Virtual Reality for Teaching Cardiopulmonary Resuscitation in the Primary Education Degree. A Comparative Study
DOI:
https://doi.org/10.5944/ried.26.2.36232Keywords:
training, cardiopulmonary resuscitation, simulation, virtual reality, serious gameAbstract
The importance of the present study comes from the methodological possibilities derived for a complex and fundamental area within health sciences, such as basic life support in general, and cardiopulmonary resuscitation (CPR) in particular. The objective of the present study is to analyze the effect of an serious game (SG), through the use of Virtual Reality (VR) goggles, on university students. This is a comparative study with a pre-post evaluation, with students enrolled in the Primary Education Degree, which analyzes the effect of an education game (with VR goggles) on CPR training. Among the results, we highlight that the mean quality of the chest compressions obtained previous results of 30% (SD 28), while the latter result was 47% (SD 27) [differences in means of 17% (95% CI 7-26), p<0.001]. Likewise, the training through VR decreased the performance times of each of the skills evaluated from the chain of survival, except for the start of the chest compressions. In conclusion, we underline that the SG analyzed, through VR goggles, improved the performance of the CPR maneuvers. In addition, the educational use of VR made it possible for university students enrolled in the Primary Education Degree to obtain not only better theoretical-conceptual results, but also allowed them to acquire competencies and skills related to CPR.
FULL ARTICLE:
https://revistas.uned.es/index.php/ried/article/view/36232/27685
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References
Aksoy, E. (2019). Comparing the Effects on Learning Outcomes of Tablet-Based and Virtual Reality–Based Serious Gaming Modules for Basic Life Support Training: Randomized Trial. JMIR Serious Games, 7(2), e13442. https://doi.org/10.2196/13442
Alcázar Artero, P. M., Pardo Ríos, M., Greif, R., Ocampo Cervantes, A. B., Gijón-Noguerón, G., Barcala-Furelos, R., Aranda-García, S., y Ramos Petersen, L. (2023). Efficiency of virtual reality for cardiopulmonary resuscitation training of adult laypersons: A systematic review. Medicine, 102(4), e32736. https://doi.org/10.1097/MD.0000000000032736
Ballesteros-Peña, S., Fernández-Aedo, I., Pérez-Urdiales, I., García-Azpiazu, Z., y Unanue-Arza, S. (2016). Conocimientos y actitudes de los ciudadanos del País Vasco sobre la resucitación cardiopulmonar y los desfibriladores externos automatizados. Medicina Intensiva, 40(2), 75-83. https://doi.org/10.1016/j.medin.2015.10.004
Basanta Camiño, S., Navarro Patón, R., Freire Tellado, M., Barcala Furelos, R., Pavón Prieto, M. P., Fernández López, M., y Neira Pájaro, M. A. (2017). Evaluación del conocimiento y de las habilidades para el uso de un Desfibrilador Externo Automatizado (DEA) por estudiantes universitarios. Un diseño cuasi experimental. Medicina Intensiva, 41(5), 270-276. https://doi.org/10.1016/j.medin.2016.07.008
Calvo, L. F., Herrero Martínez, R., y Paniagua-Bermejo, S. (2020). Influencia de procesos de ludificación en entornos de aprendizaje STEM para alumnos de Educación Superior (Influence of Gamification Processes in STEM Learning Environments for Higher Education Students). Trilogía Ciencia Tecnología Sociedad, 12(22). https://doi.org/10.22430/21457778.1604
Castillo, J., Rodríguez-Higueras, E., Belmonte, R., Rodríguez, C., López, A., y Gallart, A. (2023). Efficacy of Virtual Reality Simulation in Teaching Basic Life Support and Its Retention at 6 Months. International Journal of Environmental Research and Public Health, 20(5), 4095. https://doi.org/10.3390/ijerph20054095
Corrigan, N., Păsărelu, C.-R., y Voinescu, A. (2023). Immersive virtual reality for improving cognitive deficits in children with ADHD: A systematic review and meta-analysis. Virtual Reality (2023). https://doi.org/10.1007/s10055-023-00768-1
Creutzfeldt, J., Hedman, L., Heinrichs, L., Youngblood, P., y Felländer-Tsai, L. (2013). Cardiopulmonary Resuscitation Training in High School Using Avatars in Virtual Worlds: An International Feasibility Study. Journal of Medical Internet Research, 15(1), e1715. https://doi.org/10.2196/jmir.1715
Damaševičius, R., Maskeliūnas, R., y Blažauskas, T. (2023). Serious Games and Gamification in Healthcare: A Meta-Review. Information, 14(2), 105. https://doi.org/10.3390/info14020105
Delgado Rodríguez, S., Carrascal Domínguez, S., y García Fandiño, R. (2022). Retos del profesorado en los nuevos contextos de enseñanza-aprendizaje. Innovación educativa en asignaturas de ciencias de Educación Secundaria con recursos tecnológicos inmersivos. En S. Carrascal Domínguez, y N. Camuñas Sánchez-Paulete (Coords.), Docencia y aprendizaje: Competencias, identidad y formación de profesorado (pp. 727-746). Tirant lo Blanch.
Drummond, D., Delval, P., Abdenouri, S., Truchot, J., Ceccaldi, P.-F., Plaisance, P., Hadchouel, A., y Tesnière, A. (2017). Serious game versus online course for pretraining medical students before a simulation-based mastery learning course on cardiopulmonary resuscitation: A randomised controlled study. European Journal of Anaesthesiology | EJA, 34(12), 836-844. https://doi.org/10.1097/EJA.0000000000000675
Espinosa, C. C., Caballero, S. N., Rodríguez, L. J., Mochón, J. F. C., Melgarejo, F. S., Martínez, C. M. S., López, C. A. L., y Ríos, M. P. (2018). Ensayo clínico aleatorizado controlado que compara la formación presencial frente a la no presencial en el aprendizaje teórico de la reanimación cardiopulmonar entre los estudiantes de secundaria. Emergencias: Revista de la Sociedad Española de Medicina de Urgencias y Emergencias, 30, 28-34.
Greif, R., Bhanji, F., Bigham, B. L., Bray, J., Breckwoldt, J., Cheng, A., Duff, J. P., Gilfoyle, E., Hsieh, M.-J., Iwami, T., Lauridsen, K. G., Lockey, A. S., Ma, M. H.-M., Monsieurs, K. G., Okamoto, D., Pellegrino, J. L., Yeung, J., Finn, J. C., Baldi, E., … Zace, D. (2020). Education, Implementation, and Teams: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation, 142(16_suppl_1), S222–S283. https://doi.org/10.1161/CIR.0000000000000896
Greif, R., Lockey, A., Breckwoldt, J., Carmona, F., Conaghan, P., Kuzovlev, A., Pflanzl-Knizacek, L., Sari, F., Shammet, S., Scapigliati, A., Turner, N., Yeung, J., y Monsieurs, K. G. (2021). European Resuscitation Council Guidelines 2021: Education for resuscitation. Resuscitation, 161, 388-407. https://doi.org/10.1016/j.resuscitation.2021.02.016
Huang, Y., Richter, E., Kleickmann, T., y Richter, D. (2023). Comparing video and virtual reality as tools for fostering interest and self‐efficacy in classroom management: Results of a pre‐registered experiment. British Journal of Educational Technology, 54(2), 467-488. https://doi.org/10.1111/bjet.13254
Johnsen, H. M., Fossum, M., Vivekananda-Schmidt, P., Fruhling, A., y Slettebø, Å (2016). A Serious Game for Teaching Nursing Students Clinical Reasoning and Decision-Making Skills. Nursing Informatics 2016, 905-906. https://doi.org/10.3233/978-1-61499-658-3-905
Knowlin, L. T., Min, H. J., Abelairas-Gomez, C., Liu, D. R., y Fijacko, N. (2023). Near-peer mentoring and virtual reality for adult basic life support education in high school students. Resuscitation Plus, 13, 100356. https://doi.org/10.1016/j.resplu.2022.100356
Kyaw, B. M., Saxena, N., Posadzki, P., Vseteckova, J., Nikolaou, C. K., George, P. P., Divakar, U., Masiello, I., Kononowicz, A. A., Zary, N., y Tudor Car, L. (2019). Virtual Reality for Health Professions Education: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration. Journal of Medical Internet Research, 21(1), e12959. https://doi.org/10.2196/12959
Lewis, Z. H., Swartz, M. C., y Lyons, E. J. (2016). What’s the Point?: A Review of Reward Systems Implemented in Gamification Interventions. Games for Health Journal, 5(2), 93-99. https://doi.org/10.1089/g4h.2015.0078
Lui, P. P., Stringer, E., y Jouriles, E. N. (2023). Advancing knowledge on the health consequences of discrimination: The potential of virtual reality. Cultural Diversity and Ethnic Minority Psychology, 29, 96-105. https://doi.org/10.1037/cdp0000460
Marchiori, E., Ferrer, G., Manjón, B. F., Marco, J. P., González, J. F. S., y Valverde, A. G. (2012). Instrucción en maniobras de soporte vital básico mediante videojuegos a escolares: Comparación de resultados frente a un grupo control. Emergencias. Revista de la Sociedad Española de Medicina de Urgencias y Emergencias, 24(6), 433-437.
Neukamm, J., Gräsner, J.-T., Schewe, J.-C., Breil, M., Bahr, J., Heister, U., Wnent, J., Bohn, A., Heller, G., Strickmann, B., Fischer, H., Kill, C., Messelken, M., Bein, B., Lukas, R., Meybohm, P., Scholz, J., y Fischer, M. (2011). The impact of response time reliability on CPR incidence and resuscitation success: A benchmark study from the German Resuscitation Registry. Critical Care, 15(6), R282. https://doi.org/10.1186/cc10566
Nolan, J. P., Ornato, J. P., Parr, M. J. A., Perkins, G. D., y Soar, J. (2022). Resuscitation highlights in 2021. Resuscitation, 172, 64-73. https://doi.org/10.1016/j.resuscitation.2022.01.015
Ortí Martínez, J., Fernández Vidal., M. del C., y Mena García, E. (2022). Aprendizaje experimental y realidad virtual para la enseñanza con alumnos de Altas Capacidades, una experiencia interuniversitaria en los grados de educación de Turquía, Grecia y España. Revista de Innovación y Buenas Prácticas Docentes, 11(2), 100-111. https://doi.org/10.21071/ripadoc.v11i2.14403
Peddle, M. (2011). Simulation gaming in nurse education; entertainment or learning? Nurse Education Today, 31(7), 647-649. https://doi.org/10.1016/j.nedt.2010.12.009
Peddle, M., Bearman, M., y Nestel, D. (2016). Virtual Patients and Nontechnical Skills in Undergraduate Health Professional Education: An Integrative Review. Clinical Simulation in Nursing, 12(9). https://doi.org/10.1016/j.ecns.2016.04.004
Perkins, G. D., Graesner, J.-T., Semeraro, F., Olasveengen, T., Soar, J., Lott, C., Van, P., de Voorde, Madar, J., Zideman, D., Mentzelopoulos, S., Bossaert, L., Greif, R., Monsieurs, K., Svavarsdóttir, H., y Nolan, J. P. (2021). European Resuscitation Council Guidelines 2021: Resumen ejecutivo. Resuscitation, 161. https://doi.org/10.1016/j.resuscitation.2021.02.003
Perron, J. E., Coffey, M. J., Lovell-Simons, A., Domínguez, L., King, M. E., y Ooi, C. Y. (2021). Resuscitating Cardiopulmonary Resuscitation Training in a Virtual Reality: Prospective Interventional Study. Journal of Medical Internet Research, 23(7), e22920. https://doi.org/10.2196/22920
Real Decreto 126/2014, de 28 de febrero, por el que se establece el currículo básico de la Educación Primaria. Boletín Oficial del Estado, 52, de 1 de marzo de 2014. https://www.boe.es/buscar/pdf/2014/BOE-A-2014-2222-consolidado.pdf
Romero, M., Usart, M., y Ott, M. (2015). Can Serious Games Contribute to Developing and Sustaining 21st Century Skills? Games and Culture, 10(2), 148-177. https://doi.org/10.1177/1555412014548919
Ruano, Á. M., Galán-Casado, D., y Díaz, A. J. C. (2023). Las Intervenciones Socioeducativas en Estudiantes de Magisterio para Reducir el Estigma en la Salud Mental. Educational Psychology, 29(1), 101-107. https://doi.org/10.5093/psed2023a4
Salgado, T. G., Ibeas, C., Gravert, I., León, A., y Rojas, M. (2022). Características de un escenario de Realidad Virtual para el aprendizaje de anatomía: Una revisión bibliográfica. Revista Española de Educación Médica, 3(3). https://doi.org/10.6018/edumed.542861
Saunder, L., y Berridge, E.-J. (2015). Immersive simulated reality scenarios for enhancing students’ experience of people with learning disabilities across all fields of nurse education. Nurse Education in Practice, 15(6), 397-402. https://doi.org/10.1016/j.nepr.2015.04.007
Schmidt, M., y Glaser, N. (2021). Investigating the usability and learner experience of a virtual reality adaptive skills intervention for adults with autism spectrum disorder. Educational Technology Research and Development, 69(3), 1665-1699. https://doi.org/10.1007/s11423-021-10005-8
Sena, D. P. de, Fabrício, D. D., Silva, V. D. da, Bodanese, L. C., y Franco, A. R. (2019). Comparative evaluation of video-based on-line course versus serious game for training medical students in cardiopulmonary resuscitation: A randomised trial. PLOS ONE, 14(4), e0214722. https://doi.org/10.1371/journal.pone.0214722
Tekedere, H., y Göker, H. (2016). Examining the effectiveness of augmented reality applications in education: A meta-analysis. International Journal of Environmental & Science Education, 11(16), 9469-9481.
Yeung, J., Kovic, I., Vidacic, M., Skilton, E., Higgins, D., Melody, T., y Lockey, A. (2017). The school Lifesavers study-A randomised controlled trial comparing the impact of Lifesaver only, face-to-face training only, and Lifesaver with face-to-face training on CPR knowledge, skills and attitudes in UK school children. Resuscitation, 120, 138-145. https://doi.org/10.1016/j.resuscitation.2017.08.010
Yeung, J., Djarv, T., Hsieh, M. J., Sawyer, T., Lockey, A., Finn, J., Greif, R., Lightfoot, D., Singletary, E., Morley, P., y Bhanji, F. (2020). Spaced learning versus massed learning in resuscitation—A systematic review. Resuscitation, 156, 61-71. https://doi.org/10.1016/j.resuscitation.2020.08.132
