VR-NRP: A Virtual Reality Simulation for Training in the Neonatal Resuscitation Program

TL;DR

This research represents a step forward in understanding how VR and related extended reality (XR) technologies can be applied for effective, immersive medical education, with potential benefits for remote and rural healthcare providers.

Abstract

The use of Virtual Reality (VR) technologies has been extensively researched in surgical and anatomical education. VR provides a lifelike and interactive environment where healthcare providers can practice and refresh their skills in a safe environment. VR has been shown to be as effective as traditional medical education teaching methods, with the potential to provide more cost-effective and convenient means of curriculum delivery, especially in rural and remote areas or in environments with limited access to hands-on training. In this sense, VR offers the potential to be used to support resuscitation training for healthcare providers such as the Neonatal Resuscitation Program (NRP). The NRP program is an evidence-based and standardized approach for training healthcare providers on the resuscitation of the newborn. In this article, we describe a VR simulation environment that was designed and developed to refresh the skills of NRP providers. To validate this platform, we compared the VR-NRP simulation with exposure to 360-degree immersive video. We found that both VR technologies were positively viewed by healthcare professionals and performed very similarly to each other. However, the VR simulation provided a significantly increased feeling of presence. Furthermore, participants found the VR simulation more useful, leading to improved experiential learning outcomes. Also, participants using VR simulation reported higher confidence in certain NRP skills, such as proper mask placement and newborn response evaluation. This research represents a step forward in understanding how VR and related extended reality (XR) technologies can be applied for effective, immersive medical education, with potential benefits for remote and rural healthcare providers.

Figures (8)

• Figure 1: Sample view of the NICU welcome room. The ambient sounds are typical of the interior of a medical facility.
• Figure 2: Instructions on how to use the controllers are shown in the welcome room, along with a brief audio message.
• Figure 3: MR.SOPA and targeted pre-ductal saturation posters were hung by the sides of the infant warmer in the tutorial room.
• Figure 4: A sample view of the simulation room from the user's perspective.
• Figure 5: The menu in the simulation. It follows the user's camera and moves wherever they look. Menu items highlight red when the user's controller hovers over them.