Validation of an Affordable and Accessible Alternative Simulation Technology [7D

Abstract

INTRODUCTION: The aim of this study was to determine the effectiveness of serious game computer simulation training in teaching electronic fetal monitoring (EFM) interpretation skills and the clinical action decisions associated with each abnormality. The use of novel technology like virtual reality, e-learning, and serious gaming can offer improvement in the learning outcomes. METHODS: OB/GYN nurses and physicians were randomized to either in-lab simulation group or serious game group in Phase 1 and received group-specific education on EFM interpretation and decision-making. After a minimum 3-month decay period participants completed Phase 2, a well-established in-situ team training drill in which they had to interpret EFM tracings and manage the patient accordingly. Participants were scored on their interpretations and decision-making of the EFM tracings during the in-situ team training drill. Participant scores were compared using the Student t test or Wilcoxon rank sum test. Survey results were analyzed with the Chi square test or Fisher's exact test. RESULTS: The primary outcome was percent correct in EFM strip interpretation and decision-making recorded during the in-situ team training sessions. In comparing overall performance between the groups, the serious game participants scored 55.8% and the simulation lab participants scored 61.6%. There were no significant differences detected (p = 0.43), however this study was under powered. CONCLUSION: The use of serious games in delivery of education to healthcare providers is a viable alternative to delivery of education in large simulation laboratories. Our serious game participants performed similarly to our in-lab simulation participants. Studies with larger numbers of participation are needed.