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| Name | Class |
|---|---|
| Ministry of Education, Singapore | OTHER_GOV |
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The purpose of the study is to compare the effectiveness of Artificial Intelligence virtual doctor with human-controlled virtual doctor avatars on nursing students' sepsis care and interprofessional communication.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AI-powered group | Experimental | Participants participated in a 2-hour Virtual Reality Simulation (VRS), which consisted of 2 simulation scenarios. Participants had to perform nursing assessment and management of virtual patient, followed by communicating with an AI virtual doctor. |
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| Human-controlled group | Active Comparator | Participants participated in a 2-hour Virtual Reality Simulation (VRS), which consisted of 2 simulation scenarios. Participants had to perform nursing assessment and management of virtual patient, followed by communicating with a doctor avatar controlled by the medical student. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AI-powered doctor | Other | AI-powered virtual doctor |
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| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Sepsis Knowledge on the 18-item sepsis knowledge test immediately after interventions. | The 8-item communication knowledge and 18-item sepsis knowledge tests were developed and content validated by a multidisciplinary team comprising a medical doctor, an advanced practice nurse, and nursing academics. | Baseline and immediately after 2-hour VRS |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Team Communication Knowledge on the 8-item communication knowledge test immediately after interventions. | The 8-item communication knowledge and 18-item sepsis knowledge tests were developed and content validated by a multidisciplinary team comprising a medical doctor, an advanced practice nurse, and nursing academics. | Baseline and immediately after 2-hour VRS |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sok Ying Liaw | National University of Singapore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alice Lee Centre for Nursing Studies | Singapore | 117597 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37494112 | Derived | Liaw SY, Tan JZ, Bin Rusli KD, Ratan R, Zhou W, Lim S, Lau TC, Seah B, Chua WL. Artificial Intelligence Versus Human-Controlled Doctor in Virtual Reality Simulation for Sepsis Team Training: Randomized Controlled Study. J Med Internet Res. 2023 Jul 26;25:e47748. doi: 10.2196/47748. |
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The data sets collected or analyzed during the study are available from the corresponding author on reasonable request.
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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Prospective 2-arm randomized controlled trial with a pretest-posttest study design
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The simulation-based assessment videos were sent for rating by 2 assessors, who were blinded to the groupings.
| Human-controlled doctor avatar |
| Other |
Virtual doctor avatar controlled by the medical student. |
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| Change from Baseline in Team Communication Self-Efficacy on the 6-item Patient Clinical Information Exchange and Interprofessional Communication Self-Efficacy Scale immediately after interventions. | The Patient Clinical Information Exchange and Interprofessional Communication Self-Efficacy Scale is a validated and self-reported instrument using a 0-100 Likert scale, which measures participants' perceptions of self-efficacy in team communication based on the ISBAR communication strategy. | Baseline and immediately after 2-hour VRS |
| Sepsis Care Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention. | 2 independent raters used the validated RAPIDS (Rescuing A Patient In Deteriorating Situation) tool to measure nurses' simulation performance in assessing and managing a deteriorating patient. | Within 2 weeks of postintervention. |
| Team Communication Performance through a 15-minute video-recorded simulation-based assessment within 2 weeks of postintervention. | 2 independent raters used a validated 9-item team communication scale to assess nurses' simulation performance in communicating with doctor using the TeamSTEPPS communication strategies. | Within 2 weeks of postintervention. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |