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Dynamic Branching Virtual Simulation for Management of Medication-Induced Anaphylaxis by Pediatric Nurses: A Pilot
1Department of Pediatric Respiratory and Immunology Nursing, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
Background:
Pediatric inpatient anaphylaxis requires rapid recognition and prompt intramuscular administration of epinephrine. A dynamic branching, engine-driven virtual simulation was developed that delivers guided training and exports time-stamped performance logs.
Method:
In a unit-based educational evaluation, 12 pediatric nurses completed baseline assessment, one guided training run, and a posttraining variant assessment. System Usability Scale scores and log-derived performance metrics were summarized.
Results:
All participants completed all phases and generated analyzable log report files; mean performance scores increased from 9.7 to 15.5 (range, 0-20), and epinephrine completion rates increased from 33% to 100%. Mean System Usability Scale score was 62.5.
Conclusion:
Engine-driven virtual simulation was feasible within routine unit workflow and showed signals of improved time-critical actions, supporting further refinement and broader evaluation.
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