Enhancing stroke assessment simulation experience in clinical training using augmented reality
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ORIGINAL ARTICLE
Enhancing stroke assessment simulation experience in clinical training using augmented reality Ci‑Jyun Liang1 · Charles Start2 · Hanna Boley3 · Vineet R. Kamat1 · Carol C. Menassa1 · Michelle Aebersold4 Received: 28 March 2019 / Accepted: 28 September 2020 © Springer-Verlag London Ltd., part of Springer Nature 2020
Abstract The development of extended reality in recent years is opening doors for using extended reality devices (virtual reality, augmented, and mixed reality devices) in education and healthcare. The purpose of this pilot study was to test the use of augmented reality in teaching healthcare practitioners in a stroke assessment simulation designed for clinical training, where students at nursing school are targets in the study. To conduct our feasibility, a simulation application was developed for the mixed reality device that projects a human face displaying facial drooping (a symptom of stroke) onto a computerized training mannequin. Nursing students were then placed in a clinical simulation wherein they wore the mixed reality device and performed an assessment of their mannequin patient to identify the symptom of stroke and act accordingly. The students completed a survey following their simulations, and then provided feedback on the device and the quality of their experience. The results of the study show that most students enjoyed the simulation and felt that extended reality would be a very useful educational tool for clinical training and healthcare. Further development of the program and device is underway, and future tests will be conducted. The results from this study will be helpful in further progressing the development of extended reality, and the use of these devices in healthcare training. Keywords Clinical training · Stroke simulation · FAST stroke assessment · Augmented reality
1 Introduction Stroke is one of the major causes of death and long-term disability in the United States (Moskowitz et al. 2010). An estimated seven million Americans over 20 years old have suffered from stroke (Benjamin et al. 2019). Several studies show that the stroke treatment provided in an acute stroke unit improves patients’ functional ability and decreases the length of stay (Roquer et al. 2008; Saposnik et al. 2009; Aebersold et al. 2011; Yamal et al. 2018; Chang et al. 2018). * Ci‑Jyun Liang [email protected] 1
Department of Civil and Environmental Engineering, University of Michigan, 2350 Hayward Street, 2340 G.G. Brown Building, Ann Arbor, MI 48109, USA
2
School of Kinesiology, University of Michigan, 1402 Washington Heights, Ann Arbor, MI 48109, USA
3
School of Nursing, University of Michigan, 400 N. Ingalls St., Ann Arbor, MI 48109, USA
4
School of Nursing, University of Michigan, 426 North Ingalls Building, Ann Arbor, MI 48109, USA
Early detection and intervention are the best way to minimize permanent damage to the patient who is experiencing a stroke (Cavallini et al. 2003; Jauch et al. 2013; Matsumoto et al. 2019). Therefore, identifying stroke warning symp
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