Innovation to practice: Explore the feasibility of applying augmented reality (AR) technology for simulation training on epidural analgesia nursing care

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Abstract Description
Submission ID :
HAC169
Submission Type
Authors (including presenting author) :
Law KL, Wong, MC,Chan, PC , Lee, MY, Wong, YH, Wong,TY
Affiliation :
(1) KEC Pain Management Centre, (2) Day Surgery Centre, (4)

Operating Room, (5)Anaesthesiology and Pain Medicine, United

Christian Hospital (6)
Introduction :
Augmented reality (AR) is an interactive experience that combines the real world and computer-generated content. AR environments are designed to simulate real scenarios. In recent years, AR technology have been widely used in various medical training programs. Studies showed that using AR as a tool to learn could increase the learner knowledge and provide intrinsic benefits.

Pain nurses provide training to ward nurses on epidural analgesia nursing care. Arround 80 new joined ward nurses were trained annually by instruction, demonstration and return demonstration. The performance assessment was done by instructor. UCH pain nurses tried to apply AR technology to develop a mobile simulation training system to improve effectiveness and training quality for nurses.
Objectives :
- Investigate the coaching time by instructor before and after applying AR assisted simulation training

- Evaluate the mobile AR assisted training system fulfill the training purpose and user satisfaction
Methodology :
Epidural analgesia nursing care training consisted of two elements; 1. An animated training video and 2. AR assisted mobile simulation training system that is used for trainer's return demonstration assessment. The training system included two devices- a tablet and a bluetooth electronic training model . Key feature includes:

1. Hand tracking in Augmented Reality (AR) environment

2. Electronic training model can mimic slight/high resistance and audio feedback for right/wrong performance

3. Simulation training performance record

28 new joined ward nurses from orthopedic and surgical departments participated in the training program. Primary outcome: 1. the difference of instructor coaching time with/without AR assisted training system 2. Self-evaluation on competence level of trained nurses based on knowledge gain, complication management and confidence level. Secondary outcome: satisfaction survey.
Result & Outcome :
After applying the training system, the instructors training hours reduced from 270 min to 30 min which showed 88% reduction compared with face-to-face training.

20 nurses returned the satisfaction survey, all of them agree that the system fulfills their training purposes and they were satisfied. 95% trained nurses reported that AR assisted simulation training was beneficial in enhancing knowledge and self-confidence in clinical setting.

Other comments included notes provision and random assigned questions would be more preferable.
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