Trauma-Informed Virtual Reality Simulation for Pediatric De-Escalation: An Early Evaluation.

Area of Science:

• Medical Education
• Simulation Technology
• Pediatric Healthcare

Background:

• A critical need exists for effective trauma-informed de-escalation training for interprofessional pediatric staff.
• Existing training methods may not adequately prepare healthcare professionals for complex behavioral escalation scenarios.

Purpose of the Study:

• To evaluate the feasibility, acceptability, and usability of a virtual reality (VR) simulation program for trauma-informed de-escalation training.
• To assess VR as a psychologically safe and engaging learning modality for pediatric healthcare staff and trainees.

Main Methods:

• Development and implementation of a VR simulation integrating trauma-informed pedagogy in a pediatric setting.
• Mixed-method evaluation using post-training surveys, facilitated debriefs, and learner-generated summaries based on the Kirkpatrick Model.
• Inclusion of participants from diverse patient-facing roles within a Canadian tertiary care hospital.

Main Results:

• High levels of participant engagement, psychological safety, and commitment to skill application were reported.
• VR simulation demonstrated support for capacity building in cognitive, affective, and interpersonal learning domains.
• Participants found the immersive VR simulation to be a feasible and acceptable learning tool.

Conclusions:

• Trauma-informed VR simulation shows promise as an effective strategy for preparing pediatric healthcare teams.
• Immersive VR can enhance skills in managing complex behavioral escalation and patient distress.
• This innovative approach supports the development of crucial skills for pediatric healthcare professionals.