Virtual Reality Interprofessional Simulation Education to Improve Teamwork and the Culture of Safety in the Emergency Department

This project evaluates the impact of interprofessional virtual reality (VR) simulation-based education on teamwork, communication, safety culture, and technology acceptance among emergency department (ED) clinicians at a large, Level I Trauma center. Using immersive VR scenarios, interprofessional t...

Full description

Saved in:
Bibliographic Details
Published inProceedings of the International Symposium of Human Factors and Ergonomics in Healthcare Vol. 14; no. 1; pp. 217 - 220
Main Authors Vora, Samreen, Paull, Samantha N., Thomas, Cheryl A., Roncallo, Hannah R., Liebhardt, Beth, Boyce, Michael W., Melendez, Andrew, Mansour, Amir, Wong, Ambrose H., Evans, Leigh V.
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.09.2025
Online AccessGet full text
ISSN2327-8595
2327-8595
DOI10.1177/2327857925141054

Cover

Abstract This project evaluates the impact of interprofessional virtual reality (VR) simulation-based education on teamwork, communication, safety culture, and technology acceptance among emergency department (ED) clinicians at a large, Level I Trauma center. Using immersive VR scenarios, interprofessional teams of nurses and physicians engage in structured clinical simulations to enhance collaborative practice and reduce latent patient safety threats. Outcomes are measured using tools with validity evidence, including the TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ), safety culture surveys, and a VR technology acceptance model. A secondary objective is to assess the effect of this intervention on nurse retention rates. The project emphasizes simulation as a proactive tool for fostering safety culture and improving clinical communication. This work contributes to advancing human-centered training and design in healthcare and offers scalable, evidence-based approaches to interprofessional education, with implications for curriculum development and system-wide safety initiatives.
AbstractList This project evaluates the impact of interprofessional virtual reality (VR) simulation-based education on teamwork, communication, safety culture, and technology acceptance among emergency department (ED) clinicians at a large, Level I Trauma center. Using immersive VR scenarios, interprofessional teams of nurses and physicians engage in structured clinical simulations to enhance collaborative practice and reduce latent patient safety threats. Outcomes are measured using tools with validity evidence, including the TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ), safety culture surveys, and a VR technology acceptance model. A secondary objective is to assess the effect of this intervention on nurse retention rates. The project emphasizes simulation as a proactive tool for fostering safety culture and improving clinical communication. This work contributes to advancing human-centered training and design in healthcare and offers scalable, evidence-based approaches to interprofessional education, with implications for curriculum development and system-wide safety initiatives.
Author Vora, Samreen
Wong, Ambrose H.
Boyce, Michael W.
Mansour, Amir
Melendez, Andrew
Paull, Samantha N.
Evans, Leigh V.
Roncallo, Hannah R.
Thomas, Cheryl A.
Liebhardt, Beth
Author_xml – sequence: 1
  givenname: Samreen
  surname: Vora
  fullname: Vora, Samreen
– sequence: 2
  givenname: Samantha N.
  surname: Paull
  fullname: Paull, Samantha N.
– sequence: 3
  givenname: Cheryl A.
  surname: Thomas
  fullname: Thomas, Cheryl A.
– sequence: 4
  givenname: Hannah R.
  surname: Roncallo
  fullname: Roncallo, Hannah R.
– sequence: 5
  givenname: Beth
  surname: Liebhardt
  fullname: Liebhardt, Beth
– sequence: 6
  givenname: Michael W.
  surname: Boyce
  fullname: Boyce, Michael W.
– sequence: 7
  givenname: Andrew
  surname: Melendez
  fullname: Melendez, Andrew
– sequence: 8
  givenname: Amir
  surname: Mansour
  fullname: Mansour, Amir
– sequence: 9
  givenname: Ambrose H.
  surname: Wong
  fullname: Wong, Ambrose H.
– sequence: 10
  givenname: Leigh V.
  surname: Evans
  fullname: Evans, Leigh V.
BookMark eNp1UEtLAzEQDlLBWnv3mD-wmmQ3zeYotWpBELR4XabZ2bp1NylJVunNn260HkRwLvP4HjDfKRlZZ5GQc84uOFfqUuRClVJpIXnBmSyOyPjrlJVSy9Gv-YRMQ9iyVLoQTJZj8vHc-jhARx8Rujbu6dJG9DvvGgyhdTYhT20_dBDTQhf1YA5TdHTZJ9ob0hVC_-78KwVb0_iCdD50cfBIXUOfoMFk2tpvYNGj36A1e3qNO_CxRxvPyHEDXcDpT5-Q1c1iNb_L7h9ul_Or-8woXWRKipJxLWdrLgwHqMtSrw2mpyXwwuiai1qKoqzBlFionANnqHOFegYqxzqfEHawNd6F4LGpdr7twe8rzqqvDKu_GSZJdpAE2GC1dYNPaYT_-Z8bXHSm
Cites_doi 10.1186/s12913-021-06137-5
10.1080/10447318.2020.1778351
10.1093/jamiaopen/ooad076
10.1136/bmjqs-2013-001942
10.1542/peds.2022-059674
10.1186/s12909-022-03640-z
10.1016/j.nedt.2021.104773
10.1016/j.nedt.2022.105619
ContentType Journal Article
Copyright 2025 by Human Factors and Ergonomics Society
Copyright_xml – notice: 2025 by Human Factors and Ergonomics Society
DBID AAYXX
CITATION
DOI 10.1177/2327857925141054
DatabaseName CrossRef
DatabaseTitle CrossRef
DatabaseTitleList
CrossRef
DeliveryMethod fulltext_linktorsrc
Discipline Engineering
EISSN 2327-8595
EndPage 220
ExternalDocumentID 10_1177_2327857925141054
10.1177_2327857925141054
GroupedDBID 01A
0R~
54M
AACMV
AACTG
AADIR
AAEWN
AAGLT
AAJPV
AAPII
AAQXI
AARIX
AATAA
AATBZ
ABAWP
ABCCA
ABCJG
ABFXH
ABIDT
ABJNI
ABLUO
ABPNF
ABQPY
ABQXT
ABRHV
ABUJY
ABVFX
ACARO
ACCVC
ACDXX
ACFEJ
ACFUR
ACFZE
ACGFS
ACGZU
ACJER
ACLZU
ACOXC
ACROE
ACSIQ
ACUAV
ACXKE
ACXMB
ADBBV
ADEBD
ADNON
ADRRZ
ADTOS
ADVBO
AECGH
AEDTQ
AEDXQ
AEPTA
AERKM
AESZF
AEUHG
AEVPJ
AEWDL
AEWHI
AFKRG
AFMOU
AFQAA
AFUIA
AGDVU
AGKLV
AGNHF
AGNWV
AGWFA
AHDMH
AHWHD
AJGYC
AJHME
AJUZI
AJVBE
AJXAJ
ALKWR
ALMA_UNASSIGNED_HOLDINGS
AMCVQ
AMNSR
ANDLU
ARTOV
AUTPY
AYAKG
AYPQM
AZFZN
BBRGL
BDDNI
BDZRT
BKIIM
BMVBW
BPACV
BSEHC
DV7
DV8
EBS
EJD
FHBDP
GROUPED_SAGE_PREMIER_JOURNAL_COLLECTION
HVGLF
HZ~
J8X
K.F
O9-
ROL
SASJQ
SAUOL
SCNPE
SFC
SHG
SPV
SSDHQ
ZONMY
ZPLXX
ZPPRI
ZRKOI
AAYXX
CITATION
ID FETCH-LOGICAL-c794-752801956b12c1aad889bce7855a14c9d12d5248dac8e4731a10e937e96a73ed3
ISSN 2327-8595
IngestDate Wed Oct 01 05:30:52 EDT 2025
Sun Aug 24 05:40:07 EDT 2025
IsPeerReviewed true
IsScholarly true
Issue 1
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c794-752801956b12c1aad889bce7855a14c9d12d5248dac8e4731a10e937e96a73ed3
PageCount 4
ParticipantIDs crossref_primary_10_1177_2327857925141054
sage_journals_10_1177_2327857925141054
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 20250900
2025-09-00
PublicationDateYYYYMMDD 2025-09-01
PublicationDate_xml – month: 9
  year: 2025
  text: 20250900
PublicationDecade 2020
PublicationPlace Los Angeles, CA
PublicationPlace_xml – name: Los Angeles, CA
PublicationTitle Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare
PublicationYear 2025
Publisher SAGE Publications
Publisher_xml – name: SAGE Publications
References Baker, Amodeo, Krokos 2010; 19
Keebler, Dietz, Lazzara 2014; 23
Chang, Kim, Yoo 2020; 36
e_1_2_2_4_1
e_1_2_2_5_1
e_1_2_2_6_1
e_1_2_2_7_1
e_1_2_2_10_1
e_1_2_2_3_1
e_1_2_2_9_1
e_1_2_2_8_1
Baker DP (e_1_2_2_2_1) 2010; 19
References_xml – volume: 19
  year: 2010
  article-title: Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire
  publication-title: Qual Saf Health Care
– volume: 23
  start-page: 718 726
  year: 2014
  article-title: Validation of a teamwork perceptions measure to increase patient safety
  publication-title: BMJ Quality & Safety
– volume: 36
  start-page: 1658
  issue: 17
  year: 2020
  end-page: 1682
  article-title: Virtual reality sickness: A review of causes and measurements
  publication-title: International Journal of Human-Computer Interaction
– ident: e_1_2_2_8_1
  doi: 10.1186/s12913-021-06137-5
– ident: e_1_2_2_3_1
  doi: 10.1080/10447318.2020.1778351
– volume: 19
  year: 2010
  ident: e_1_2_2_2_1
  article-title: Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire
  publication-title: Qual Saf Health Care
– ident: e_1_2_2_10_1
  doi: 10.1093/jamiaopen/ooad076
– ident: e_1_2_2_6_1
  doi: 10.1136/bmjqs-2013-001942
– ident: e_1_2_2_5_1
  doi: 10.1542/peds.2022-059674
– ident: e_1_2_2_4_1
  doi: 10.1186/s12909-022-03640-z
– ident: e_1_2_2_7_1
  doi: 10.1016/j.nedt.2021.104773
– ident: e_1_2_2_9_1
  doi: 10.1016/j.nedt.2022.105619
SSID ssj0000942058
Score 2.3045478
Snippet This project evaluates the impact of interprofessional virtual reality (VR) simulation-based education on teamwork, communication, safety culture, and...
SourceID crossref
sage
SourceType Index Database
Publisher
StartPage 217
Title Virtual Reality Interprofessional Simulation Education to Improve Teamwork and the Culture of Safety in the Emergency Department
URI https://journals.sagepub.com/doi/full/10.1177/2327857925141054
Volume 14
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVSPB
  databaseName: Sage journals
  customDbUrl:
  eissn: 2327-8595
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0000942058
  issn: 2327-8595
  databaseCode: AYPQM
  dateStart: 20130601
  isFulltext: true
  titleUrlDefault: https://journals.sagepub.com
  providerName: SAGE Publications
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3Na9swFBdZetkOZZ-sazt0GIMRnEWyXFvH0qWEQUvXZKU7BVlW2hxsD9c5dKf9593Th2U3zaDbxQRZOLbeD72n937vPYQ-EG0FpFwFWjkHjJJFwBdgyIWcpYkgEjS0dg2cnB5MvrOvl9Flr3fXYS2t6nQof23MK_kfqcIYyFVnyf6DZP1DYQB-g3zhChKG66NkfLGsalsd31rTjkHYFtsYTJe568_VUjm0uWl9CUoXdM41NcsTKW2JTeNImIqF5nM6IuTY52l-AQ1W1Z4x4yzbM68JbxrewX1v4_Q21wyxVd7GDo5dsx_95-PqyqZIG4LuxNPSGkRclKYjErxVrqlCbehrZQMnMA4guRaD02GX7CJcCQVV3QIW_a3zspDChZ0moijE9eB82PWA0MhTvLqht41OTjAXQQdHto3nUG0Ya3QAe4D1ZkOPO7YBNYl7G9SOCXzrJydRzMFk1ORZ1qpYT3x0k-frU5-gLQpqadRHW4c_zr6deDchnL7pyHSZ9e_dBts_rz_mnnHVYSYaY2n2HG27Uw4-tJB9gXqqeImedWpfvkK_HXixAy9-AF7cghd78OK6xA68uAEvBvxgABx24MXlAlvw4mVhbnjw4ha8r9HseDw7mgSuHUggQWkEcUQTk92aEiqJEFmS8FQq-P5IECZ5RmgWUZZkQiaKxSERZKTA-Fb8QMShysI3qF-UhXqLsOBZSuMYNqNUMim4oCPFwjRWMlNwJJc76FOzjPOftujLnLi6-OtLvoM-6nWeu23h5q8T3z124i562qJ8D_XraqX2wfKt0_cOHX8A81et0g
linkProvider SAGE Publications
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV07T8MwED5BGYCBN-KNB4TEkFI7Do7HClqVRyseBQFL5ThXqUKkqISFiZ-O7SRtASEh5jjW2T7nPjvffQewRy0KiCR6Njh7nNGuJ7sGyPmSR6Gi2kRoezXQbB01bvnZfXA_Vuorn8HXsqVVGYvcx3q4u4U4NAhAhIGQJi5bhiKfhCmnaVaCqerD5VVzeMFizi2s4upz2lc8q-M1-k35o5svYWmM0-XCTH0eHgsDM3bJU_ktNba9f9Nu_NcIFmAuB5-kmnnLIkxgsgSzY5KEy_Bx1xvYlBJyjQ6hk5yVOBLwIDe957zmFxnSQ0jaJ9n9BJI2qmdL9yIqiYnBlyST7UTS75Ib1UXTaS9xD2pF7ic5MVFx4AjvK9Cu19rHDS-v0uBps5c9EbDQJR1GlGmqVByGMtJoRhgoyrWMKYsDxsNY6RC58KmiFTSYCOWREj7G_iqUkn6Ca0CUjCMmhPGRSHOtpGIV5H4kUMdoTkp6HQ6KNeq8ZFocHZrLlX-f1HXYt_PfKVbj14Ybf224C9ONdvOic3HaOt-EGWbrADuu2RaU0sEbbhtwkkY7uRt-AvuN2OE
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1JSwMxFA5aQfTgLu7mIIKHaZtMxpkci7W441KlnkomeQNFOpXaXjz5033JpC4VQTxPJmR5yfuSfO97hOwxiwJSCYF1zoHgLAtkhkAulCJNFNPooe3VwOXV4cm9OGtFLc_NsbEwfgRfypZWhS1ym7Vd3c8mq_g3xgqigDiJYom-2bIUxSSZSvAYg0Y9VXu8vrn8uGTBswuvuhyd9pfAanl9PlX-qOaba_rC63KupjFf5FN9cQqFlmHyVB4OsH2vY_qN_-7FApnzIJTWCqtZJBOQL5HZL9KEy-TtodO3oSX0FhxSp56d-CnkQe86XZ_7i37QROigR4t7CqBNUF1L-6IqNxRxJi3kO4H2MnqnMsBKO7n7cDyKAaV19I59R3xfIc3GcfPoJPDZGgKNazqII5644MOUcc2UMkkiUw3Yw0gxoaVh3ERcJEbpBEQcMsWqgNgI5KGKQzDhKinlvRzWCFXSpDyO0VZSLbSSildBhGkM2gCemPQ6ORjNU_u50ORoMy9bPj6o62TfzkF7NCO_Ftz4a8FdMn1db7QvTq_ON8kMt-mAHeVsi5QG_SFsI0YZpDveEt8BKHvbVg
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Virtual+Reality+Interprofessional+Simulation+Education+to+Improve+Teamwork+and+the+Culture+of+Safety+in+the+Emergency+Department&rft.jtitle=Proceedings+of+the+International+Symposium+of+Human+Factors+and+Ergonomics+in+Healthcare&rft.au=Vora%2C+Samreen&rft.au=Paull%2C+Samantha+N.&rft.au=Thomas%2C+Cheryl+A.&rft.au=Roncallo%2C+Hannah+R.&rft.date=2025-09-01&rft.pub=SAGE+Publications&rft.issn=2327-8595&rft.eissn=2327-8595&rft.volume=14&rft.issue=1&rft.spage=217&rft.epage=220&rft_id=info:doi/10.1177%2F2327857925141054&rft.externalDocID=10.1177_2327857925141054
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2327-8595&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2327-8595&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2327-8595&client=summon