Using virtual worlds as a platform for collaborative meetings in healthcare: a feasibility study

BMC Health Services Research - Tập 20 Số 1 - 2020
Michael Taylor1, Chiya Shikaislami1, Chris McNicholas2, David G. Taylor1, Julie Reed2, Ivo Vlaev3
1Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK
2CLAHRC for North West London, CLAHRC offices, Chelsea and Westminster Hospital, 369 Fulham Rd, London, SW10 9NH, UK
3Warwick Business School, University of Warwick, Scarman Road, Coventry CV4 7AL, UK

Tóm tắt

Abstract Background Healthcare teams often consist of geographically dispersed members. Virtual worlds can support immersive, high-quality, multimedia interaction between remote individuals; this study investigated use of virtual worlds to support remote healthcare quality improvement team meetings. Methods Twenty individuals (12 female, aged 25–67 [M = 42.3, SD = 11.8]) from 6 healthcare quality improvement teams conducted collaborative tasks in virtual world or face-to-face settings. Quality of collaborative task performances were measured and questionnaires and interviews were used to record participants’ experiences of conducting the tasks and using the virtual world software. Results Quality of collaborative task outcomes was high in both face-to-face and virtual world settings. Participant interviews elicited advantages for using virtual worlds in healthcare settings, including the ability of the virtual environment to support tools that cannot be represented in equivalent face-to-face meetings, and the potential for virtual world settings to cause improvements in group-dynamics. Reported disadvantages for future virtual world use in healthcare included the difficulty that people with weaker computer skills may experience with using the software. Participants tended to feel absorbed in the collaborative task they conducted within the virtual world, but did not experience the virtual environment as being ‘real’. Conclusions Virtual worlds can provide an effective platform for collaborative meetings in healthcare quality improvement, but provision of support to those with weaker computer skills should be ensured, as should the technical reliability of the virtual world being used. Future research could investigate use of virtual worlds in other healthcare settings.

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Tài liệu tham khảo

Silva G, Morgado L, Cruz A. Impact of non-verbal communication on collaboration in 3D virtual worlds: case study research in learning of aircraft maintenance practices: International Conference on Immersive Learning; 2017. p. 25–34. Springer International Publishing.

Wiecha J, Heyden R, Sternthal E, Merialdi M. Learning in a virtual world: experience with using second life for medical education. J Med Internet Res. 2010;12(1):e1.

Nissen ME, Bergin RD. Knowledge work through social media applications: team performance implications of immersive virtual worlds. J Organ Comput Electron Commer. 2013;23(1–2):84–109.

Warburton S. Second life in higher education: assessing the potential for and the barriers to deploying virtual worlds in learning and teaching. Br J Educ Technol. 2009;40(3):414–26.

Leong JJ, Kinross J, Taylor D, Purkayastha S. Surgeons have held conferences in second life. Bmj. 2008;337:a683.

Cohen D, Sevdalis N, Patel V, Taylor M, Lee H, Vokes M, et al. Tactical and operational response to major incidents: feasibility and reliability of skills assessment using novel virtual environments. Resuscitation. 2013;84(7):992–8.

Ke KM, Blazeby JM, Strong S, Carroll FE, Ness AR, Hollingworth W. Are multidisciplinary teams in secondary care cost-effective? A systematic review of the literature. Cost Eff Resour Alloc. 2013;11(1):7.

Schierhout G, Hains J, Si D, Kennedy C, Cox R, Kwedza R, et al. Evaluating the effectiveness of a multifaceted, multilevel continuous quality improvement program in primary health care: developing a realist theory of change. Implement Sci. 2013;8(1):119.

Aston SJ, Reade S, Petersen B, Ward C, Duffy A, Nsutebu E. Extraordinary virtual multidisciplinary team meetings--a novel forum for the coordinated care of patients with complex conditions within a secondary care setting. Futur Healthc J. 2018;5(3):218.

Batsis JA, DiMilia PR, Seo LM, Fortuna KL, Kennedy MA, Blunt HB, et al. Effectiveness of ambulatory telemedicine care in older adults: a systematic review. J Am Geriatr Soc. 2019;67(8):1737–49.

Munro AJ, Swartzman S. What is a virtual multidisciplinary team (vMDT)? Br J Cancer. 2013;108(12):2433–41.

Sennett R. Together: the rituals, pleasures and politics of cooperation. London: Allen Lane; 2012.

Bainbridge WS. The scientific research potential of virtual worlds. Science (80- ). 2007;317(5837):472–6.

Taylor MJ, Taylor D, Vlaev I, Elkin S. Virtual worlds to support patient group communication? A questionnaire study investigating potential for virtual world focus group use by respiratory patients. Br J Educ Technol. 2017;48(2):451–61.

Montoya MM, Massey AP, Lockwood NS. 3D collaborative virtual environments: exploring the link between collaborative behaviors and team performance. Decis Sci. 2011;42(2):451–76.

Taylor MJ, Kaur M, Sharma U, Taylor D, Reed JE, Darzi A. Using virtual worlds for patient and public engagement. Int J Technol Knowl Soc. 2013;9(2):31.

Sequeira L, Morgado L. Virtual archaeology in second life and opensimulator. J Virtual Worlds Res. 2013;6(1).

Ma M, Agarwal R. Through a glass darkly: information technology design, identity verification, and knowledge contribution in online communities. Inf Syst Res. 2007;18(1):42–67.

Kahai SS, Carroll E, Jestice R. Team collaboration in virtual worlds. ACM SIGMIS Database DATABASE Adv Inf Syst. 2007;38(4):61–8.

Berwick DM. Developing and testing changes in delivery of care. Ann Intern Med. 1998;128(8):651–6.

Nicolay CR, Purkayastha S, Greenhalgh A, Benn J, Chaturvedi S, Phillips N, et al. Systematic review of the application of quality improvement methodologies from the manufacturing industry to surgical healthcare. Br J Surg. 2012;99(3):324–35.

Langley GJ, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance Danvers. San Francisco, CA: Jossey-Bass Publishers; 2009.

Speroff T, James BC, Nelson EC, Headrick LA, Brommels M. Guidelines for appraisal and publication of PDSA quality improvement. Qual Manag Healthc. 2004;13(1):33–9.

Speroff T, O’Connor GT. Study designs for PDSA quality improvement research. Qual Manag Healthc. 2004;13(1):17–32.

Taylor MJ, McNicholas C, Nicolay C, Darzi A, Bell D, Reed JE. Systematic review of the application of the plan--do--study--act method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290–8.

McNicholas C, Bell D, Reed J. Opening the “black box” of plan-do-study-act cycles: achieving a scientific yet pragmatic approach to improving patient care. BMJ Qual Saf. 2014;23(4):352.

Light P, Foot T, Colbourn C, Clelland IM. Collaborative interactions at the microcomputer keyboard. Educ Psychol. 1987;7(1):13–21.

Kotovsky K, Hayes JR, Simon HA. Why are some problems hard? Evidence from tower of Hanoi. Cogn Psychol. 1985;17(2):248–94.

Knoblock CA. Abstracting the Tower of Hanoi: Working Notes of AAAI-90 Workshop on Automatic Generation of Approximations and Abstractions; 1990;13–23.

Keltner D, Gruenfeld DH, Anderson C. Power, approach, and inhibition. Psychol Rev. 2003;110(2):265.

Halevy N, CY. Chou E, D. Galinsky A. A functional model of hierarchy: why, how, and when vertical differentiation enhances group performance. Organ Psychol Rev. 2011;1(1):32–52.

Chant S, Jenkinson TIM, Randle J, Russell G. Communication skills: some problems in nursing education and practice. J Clin Nurs. 2002;11(1):12–21.

Baruch Y, Hall DT. The academic career: a model for future careers in other sectors? J Vocat Behav. 2004;64(2):241–62.

Johnson NA, Cooper RB. Power and concession in computer-mediated negotiations: an examination of first offers. MIS Q. 2009;33(1):147–70.

Atwal A, Caldwell K. Do all health and social care professionals interact equally: a study of interactions in multidisciplinary teams in the United Kingdom. Scand J Caring Sci. 2005;19(3):268–73.

Patel V, Aggarwal R, Osinibi E, Taylor D, Arora S, Darzi A. Operating room introduction for the novice. Am J Surg. 2012;203(2):266–75.

Fox J, Bailenson J, Binney J. Virtual experiences, physical behaviors: the effect of presence on imitation of an eating avatar. Presence Teleoperators Virtual Environ. 2009;18(4):294–303.

Cruz A, Paredes H, Fonseca B, Morgado L, Martins P. Can presence improve collaboration in 3D virtual worlds? 2014;.

Massey AP, Montoya MM, Wu PF. 3D virtual environments and corporate learning: An empirical investigation of benefits: 2013 46th Hawaii International Conference on System Sciences. IEEE Computer Society: Washington, DC; 2013. p. 893–902.

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.

Janis IL. Victims of groupthink: a psychological study of foreign-policy decisions and fiascoes. 1972;.

Fernandez-Caballero S, Becic D, Bouras I, Walker D, Sultan P. Experiences and challenges in achieving sustainable quality improvement in two UK hospitals. Br J Hosp Med. 2013;74(7):403–7.

Yee N, Bailenson JN, Ducheneaut N. Implications of transformed digital self-representation on online and offline behavior. Communic Res. 2009;36(2):285–312.

Taylor M, Taylor D, Kulendran M, Gately P, Darzi A. Virtual worlds as a tool to facilitate weight management for young people. J Virtual Worlds Res. 6(1):2013.

Kelly MJ, Cook T. The colorectal MDT: how we do it at Leicester. Color Dis. 2010;12(6):596–600.

Kelly MJ, Lloyd TDR, Marshall D, Garcea G, Sutton CD, Beach M. A snapshot of MDT working and patient mapping in the UK colorectal cancer centres in 2002. Color Dis. 2003;5(6):577–81.

Esser JK. Alive and well after 25 years: a review of groupthink research. Organ Behav Hum Decis Process. 1998;73(2–3):116–41.

Hew KF, Cheung WS. Use of three-dimensional (3-D) immersive virtual worlds in K-12 and higher education settings: a review of the research. Br J Educ Technol. 2010;41(1):33–55.

Robbins S. A futurist’s view of Second Life education: A developing taxonomy of digital spaces, vol. 2007: Second Life Education Workshop. Chicago, IL. 2007. p. 33–9.

Sourin A, Sourina O, Prasolova-Førland E. Cyber-learning in cyberworlds. J Cases Inf Technol. 2006;(4):8, 55–70.

Dickey MD. Three-dimensional virtual worlds and distance learning: two case studies of active worlds as a medium for distance education. Br J Educ Technol. 2005;36(3):439–51.

Lamb BW, Sevdalis N, Vincent C, Green JSA. Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC. Ann Surg Oncol. 2012;19(6):1759–65.