Introducing Virtual Reality in a STEMI Coronary Syndrome Course: Qualitative Evaluation with Nurses and Doctors

Area of Science:

• Medical Education
• Virtual Reality Technology
• Emergency Medicine

Background:

• Virtual Reality (VR) is increasingly used in medical education, but its application in prehospital ST-segment elevation myocardial infarction (STEMI) management was previously unexplored.
• Effective training for emergency medical personnel in critical scenarios like STEMI is crucial for patient outcomes.

Purpose of the Study:

• To propose and implement a VR system for training emergency nurses and case managers (CMs) in prehospital STEMI management.
• To evaluate participant perceptions and opinions on the usability and effectiveness of the developed VR training system.

Main Methods:

• Development of a VR system with three applications: instructor control, CM-nurse communication, and immersive nurse-patient interaction.
• An institutional course using the VR system was conducted for emergency nurses and CM doctors.
• Semistructured interviews were conducted with 17 participants to gather feedback on their experience.

Main Results:

• The VR system was highly appreciated by participants (n=17), described as engaging (n=4), challenging (n=5), and innovative (n=5).
• Participants reported increased self-confidence (n=4) and found the system realistic (n=13), though some noted oversimplification (n=5).
• The training was considered beneficial for both novice (n=5) and experienced (n=6) personnel, with suggestions for improved scenario variability (n=5).

Conclusions:

• The implemented VR system is a promising and effective tool for training healthcare professionals in prehospital STEMI management.
• The system offers a realistic and engaging learning experience, enhancing self-confidence and providing a platform for sharing insights.
• While generally well-received, minor improvements in scenario design and user familiarization with VR gestures could further enhance the training efficacy.