Case description: Community nursing scenario

University of Nottingham created a 360° training environment that helps students understand the role of a community nurse and some of the tasks connected to a home visit.

Screenshot from the Community Nursing Scenario

Case: 360Visi Community Nursing Scenario

Produced by: University of Nottingham School of Health Sciences HELM

Objectives:

  • To understand the role of a community nurse in holistic patient assessment
  • To identify risk assessment processes in the scenario
  • Consider the issues of conducting a non-touch dressing technique in a community setting
  • To indicate the role of the multi- professional team in the context of the scenario

Method:

The nurse lead in the project team commenced the creation of the scenario script focusing on:

  • Scene description
  • Voice over content
  • Equipment required
  • Potential hot spots for student to target

The learning technologist used the peer reviewed script to develop the scenario, incorporating audio description and hotspots to aid user understanding.  An existing Reusable Learning Object (RLO) form template using local storage was adapted to ask questions and record user comments as they progress through each scenario.

Equipment and tools:

Filming:

  • Insta 360 One camera and tripod
  • Zoom H6 audio recorder
  • 3 x Wireless Lavalier microphones

Editing and Production:

  • 3D Vista – Virtual Tour Pro
  • Audacity (Audio)

Evaluation:

Students watched two versions of the video; one version with audio and one version with no accompanying audio. Students were asked to complete a short online questionnaire.

The resource was additionally piloted with a multi professional hospital based Occupational Health Team.

Initial evaluation indicates positive student experience with particular reference to usability and accessibility and the real life immersive experience:

360 camera in a real setting enhanced the learning

“Easy access at any time of the working week”

“It was visually stimulating and interesting”

“I can apply the knowledge. Because I could process the information as in a real natural environment.”

Although we tried to make the scenario as accessible as possible for all learners, we still have further research work to conduct and implement in this area.

User instructions:

When first arriving at the scenario, the user is provided with a welcome textbox which describes the reasons for the nurses’ visit and explains user learning objectives.

There are two ways to navigate. The user can work through each scene sequentially or use the drop-down list to access individual sections. There are hotspots describing equipment used by the nurse and highlighting potential home hazards.

A ‘Take notes’ button is always available so the learner can answer questions and add comments, all answers provided can be printed out or saved in PDF format at the end of the scenario.

Link to the solutions:

Video 1 – Without audio descriptive guidance:

Video 2 – Community Nurse with audio descriptive guidance.

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Filming the scenario during the Covid pandemic.