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A Virtual Patient to Assess Pediatric Intensive Care Unit (PICU) Nurses’ Pain Assessment and Intervention Practices

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Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 8108))

Abstract

Pediatric intensive care (PICU) nurses play a crucial role in managing children’s pain. While virtual patient (VP) technology has shown significant benefits in assisting with the practice of healthcare, there has been little research effort in this particular setting. This paper presents a pilot evaluation study to determine the validity of VP vignettes - including PICU nurses’ recognition of the facial expressions (smiling and grimacing) of VPs and nurses’ descriptions as to whether the VP vignettes are consistent with their professional experiences. The results of our initial study (n=20) confirm that nurses identified given expressions correctly (98.5%) and validated the similarity of the vignettes to their experiences with patients in the PICU (87%). A better understanding of nurses’ pain management practices will aid the development of future VP interventions.

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References

  1. Kenny, P., Parsons, T.D., Gratch, J., Leuski, A., Rizzo, A.A.: Virtual Patients for Clinical Therapist Skills Training. In: Pelachaud, C., Martin, J.-C., André, E., Chollet, G., Karpouzis, K., Pelé, D. (eds.) IVA 2007. LNCS (LNAI), vol. 4722, pp. 197–210. Springer, Heidelberg (2007)

    Chapter  Google Scholar 

  2. Rossen, B., Cendan, J., Lok, B.: Using Virtual Humans to Bootstrap the Creation of Other Virtual Humans. In: Allbeck, J., Badler, N., Bickmore, T., Pelachaud, C., Safonova, A. (eds.) IVA 2010. LNCS, vol. 6356, pp. 392–398. Springer, Heidelberg (2010)

    Google Scholar 

  3. Stutts, L.A., Hirsh, A.T., George, S.Z., Robinson, M.E.: Investigating patient characteristics on pain assessment using virtual human technology. European Journal of Pain 14(10), 1040–1045 (2010)

    Article  Google Scholar 

  4. Wandner, L.D., Stutts, L.A., Alqudah, A.F., Craggs, J.G., Scipio, C.D., Hirsh, A.T., Robinson, M.E.: Virtual human technology: patient demographics and healthcare training fac-tors in pain observation and treatment recommendations. Journal of Pain Research 3, 241–247 (2010)

    Article  Google Scholar 

  5. Hirsh, A.T., George, S.Z., Robinson, M.E.: Pain assessment and treatment disparities: a virtual human technology investigation. Pain 143(1), 106–113 (2009)

    Article  Google Scholar 

  6. Hirsh, A.T., Dillworth, T.M., Ehde, D.M., Jensen, M.P.: Sex differences in pain and psychological functioning in persons with limb loss. Journal of Pain 11(1), 79–86 (2010)

    Article  Google Scholar 

  7. Hughes, R., Huby, M.: The application of vignettes in social and nursing research. Journal of Advanced Nursing 37(4), 382–386 (2002)

    Article  Google Scholar 

  8. Larochette, A., Chambers, C.T., Craig, K.D.: Genuine, suppressed and faked facial ex-pressions of pain in children. Pain 126(1), 64–71 (2006)

    Article  Google Scholar 

  9. Agarwal, S., Classen, D., Larsen, G., Tofil, N.M., Hayes, L.W., Sullivan, J.E., Storgion, S.A., Coopes, B.J., Craig, V., Jaderlund, C., Bisarya, H., Parast, L., Sharek, P.: Prevalence of ad-verse events in pediatric intensive care units in the United States. Pediatric Critical Care Medicine 11(5), 568–578 (2010)

    Article  Google Scholar 

  10. Larsen, G.Y., Donaldson, A.E., Parker, H.B., Grant, M.J.C.: Preventable harm occur-ring to critically ill children. Pediatric Critical Care Medicine 8(4), 331–336 (2007)

    Article  Google Scholar 

  11. Mehra, V., Lee, W.S.: Virtual humans in healthcare. In: Proceedings of the 3rd IEEE International Workshop on Haptic, Audio and Visual Environments and Their Applications (2004)

    Google Scholar 

  12. Pontier, M., Siddiqui, G.F.: A Virtual Therapist That Responds Empathically to Your Answers. In: Prendinger, H., Lester, J.C., Ishizuka, M. (eds.) IVA 2008. LNCS (LNAI), vol. 5208, pp. 417–425. Springer, Heidelberg (2008)

    Chapter  Google Scholar 

  13. Ekman, P., Friesen, W.: Facial Action Coding System: A Technique for the Measure-ment of Facial Movement. Consulting Psychologists Press, Palo Alto (1978)

    Google Scholar 

  14. Hirsh, A., Alqudah, A.F., Stutts, L.A., Robinson, M.E.: Virtual human technology: Capturing sex, race, and age influences in individual pain decision policies. Pain (2008)

    Google Scholar 

  15. Manworren, R.C.B.: Development and Testing of the Pediatric Nurses Knowledge and Attitudes Survey Regarding Pain. Pediatric Nursing 27(2), 151–158 (2001)

    Google Scholar 

  16. Vincent, C., Wilkie, D.J., Wang, E.: Pediatric Nurses Beliefs and Pain Management Practices: An Intervention Pilot. Western Journal of Nursing Research 33(6), 825–845 (2010)

    Article  Google Scholar 

  17. Lee, S., Carlson, G., Jones, S., Johnson, A., Leigh, J., Renambot, L.: Designing an Expressive Avatar of a Real Person. In: Allbeck, J., Badler, N., Bickmore, T., Pelachaud, C., Safonova, A. (eds.) IVA 2010. LNCS, vol. 6356, pp. 64–76. Springer, Heidelberg (2010)

    Google Scholar 

  18. Wilkie, D.J.: Facial Expressions of Pain in Lung Cancer, Analgesia, vol. 1, pp. 91–99 (1995)

    Google Scholar 

  19. Hsieh, H.F., Shannon, S.E.: Three Approaches to Qualitative Content Analysis. Qualitative Health Research 15(9), 1277–1288 (2005)

    Article  Google Scholar 

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Lee, S., LaFond, C.M., Johnson, A.E., Vincent, C., Leigh, J., Renambot, L. (2013). A Virtual Patient to Assess Pediatric Intensive Care Unit (PICU) Nurses’ Pain Assessment and Intervention Practices. In: Aylett, R., Krenn, B., Pelachaud, C., Shimodaira, H. (eds) Intelligent Virtual Agents. IVA 2013. Lecture Notes in Computer Science(), vol 8108. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40415-3_14

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  • DOI: https://doi.org/10.1007/978-3-642-40415-3_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-40414-6

  • Online ISBN: 978-3-642-40415-3

  • eBook Packages: Computer ScienceComputer Science (R0)

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