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Development and usability of a virtual reality umbilical venous catheter placement simulator
Abstract
Purpose Exposure to procedures varies in the neonatal intensive care unit (NICU). A method to teach procedures should be available without patient availability, expert oversight, or simulation laboratories. To fill this need, we developed a virtual reality (VR) simulation for umbilical vein catheter (UVC) placement and sought to establish its face and content validity and usability. Methods Engineers, software developers, graphic designers, and neonatologists developed a VR UVC placement simulator following a participatory design approach. The software was deployed on the Meta Quest 2 head-mounted display (HMD). Neonatal nurse practitioners (NNPs) from a level 4 NICU used the simulator and completed an 11-item questionnaire to establish face and content validity. Participants also completed the validated simulation task load index and system usability scale to assess the usability of the simulator. Group 1 tested the VR simulation, which was optimized based on feedback, prior to Group 2's participation. Results A total of 14 NNPs with 2-37 years of experience participated in testing. Participants scored the content and face validity of the simulator highly, with most giving scores ≥ 4/5. Usability was established with relatively high average system usability scores for both groups (Group 1: 67.14 ± 7.8, Group 2: 71 ± 14.1) and low SIM-TLX scores indicating manageable load while using the simulator. Conclusion After optimization, Group 2 found the UVC simulator to be realistic and effective. Both groups felt the simulator was easy to use and did not cause physical or cognitive strain. All participants felt the UVC simulator provided a safe environment to make mistakes, and the majority would recommend this experience to trainees.
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“This finding is consistent with Gohman et al. [34], which suggests that VR-based simulations could provide a manageable learning environment without excessive cognitive load, and that repeated exposure to simulation may further reduce perceived workload during task performance.”
From Development and pilot evaluation of an AI-based pediatric medication safety virtual simulation program for nursing students: a quasi-experimental study in South Korea (2026) · cites this paper as Gohman et al. [34]
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Metadata
- Authors
- Gohman, T., Nisar, H., Gupta, A., Javed, M. J., & Rau, N.
- Affiliations
- Peoria campus of the University of Illinois System (US)
- University of Illinois Urbana-Champaign (US)
- Corresponding author
- Nisar, Harris
- Venue
- International Journal of Computer Assisted Radiology and Surgery
- Published
- 2024-02-24
- Volume
- 19
- Issue
- 5
- Pages
- 881-889
- ISSN
- 1861-6410 (ISSN-L)
- 1861-6429
- OpenAlex
- W4392131968
- Cited by
- 8
- References
- 23
- Citations by year
- 2026: 4 · 2025: 4
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- International Journal of Computer Assisted Radiology and Surgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Jump ARCHES (P325)
- Topics
- Social Sciences › Education › Simulation-Based Education in Healthcare
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Keywords
- virtual reality simulation, neonatal intensive care, neonatal nurse practitioners, procedural training, usability, face and content validity, participatory design, head-mounted displays, workload, simulation-based education
- MeSH terms
- Simulation Training, Virtual Reality, Adult, Catheterization, Peripheral, Computer Simulation, Female, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Male, Surveys and Questionnaires, Umbilical Veins, User-Computer Interface
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- Gohman, T., Nisar, H., Gupta, A., Javed, M. J., & Rau, N. (2024). Development and usability of a virtual reality umbilical venous catheter placement simulator. International Journal of Computer Assisted Radiology and Surgery. https://doi.org/10.1007/s11548-024-03072-8