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Removing the Dark Clouds - Vanderbilt University School of Nursing

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6<br />

TEACHING VIA VIRTUAL REALITY<br />

The <strong>Vanderbilt</strong> <strong>University</strong> <strong>School</strong> <strong>of</strong><br />

<strong>Nursing</strong> was recently awarded a $1.6<br />

million, three-year grant from Health<br />

Resources Services Administration’s (HRSA)<br />

Innovative Nurse Education Technologies<br />

(INET) Program for <strong>the</strong> next step in simulation<br />

s<strong>of</strong>tware management. When<br />

completed, portions may look a lot like<br />

popular gaming systems such as Wii,<br />

Xbox or PlayStation.<br />

Research shows that all <strong>of</strong> Tennessee’s<br />

nursing schools have some sort <strong>of</strong> simulation<br />

capabilities ranging from modest task<br />

trainers to practice blood pressure to highfidelity<br />

mannequins. Unfortunately, most<br />

Tennessee nursing schools lack trained<br />

faculty to use simulation to its fullest<br />

potential. At <strong>the</strong> same time, <strong>the</strong> nationwide<br />

nursing faculty shortage and a rise<br />

in nursing school applicants is forcing<br />

educators to look at new tools.<br />

“We have simulation experts at VUSN<br />

in areas such as faculty debriefing, but<br />

most schools aren’t that fortunate,” said<br />

Betsy Weiner, Ph.D., R.N., senior associate<br />

dean for Informatics at <strong>the</strong> VUSN. “It<br />

almost takes a champion at each nursing<br />

school to help o<strong>the</strong>rs see <strong>the</strong> benefits.”<br />

Students like Lauren Mallard B.S.N., R.N., who studies between classes in<br />

<strong>the</strong> Frist <strong>Nursing</strong> Informatics Center, may benefit from new advances in<br />

simulated learning.<br />

Weiner’s vision for writing this grant<br />

focused on helping nurse faculty to better<br />

manage <strong>the</strong> simulation experience with<br />

<strong>the</strong>ir students. She and her team want to<br />

develop a dashboard for educators that<br />

helps <strong>the</strong>m to measure <strong>the</strong>ir own progress<br />

in meeting educational competencies<br />

related to simulation management. Long<br />

term, this dashboard could provide <strong>the</strong><br />

same intelligence to nursing students so<br />

that simulation can be better integrated<br />

into <strong>the</strong> curriculum ra<strong>the</strong>r than a piecemeal<br />

approach that is so <strong>of</strong>ten used by<br />

many schools.<br />

“The unique thing is that we decided<br />

to use <strong>the</strong> Second Life environment for one<br />

or more <strong>of</strong> <strong>the</strong> simulations,” said Weiner.<br />

Second Life is a three-dimensional<br />

virtual world where participants create a<br />

visual model <strong>of</strong> <strong>the</strong>mselves (an avatar) and<br />

participate in a community, such as nursing<br />

simulation. Weiner’s group will create<br />

different scenarios using <strong>the</strong> 3-D graphics<br />

and incorporate video <strong>of</strong> high-fidelity simulators<br />

and perhaps even patients to help<br />

role-play.<br />

Students will be active in <strong>the</strong> virtual<br />

reality world at <strong>the</strong> same time and will be<br />

assigned roles. One module may have an<br />

online lecture hall while ano<strong>the</strong>r may be<br />

focused on simulation debriefing.<br />

Regardless, Second Life will provide what<br />

video streaming and e-mail exchange cannot:<br />

a richer, interactive experience. At<br />

<strong>the</strong> same time, nursing faculty will have<br />

an objective evaluation <strong>of</strong> <strong>the</strong>ir own<br />

teaching practices.<br />

“I always end up wanting to do<br />

something <strong>the</strong> technology won’t allow me<br />

to do, so we are looking forward to working<br />

out all <strong>the</strong> details,” said Weiner.<br />

The <strong>School</strong> <strong>of</strong> <strong>Nursing</strong> will be working<br />

collaboratively with <strong>the</strong> <strong>University</strong> <strong>of</strong><br />

Kentucky College <strong>of</strong> <strong>Nursing</strong> to develop<br />

and pilot test <strong>the</strong> work. The goal is to<br />

market <strong>the</strong> training modules to nursing<br />

educators throughout a 16-state area in<br />

<strong>the</strong> South, deemed by Healthy People<br />

2010 as having a high incidence <strong>of</strong> lifethreatening<br />

disease.<br />

– KATHY RIVERS<br />

JOE HOWELL

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