Mobile Environment for Developing User Situation Awareness (MEDUSA): Training for Healthcare Professionals

Abstract

This paper describes the development of a mobile phone application (MEDUSA) for training situation awareness. MEDUSA was developed as a cost efficient form of on demand training to supplement other more costly, traditional forms of training such as simulation labs and live patient rounds. Users care for a simulated patient and are tested using a version of the Situation Awareness Global Assessment Technique (SAGAT). Users receive feedback on how many SAGAT queries they answered correctly and are provided tips on how to improve SA. Initial usability testing demonstrated strong support for the program among a sample of nursing students. Continued efforts are on-going in the design and testing of a teaching portal that allows trainers to easily create their own scenarios.

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References

Al-Ghareeb

A. Z.

Cooper

S. J.

(2015). Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: An integrative review. Nurse Education Today, 36, 281-286. http://dx.doi.org/10.1016/j.nedt.2015.08.005.

Berkow

Virkstis

Stewart

Conway

(2008). Assessing new graduate nurse performance. Journal of Nursing Administration, 38(11), 468-474. http://doi:10.1097/01.NNA.0000339477.50219.06.

Chiou

C. K.

Tseng

J. C. R.

Hwang

G. J.

Heller

(2010). An adaptive navigation support system for conducting context-aware ubiquitous learning in museums. Computers in Education, 55(2), 834–845. https://www.learntechlib.org/p/167134/

Endsley

M. R.

(1995). Towards of theory of situation awareness in dynamic systems. Human Factors, 37, 32-64. http://doi.org/10.1518/001872095779049543

Endsley

M. R.

(2006). Situation awareness. In Salvendy

(Ed.), Handbook of human factors and ergonomics (528-542). New York: Wiley. https://psycnet.apa.org/doi/10.1002/0470048204.ch20

Endsley

M. R.

Bolte

Jones

D. G.

(2003). Designing for situation awareness: An approach to user-centered design. London: Taylor and Francis.

Fore

A. M.

Sculli

G. L.

(2013). A concept analysis of situational awareness in nursing. Journal of Advanced Nursing, 69(12), 2613-1621. http://doi.org/10.1111/jan.12130.

Gaba

D. M.

Howard

S. K.

Small

S. D.

(1995). Situation awareness in anesthesiology. Human Factors, 37(1), 20-31. http://doi.org/10.1518/001872095779049435

Graafland

Schraagen

J. M. C.

Boermeester

M. A.

Bemelman

W. A.

Schijven

M. P.

(2015). Training situational awareness to reduce surgical errors in the operating room. British Journal of Surgery, 102, 16-23. http://doi.org/10.1002/bjs.9643

10.

Hwang

G. J.

P. H.

(2014). Applications, impacts, and trends of mobile technology-enhanced learning: A review of 2008-2012 publications in selected SSCI journals. International Journal of Mobile Learning and Organization, 8(2), 83–95. https://doi.org/10.1504/IJMLO.2014.062346

11.

Jones

S. W.

(2009). Reducing medication administration errors in nursing practice. Nursing Standard, 23(50), 40-46. http://doi.org/10.7748/ns2009.08.23.50.40.c7213

12.

Kass

S. J.

Downing

C. O.

Davis

K. A.

Vodanovich

S. J.

Smith-Peters

Van Der Like

J. J.

(2018). Development and implementation of a situation awareness workshop to advance safe practice in novice nurses. Creative Nursing, 24(2), 24-132. http://dx.doi.org/10.1891/1078-4535.24.2.124.

13.

Makary

M. A.

Daniel

(2016). Medical error: The third leading cause of death in the US. The BMJ, 353, i2139. https://doi.org/10.1136/bmj.i2139

14.

McKenna

Missen

Cooper

Bogossian

Bucknall

Cant

(2014). Situation awareness in undergraduate nursing students managing simulated patient deterioration. 53, Nurse Education Today, 34, 27-31. http://doi.org/10.1016/j.nedt.2013.12.013.

15.

Schulz

C. M.

Krautheim

Hackemann

Kreuzer

Kochs

E. F.

Wagner

K. J.

(2016). Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. BioMed Central Anesthesiology, 16(4), 1-10. http://doi.org/10.1186/s12871-016-0172-7.

16.

Sharples

Milrad

Arnedillo Sánchez

Vavoula

(2009). Mobile learning: Small devices, big issues. In N.

17.

Balacheff Ludvigsen

de Jong

Lazonder

Barnes

(Eds.), Technology enhanced learning: Principles and products (233–240). Heidelberg: Springer.

18.

Sitterding

M. C.

Broome

M. E.

Everett

L. Q.

Ebright

(2012). Understanding situation awareness in nursing work: A hybrid concept analysis. Advances in Nursing Science, 35(1), 77-92. http://doi.org/10.1097/ANS.0b013e3182450158.

19.

Wassef

M. E.

Terrill

E. F.

Yarzebski

Flaherty

(2014). The significance of situation awareness in the clinical setting: Implications for nursing education. Austin Journal of Nursing Health Care, 1(1), 1005. http://doi.org/10.1186/s12909-017-1105-y

20.

Wright

M. C.

Taekman

J. M.

Endsley

M. R.

(2004). Objective measures of situation awareness in a simulated medical environment. Quality and Safety Health Care, 13, 65-71. http://doi.org/10.1136/qhc.13.suppl_1.i65

21.

Yin

C. J.

Sung

H.Y.

Hwang

G. J.

Hirokawa

Chu

H. C.

Flanagan

Tabata

(2013). Learning by searching: A learning environment that provides searching and analysis facilities for supporting trend analysis activities. Educational Technology Society, 16(3), 286–300. http://doi.org/10.4018/IJDET.2019010101