡ ‡ S = Sinistro	R^† † D = Destro;	R^† † D = Destro;	R^† † D = Destro;	R^† † D = Destro;	R^† † D = Destro;	R^† † D = Destro;	R^† † D = Destro;	R^† † D = Destro;	R^† † D = Destro;	R^† † D = Destro;	R^† † D = Destro; 13 (86.7%)/ L^‡ ‡ S = Sinistro -2 (13.3%)
Semester	8^th	8^th	8^th	8^th	8^th	8^th	8^th	8^th	8^th	8^th	4^th	4^th	6^th	7^th	10^th	-

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding author: Simone de Godoy E-mail: sig@eerp.usp.br https://orcid.org/0000-0003-0020-7645