Second Life simulation as a strategy to enhance decision-making in diabetes care: a case study

Aims and objectivesThe case study evaluated the Second Life perceived usability and the decision-making of insulin administration via situational awareness at two different simulation freezes during Second Life simulation. BackgroundDue to safety issues stemming from nursing knowledge deficits of insulin administration, the use of simulation via practice in a virtual immersive environment, Second Life was evaluated in a case study of practicing nurses. DesignThis case study used a single convenience group, post-test design. MethodsPerceived usability was evaluated using the System Usability Scale. Evaluation of decision-making was evaluated via Situational Awareness Score at two simulation freezes in the Second Life simulation with practicing nurses (n=12). ResultsNurses with more years of practice reported difficulty in using Second Life. As age increased, the total Situational Awareness Score decreased. Day shift nurses were more likely to obtain a High Situational Awareness Score. ConclusionsAlthough usability was nearly obtained, virtual immersive environments for nurses has promise to provide practice in aiding clinical decision-making. Relevance to clinical practiceFinding a new platform to allow all nurses to practice difficult clinical decisions is key. A virtual immersive environment, like Second Life, can provide simulation for nurses to practice making such difficult decisions.