Empowering medical personnel to challenge through simulation-based training

The rigid structure of medical hierarchies within UK hospitals can become the source of dissatisfaction and conflict for medical personnel, the repercussions of which can be disastrous for patients and staff. The research reported herein presents the results of an investigation into the use of Virtual Reality (VR) simulation and conventional story-boarded techniques to empower medical personnel to challenge decisions they feel are inappropriate. Prototype applications were crafted from a selection of transcribed ‘challenge events’ acquired from an opportunistic sample of clinical staff. Data obtained from an initial investigation were used to establish attitudes toward challenging and evaluate the findings of the literature to generate research questions and objectives. Medical personnel who engaged with both media as part of an experimental phase assessed their viability as potential training resources to help foster the ability to challenge. Analysis of this experiment suggested that both techniques are viable tools in the delivery of decision-making training and could potentially deliver impact into other applications within healthcare. To increase the realism of the training material, the technologies should be presented in a format appropriate for those with limited ‘gaming’ experience and allow a credible level of interaction with the environment and characters