What is the Impact of Virtual Reality Simulation on Confidence and Performance in SBIRT skills for Primary Care Nurse Practitioners? (1090-004165) (Developmental Research Projects: Virtual (By Invitation Only))
Start time: Tuesday, February 2, 2021, 2:00 PM End time: Tuesday, February 2, 2021, 3:00 PM Session Type: Research Study Development and Presentation Program Abstracts
Virtual reality simulation is an emerging pedagogy to teach psychomotor and clinical skills to nurse practitioners but little is known on its effectiveness for learning the evidence-based technique of screening, brief intervention, and referral for treatment (SBIRT). A virtual reality simulation combining video and voice recognition with an interactive environment will allow trainees to encounter complex interpersonal exchanges and social cues to hone their technique at SBIRT for substance use, depression and anxiety. This study will answer the research question: Does a virtual reality simulation for SBIRT improve nurse practitioner students’ confidence and performance translated to the clinic setting? Improving a nurse practitioners confidence and performance in SBIRT will increase consistent routine use and improve screening, diagnosis and treatment for patients.
A single-arm quasi-experimental design will be employed utilizing subject participants as their own control with pre-test/post-test methodology. Institutional review board permission will be obtained. Family nurse practitioner students at a state university, enrolled in primary care courses, will be invited to participate in the study with informed consent. All enrolled students will receive the intervention and served as their own control for pre-test/post-test measure in self-efficacy and performance with a subsequent posttest at completion of the semester to verify longevity of any change. Subjects will complete the pre-test on the first morning before the simulation intervention begins with post-tests at the end of the intervention and again at the end of the clinical semester to examine longitudinal change. Students will be asked to complete a qualitative evaluation of the simulation intervention at the completion of each day and the end of the semester.
The primary outcome will be the Screening, Intervention, and Referral scores from the scenarios. The following scales will be incorporate into the virtual reality simulation: CAGE-AID, PHQ9 & PHQ-A, ACES, PSC & PSC-Y, Beck Anxiety Inventory, Beck Depression Inventory and GAD-7 available in both English and Spanish. T-tests will be executed separately for all Intervention, Referral and Screening scales items. Self-efficacy was measured through a modified version of the GSES with questions adapted to evaluate student confidence pertaining to specific clinical skills (Schwarzer & Jerusalem, 1995). The anticipated results are increased self-efficacy and confidence in conducting SBIRT with each patient in the clinic setting and nurse practitioner students will routinely use SBIRT with each patient encounter.