Dissertation
The Use of Computer Game Technology to Create Simulations with Validity for Enhancing Confidence and Competence in Technical and Non-Technical Healthcare Skills Development
University of the Sunshine Coast, Queensland
Doctor of Philosophy, University of the Sunshine Coast
2019
DOI:
https://doi.org/10.25907/00494
Abstract
Simulation is widely used in healthcare to provide safe, controlled and repeatable practice of technical and non-technical skills for novices, and for further supplementary training for experienced clinicians. The ability to perform technical skills, such as fine-motor control of surgical tools, and non-technical skills, like decision-making, is critical to the safe practice of professions such as those at the focus of this research, specifically dentistry and midwifery. Development of confidence and competence in skill execution can be facilitated by practice with simulations that replicate real-world procedures. Many simulators utilise computers in the operation and performance monitoring of tasks or the provision of an entirely screen-based learning experience. Advancements in the capability of software tools used in computer game development are extending the use of simulation technology in healthcare training. The aim of this research was to investigate how computer game technology can be used to create technical and non-technical simulators that offer a skill-development experience that provides opportunities to develop confidence and competence. Computer gaming technology was used to create a technical skill dental drill-control simulation (I-Quest) and a non-technical midwifery decision-making skill simulator (Midisim). The sample consisted of two separate participant groups. Dental students (n = 20) were recruited to test the use of I-Quest to enhance technical skill development, confidence and competence in dental drill control. Midwives (n = 28) were engaged to evaluate the use of Midisim in the non-technical skill of decision-making during birthing. A mixed-methods study design utilising control groups, quantitative and qualitative simulated task performance measures was applied. Statistical analyses of pre- and post-intervention self-reported Likert scale self-confidence and competence measures were conducted. Content analysis procedures were used for the post-intervention survey to assess face and construct validity of the simulators. Single and repeated practice of both skills with simulation resulted in self-reported improved confidence and competence compared to the control group. This improvement was more noticeable for those in need of remedial technical skill development. Technical skills performance on the simulator was consistent with performance on the real task with skills reported to be transferable. Both simulators were reported to have face and construct validity compared to the control task. The lack of freedom of choice for decisions limited the non-technical simulation experience for midwives.
Details
- Title
- The Use of Computer Game Technology to Create Simulations with Validity for Enhancing Confidence and Competence in Technical and Non-Technical Healthcare Skills Development
- Authors
- Gary Eves
- Contributors
- Christian M Jones (Supervisor)
- Awarding institution
- University of the Sunshine Coast
- Degree awarded
- Doctor of Philosophy
- Publisher
- University of the Sunshine Coast, Queensland
- DOI
- 10.25907/00494
- Organisation Unit
- School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; Engage Research Lab; School of Law and Society
- Language
- English
- Record Identifier
- 99451425802621
- Output Type
- Dissertation
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