While nursing education mainly consists of classroom teaching and clinical practice, face-to-face teaching and clinical placements at medical institutions have been affected as a result of the COVID-19 pandemic. Thus, to develop the training and learning experience of nursing students, a research team led by Dr Justina LIU, Associate Professor of School of Nursing, and Dr Kitty CHAN, Senior Teaching Fellow of the same school, has developed a virtual learning system “Virtual Hospital” that uses virtual reality (VR) technology to offer an innovative experiential approach to nursing education.
Virtual Hospital is the first-of-its-kind virtual learning system in Hong Kong that simulates the complex and chaotic environment of a real-life hospital ward. With a total of 11 games, the system provides five scenarios, namely “Clinical Practicum Orientation”, “Challenges of Delirium”, “Managing Multitasks”, “Prevention of Errors” and “Potential Heart Attack”.
Over 1,200 combinations of randomised situations and multiple choices make it difficult for students to predict the tasks they will be handling, while they are required to provide instant responses to multitasks and make appropriate nursing decisions through assessing a patient’s condition and interpreting their medical information.
It was noted that the majority of existing VR learning systems are skill- and procedure-focused and adopt a single patient management setting. The PolyU-developed Virtual Hospital requires students to handle multiple beds and take care of multiple patients at the same time. Unexpected incidents and clinical pitfalls are generated to test the student’s ability to apply their knowledge and prioritise nursing tasks amid various disruptions within a limited time.
Through VR experiential learning, students can improve the soft skills that are essential for their clinical practice, including situation awareness, flexibility to handle emergencies, as well as decision-making and communication skills.
Virtual Hospital allows users’ responses and decisions to be displayed on a TV monitor for group participation, while their communication with the virtual patients can be recorded for review. By answering multiple-choice questions, the student can reflect on the judgements and decisions made. In addition, the game data and the automated assessment function of the system also provide convenience for teachers in tracking students’ progress and evaluating learning outcomes.
Since its launch in January 2022, Virtual Hospital has benefited over 450 nursing students. With Virtual Hospital, students are provided with a cooperative case-based learning opportunity. Supplemented with current practice on patient simulators, it is hoped that Virtual Hospital can further help students master the skills necessary for clinical nursing and most importantly for reducing errors in actual clinical situations.
The team is pleased that the virtual learning system has received positive feedback from students, and looks forward to incorporating interprofessional and interdisciplinary elements in the future, as well as introducing the system to other nursing institutions in Hong Kong and the Greater Bay Area.
A Year-3 student from PolyU School of Nursing noted that she was impressed by the fidelity of the Virtual Hospital in terms of the environmental details. The VR learning experience strengthened her confidence in clinical practice as the system allowed every student to deal with nursing problems on their own, which helps them better prepare for the stressful work situation faced by nurses in the real clinical environment, she said.