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31 Οκτ 2013 (πριν από 3 χρόνια και 10 μήνες)

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1

ALT
-
C 2012, Manchester

University

of


Nottingham

A 3D Simulation for Skills Training in a Hazardous Environment


Dr
Dave Hilton

Lecturer in Health Technology

School of Nursing, Midwifery and Physiotherapy

12/9/2012

2

The Problem


In the hospital ward environment there are
many potential sources of danger which
must be managed effectively in order to
protect staff, patients, visitors and
property.


Hazards include microbial infection,
flammable gases and accidental spillages of
liquids (including bodily fluids).


Student nurses in practice placement on a
ward may encounter such hazards. They
would be expected to respond calmly and
effectively.

12/9/2012

ALT
-
C 2012, Manchester

3

The Problem


To put the numbers of students in context,
we have a single intake of 380 student
nurses at the Nottingham Education Centre
and a further 70 at the Derby Education
Centre.


Teaching and assessing hazard
management skills can be very resource
intensive in terms of space, equipment,
time and teaching staff.


Effectively replicating a hazardous situation
in a clinical skills laboratory can also be
difficult to accomplish as scenarios should
ideally evolve to respond to the actions of
the learner.

12/9/2012

ALT
-
C 2012, Manchester

4

A Possible Solution


A solution to the problem of replicating
hazard management scenarios is to use
computer based simulations.


Simulations using 3D gaming
techniques have the potential to address
the issues of realism and resourcing.


Computer based simulations are easy to
set up and re
-
use.


They can be played at a time and place
to suit the learner.



12/9/2012

ALT
-
C 2012, Manchester

5

Previous Work


In a previous project we simulated a
hospital ward with ten hazards for student
nurses to locate and deal with.


These included blood
-
stained linen on a
bed, a syringe and needle left on a
patient’s table, broken glass on the floor
and dealing with vomit, blood and urine
spillages.


Feedback from student nurses was very
positive. They said it was interactive,
realistic and thought provoking (Hilton et
al., 2009).

12/9/2012

ALT
-
C 2012, Manchester

Current Project


We are now focussing on developing
an interactive game based upon an
MRSA infection outbreak.


MRSA
(
Methicillin
-
resistant
Staphylococcus aureus )
is a real
hazard on the ward.


If an outbreak occurs nurses must
be able to put a containment plan
into action.


There are choices to make, some of
which relate to the equipment but
some involve ethical and moral
dilemmas.

12/9/2012

ALT
-
C 2012, Manchester

6

Current Project


The project development group
includes nurses, nurse educators,
virtual reality researchers and e
-
learning management.


We have completed construction of
a new virtual hospital ward.


Object behaviours are currently
being programmed.


We are in the process of adding
semi
-
autonomous avatars.

12/9/2012

ALT
-
C 2012, Manchester

7

Current Project


Objects were constructed
using Autodesk.


The ward was constructed using Unity, a
freeware games development package.


www.unity3d.com

12/9/2012

ALT
-
C 2012, Manchester

8

11/1/2013

9

Ongoing Development


Students will progress through the
activity, taking steps to isolate the
outbreak and clean the infected
area.


Once they have completed this to
the best of their ability they will
be able to receive feedback.


In addition to text feedback
students will also be able to view
the ward as if viewed through
special goggles, showing the
residual infection as glowing
green.

ALT
-
C 2012, Manchester

10

Conclusion


The simulation is in advanced stages of development. All 3D objects have
been made and installed on the ward. The behaviours of objects and avatars
are in the process of being programmed using Javascript. The finished game
will play on the WWW.


The game will allow learners to explore procedures for dealing with an
emergency and make them aware of the consequences of their actions.


It will allow learners to practice implementation of an emergency protocol in
a situation that is difficult to simulate in the real world, without the risk of
harm to themselves or others.

12/9/2012

ALT
-
C 2012, Manchester