his.sePublications
Change search
ReferencesLink to record
Permanent link

Direct link
Measuring participants’ immersion in healthcare simulation: the development of an instrument
Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre. (Interaction Lab)ORCID iD: 0000-0001-9287-9507
Centre for Prehospital Research, Swedish School of Library and Information Science, Faculty of Librarianship, Information, Education and IT, University of Borås, Borås, Sweden.
Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden / Swedish Armed Forces Centre for Defence Medicine, Västra Frölunda, Sweden.
Show others and affiliations
2016 (English)In: Advances in Simulation, ISSN 2059-0628, Vol. 2016, no 1, 17Article in journal (Refereed) Published
Abstract [en]

Background

Immersion is important for simulation-based education; however, questionnaire-based instruments to measure immersion have some limitations. The aim of the present work is to develop a new instrument to measure immersion among participants in healthcare simulation scenarios.

Methods

The instrument was developed in four phases: trigger identification, content validity scores, inter-rater reliability analysis and comparison with an existing immersion measure instrument. A modified Delphi process was used to develop the instrument and to establish validity and reliability. The expert panel consisted of 10 researchers. All the researchers in the team had previous experience of simulation in the health and/or fire and rescue services as researchers and/or educators and simulation designers. To identify triggers, the panel members independently screened video recordings from simulation scenarios. Here, a trigger is an event in a simulation that is considered a sign of reduced or enhanced immersion among simulation participants.

Results

The result consists of the Immersion Score Rating Instrument (ISRI). It contains 10 triggers, of which seven indicate reduced and three enhanced immersion. When using ISRI, a rater identifies trigger occurrences and assigns them strength between 1 and 3. The content validity analysis shows that all the 10 triggers meet an acceptable content validity index for items (I-CVI) standard. The inter-rater reliability (IRR) among raters was assessed using a two-way mixed, consistency, average-measures intra-class correlation (ICC). The ICC for the difference between weighted positive and negative triggers was 0.92, which indicates that the raters are in agreement. Comparison with results from an immersion questionnaire mirrors the ISRI results.

Conclusions

In conclusion, we present a novel and non-intrusive instrument for identifying and rating the level of immersion among participants in healthcare simulation scenarios.

Place, publisher, year, edition, pages
BioMed Central, 2016. Vol. 2016, no 1, 17
Keyword [en]
Healthcare simulation, Immersion, Measure, Instrument
National Category
Interaction Technologies
Research subject
Technology
Identifiers
URN: urn:nbn:se:his:diva-12293DOI: 10.1186/s41077-016-0018-xOAI: oai:DiVA.org:his-12293DiVA: diva2:930412
Projects
Sarek
Funder
Region Västra Götaland
Available from: 2016-05-24 Created: 2016-05-24 Last updated: 2016-10-31Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Backlund, PerLebram, MikaelEngström, Henrik
By organisation
School of InformaticsThe Informatics Research Centre
Interaction Technologies

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 415 hits
ReferencesLink to record
Permanent link

Direct link