The proliferation of Virtual Reality-based tools has led to its increased usage in the field of education over the last decades owing to its increasingly realistic simulation and greater control over the 3D simulated environment. The unique features of Virtual Reality (VR) simulation can provide learners with a hazard-free simulated environment allowing limitless failure attempts. Yet, good quality research to verify the effectiveness of VR simulation in training students of the health profession is still lacking. This literature review focuses on the effectiveness of virtual reality-based simulation in enhancing health profession students’ empathetic attitude relating to mental illness. Four databases were searched from January 1, 2007 to December 31, 2018. Of 1034 articles identified eligible in the databases, a total of 6 articles have met the criteria for inclusion in this review. Findings suggested that there is a clear relationship between VR simulation and an improvement on users’ empathy, attitudes, and knowledge relating to mental Illness. With the unique characteristic of experiential learning of VR simulation, there is a potential development of the VR simulation on empathy and attitude in healthcare education. Also, VR stimulation is found having a larger impact on the users’ empathy of users with a healthcare background compared to those without. Future studies should include more in-depth examination on the effect on the specificity of empathy and attitude of people with healthcare background, and in teaching a wider range of mental illnesses such as depression and general anxiety disorder.
References
[1]
Freina, L. and Ott, M. (2015) A Literature Review on Immersive Virtual Reality in Education: State of the Art and Perspectives.
[2]
Heilig, M.L. (1962) Sensorama Simulator. Google Patents.
[3]
Macpherson, C. and Keppell, M.J. (1998) Virtual Reality: What Is the State of Play in Education? Australasian Journal of Educational Technology, 14, 60-74.
https://doi.org/10.14742/ajet.1929
[4]
Mantovani, F., et al. (2003) Virtual Reality Training for Health-Care Professionals. CyberPsychology & Behavior, 6, 389-395.
https://doi.org/10.1089/109493103322278772
[5]
Dubovi, I., et al. (2017) Now I Know How! The Learning Process of Medication Administration among Nursing Students with Non-Immersive Desktop Virtual Reality Simulation. Computers & Education, 113, 16-27.
https://doi.org/10.1016/j.compedu.2017.05.009
[6]
Anthes, C., et al. (2016) State of the Art of Virtual Reality Technology. Aerospace Conference, Big Sky, 5-12 March 2016.
https://ieeexplore.ieee.org/document/7500674
https://doi.org/10.1109/AERO.2016.7500674
[7]
Harrison, G.W., Haruvy, E. and Rutström, E.E. (2011) Remarks on Virtual World and Virtual Reality Experiments. Southern Economic Journal, 78, 87-94.
https://doi.org/10.4284/0038-4038-78.1.87
[8]
Jensen, L., Konradsen, F.J.E. and Technologies, I. (2018) A Review of the Use of Virtual Reality Head-Mounted Displays in Education and Training. Education and Information Technologies, 23, 1515-1529.
https://doi.org/10.1007/s10639-017-9676-0
[9]
Johnson, L., et al. (2016) NMC Horizon Report: 2016 Higher Education Edition. The New Media Consortium.
[10]
Brunero, S., Jeon, Y.H. and Foster, K. (2012) Mental Health Education Programmes for Generalist Health Professionals: An Integrative Review. International Journal of Mental Health Nursing, 21, 428-444.
https://doi.org/10.1111/j.1447-0349.2011.00802.x
[11]
Aruna, G., et al. (2016) Perception, Knowledge, and Attitude toward Mental Disorders and Psychiatry among Medical Undergraduates in Karnataka: A Cross-Sectional Study. Indian Journal of Psychiatry, 58, 70-76.
https://doi.org/10.4103/0019-5545.174381
[12]
Horsfall, J., Cleary, M. and Hunt, G. (2010) Stigma in Mental Health: Clients and Professionals. Issues in Mental Health Nursing, 31, 450-455.
https://doi.org/10.3109/01612840903537167
[13]
Kolb, D.A., et al. (2001) Experiential Learning Theory: Previous Research and New Directions. Perspectives on Thinking, Learning, and Cognitive Styles, 1, 227-247.
[14]
Yardley, S., Teunissen, P.W. and Dornan, T.J. (2012) Experiential Learning: Transforming Theory into Practice. Medical Teacher, 34, 161-164.
https://doi.org/10.3109/0142159X.2012.643264
[15]
Chmil, J.V., et al. (2015) Effects of an Experiential Learning Simulation Design on Clinical Nursing Judgment Development. Nurse Educator, 40, 228-232.
https://doi.org/10.1097/NNE.0000000000000159
[16]
Galloway, S.J. (2009) Simulation Techniques to Bridge the Gap between Novice and Competent Healthcare Professionals. Online Journal of Issues in Nursing, 14, Manuscript 3.
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/ OJIN/TableofContents/Vol142009/No2May09/Simulation-Techniques.aspx
[17]
Ryall, T., Judd, B.K. and Gordon, C. (2016) Simulation-Based Assessments in Health Professional Education: A Systematic Review. Journal of Multidisciplinary Healthcare, 9, 69-82. https://doi.org/10.2147/JMDH.S92695
[18]
Cantrell, M.A., et al. (2017) The Evidence in Simulation-Based Learning Experiences in Nursing Education and Practice: An Umbrella Review. Clinical Simulation in Nursing, 13, 634-667. https://doi.org/10.1016/j.ecns.2017.08.004
[19]
Brown, A.M. (2015) Simulation in Undergraduate Mental Health Nursing Education: A Literature Review. Clinical Simulation in Nursing, 11, 445-449.
https://doi.org/10.1016/j.ecns.2015.08.003
[20]
Akaike, M., et al. (2012) Simulation-Based Medical Education in Clinical Skills Laboratory. The Journal of Medical Investigation, 59, 28-35.
https://doi.org/10.2152/jmi.59.28
[21]
Cooper, S., et al. (2012) Simulation Based Learning in Midwifery Education: A Systematic Review. Women and Birth, 25, 64-78.
https://doi.org/10.1016/j.wombi.2011.03.004
[22]
Zendejas, B., et al. (2013) State of the Evidence on Simulation-Based Training for Laparoscopic Surgery: A Systematic Review. Literature Review in Annals of Surgery, 257, 586-593. https://doi.org/10.1097/SLA.0b013e318288c40b
[23]
Aebersold, M. (2018) Simulation-Based Learning: No Longer a Novelty in Undergraduate Education. Online Journal of Issues in Nursing, 23, 1.
[24]
Zigmont, J.J., Kappus, L.J. and Sudikoff, S.N. (2011) Theoretical Foundations of Learning through Simulation. Seminars in Perinatology, 35, 47-51.
https://doi.org/10.1053/j.semperi.2011.01.002
[25]
Luctkar-Flude, M., Wilson-Keates, B. and Larocque, M.J. (2012) Evaluating High-Fidelity Human Simulators and Standardized Patients in an Undergraduate Nursing Health Assessment Course. Nurse Education Today, 32, 448-452.
https://doi.org/10.1016/j.nedt.2011.04.011
[26]
McGaghie, W.C., et al. (2010) A Critical Review of Simulation-Based Medical Education Research: 2003-2009. Literature Review in Medical Education, 44, 50-63.
https://doi.org/10.1111/j.1365-2923.2009.03547.x
[27]
Wilson, C.J. and Soranzo, A. (2015) The Use of Virtual Reality in Psychology: A Case Study in Visual Perception. Computational and Mathematical Methods in Medicine, 2015, Article ID: 151702. https://doi.org/10.1155/2015/151702
[28]
Giuseppe, R. and Wiederhold, B.K. (2015) The New Dawn of Virtual Reality in Health Care: Medical Simulation and Experiential Interface. Studies in Health Technology and Informatics, 219, 3-6.
[29]
Pantelidis, V.S. (1996) Suggestions on When to Use and When Not to Use Virtual Reality in Education. VR in the Schools, 2, 18.
[30]
Ando, S., et al. (2011) The Simulation of Hallucinations to Reduce the Stigma of Schizophrenia: A Systematic Review. Schizophrenia Research, 133, 8-16.
https://doi.org/10.1016/j.schres.2011.09.011
[31]
Christou, C. (2010) Virtual Reality in Education. In: Affective, Interactive and Cognitive Methods for e-Learning Design: Creating an Optimal Education Experience, IGI Global, Hershey, 228-243. https://doi.org/10.4018/978-1-60566-940-3.ch012
[32]
Riva, G., et al. (2016) Transforming Experience: The Potential of Augmented Reality and Virtual Reality for Enhancing Personal and Clinical Change. Frontiers in Psychiatry, 7, 164. https://doi.org/10.3389/fpsyt.2016.00164
[33]
Cook, J.M., et al. (2010) What Do Psychotherapists Really Do in Practice? An Internet Study of over 2,000 Practitioners. Psychotherapy: Theory, Research, Practice, Training, 47, 260-267. https://doi.org/10.1037/a0019788
[34]
Sweigart, L., et al. (2014) Virtual Simulations across Curriculum Prepare Nursing Students for Patient Interviews. Clinical Simulation in Nursing, 10, e139-e145.
https://doi.org/10.1016/j.ecns.2013.10.003
[35]
Kidd, L.I., et al. (2012) Effectiveness of a Second Life® Simulation as a Teaching Strategy for Undergraduate Mental Health Nursing Students. Journal of Psychosocial Nursing, 50, 28-37. https://doi.org/10.3928/02793695-20120605-04
[36]
Dyer, E., et al. (2018) Using Virtual Reality in Medical Education to Teach Empathy. Journal of the Medical Library Association, 106, 498.
https://doi.org/10.5195/JMLA.2018.518
[37]
Jütten, L.H., et al. (2018) Can the Mixed Virtual Reality Simulator into Dementia Enhance Empathy and Understanding and Decrease Burden in Informal Dementia Caregivers? Dementia and Geriatric Cognitive Disorders Extra, 8, 453-466.
https://doi.org/10.1159/000494660
[38]
Passig, D. (2011) The Impact of Immersive Virtual Reality on Educator’s Awareness of the Cognitive Experiences of Pupils with Dyslexia. Teachers College Record, 113, 181-204.
[39]
Formosa, N.J., et al. (2018) Testing the Efficacy of a Virtual Reality-Based Simulation in Enhancing Users’ Knowledge, Attitudes, and Empathy Relating to Psychosis. Australian Journal of Psychology, 70, 57-65. https://doi.org/10.1111/ajpy.12167
[40]
Preston, S.D. and de Waal, F.B.M. (2002) Empathy: Its Ultimate and Proximate Bases. Behavioral and Brain Sciences, 25, 1-20.
https://doi.org/10.1017/S0140525X02000018
[41]
Farrow, T.F. and Woodruff, P.W. (2007) Empathy in Mental Illness. Vol. 1, Cambridge University Press, Cambridge. https://doi.org/10.1017/CBO9780511543753
[42]
Ahmedani, B.K. (2011) Mental Health Stigma: Society, Individuals, and the Profession. The Journal of Social Work Values and Ethics, 8, 4-1-4-16.
[43]
Hansson, L., et al. (2013) Mental Health Professionals’ Attitudes towards People with Mental Illness: Do They Differ from Attitudes Held by People with Mental Illness? International Journal of Social Psychiatry, 59, 48-54.
https://doi.org/10.1177/0020764011423176
[44]
Serafini, G., et al. (2011) Stigmatization of Schizophrenia as Perceived by Nurses, Medical Doctors, Medical Students and Patients. Journal of Psychiatric and Mental Health Nursing, 18, 576-585. https://doi.org/10.1111/j.1365-2850.2011.01706.x
[45]
Wahl, O. and Aroesty-Cohen, E.J. (2010) Attitudes of Mental Health Professionals about Mental Illness: A Review of the Recent Literature. Journal of Community Psychology, 38, 49-62. https://doi.org/10.1002/jcop.20351
[46]
Smith, A.L. and Cashwell, C.S. (2010) Stigma and Mental Illness: Investigating Attitudes of Mental Health and Non-Mental-Health Professionals and Trainees. The Journal of Humanistic Counseling, Education and Development, 49, 189-202.
https://doi.org/10.1002/j.2161-1939.2010.tb00097.x
[47]
Wahl, O.F. (2012) Stigma as a Barrier to Recovery from Mental Illness. Trends in Cognitive Sciences, 16, 9-10. https://doi.org/10.1016/j.tics.2011.11.002
[48]
Bourget, B. and Chenier, R. (2007) Mental Health Literacy in Canada: Phase One Report Mental Health Literacy Project.
[49]
Bearman, M., et al. (2015) Learning Empathy through Simulation: A Systematic Literature Review. Simulation in Healthcare, 10, 308-319.
https://doi.org/10.1097/SIH.0000000000000113
[50]
Vanlaere, L., Coucke, T. and Gastmans, C. (2010) Experiential Learning of Empathy in a Care-Ethics Lab. Nursing Ethics, 17, 325-336.
https://doi.org/10.1177/0969733010361440
[51]
Varkey, P., Chutka, D.S. and Lesnick, T.G. (2006) The Aging Game: Improving Medical Students’ Attitudes toward Caring for the Elderly. Journal of the American Medical Directors Association, 7, 224-229.
https://doi.org/10.1016/j.jamda.2005.07.009
[52]
Karlowicz, K.A. and Palmer, K.L. (2006) Engendering Student Empathy for Disabled Clients with Urinary Incontinence through Experiential Learning. Urologic Nursing Journal, 26, 373-378.
[53]
Custers, E. (2010) Long-Term Retention of Basic Science Knowledge: A Review Study. Advances in Health Science Education: Theory & Practice, 15, 109-128.
https://doi.org/10.1007/s10459-008-9101-y
[54]
Tayyeb, R. (2013) Effectiveness of Problem Based Learning as an Instructional Tool for Acquisition of Content Knowledge and Promotion of Critical Thinking among Medical Students. Journal of College of Physicians and Surgeons Pakistan, 23, 42-46.
[55]
Fausset, C.B., et al. (2013) Older Adults’ Perceptions and Use of Technology: A Novel Approach. International Conference on Universal Access in Human-Computer Interaction, Las Vegas, 21-26 July 2013, 51-58.
https://doi.org/10.1007/978-3-642-39191-0_6
[56]
Broady, T., Chan, A. and Caputi, P. (2010) Comparison of Older and Younger Adults’ Attitudes towards and Abilities with Computers: Implications for Training and Learning. British Journal of Educational Technology, 41, 473-485.
https://doi.org/10.1111/j.1467-8535.2008.00914.x
[57]
Easterbrook, P.J., et al. (1991) Publication Bias in Clinical Research. The Lancet, 337, 867-872. https://doi.org/10.1016/0140-6736(91)90201-Y