Table 6 Top themes and illustrative comments derived from the thematic analysis of participant SUGGESTIONS FOR IMPROVING the MCI-VR System
Theme | Counts | Illustrative Comment(s) |
|---|---|---|
Modify system by improving features | N=52 | “The one thing is it would be great if patients were a bit more interactive in their responses so that trainees could practice asking other questions and getting answers.” “Better graphics but these weren't bad by any means.” “Need patients to respond quicker when asked questions.” “Some patients did not respond well to voice commands until the second or third request.” “Make it easier to see chest injury. Unclear if patient had burn or crushing chest injury - which influenced management.” “The needle decompression didn't work.” |
Modify system by adding features | N=49 | “Add more scenarios, like a mass shooting.” “Make it multiplayer so crews can work in concert.” “Add more responders or the next step in setting up transport from the collection point.” “Add more tools to the med kit like trauma sheers, chest seals, and stethoscope.” “Give us option to remove clothing on patients to reveal injuries.” “Dropping in actual buildings in our jurisdiction.” “Add chest seal for sucking chest wounds. Combat gauze is not a good intervention for packing chest and abdominal wounds. It is more well suited for inguinal injuries (which were not represented in this blast scenario.” “Have a visible time clock counting down during the encounter.” “Make patient status change during the exercise.” |
Improve system reliability | N=33 | “There were some glitches and lags with the system, like how the kit was often outside of my field of vision, so it was tough to grab it when needed.” “Just work out some of the bugs and limitations. For example, treating a patient with needle decompression that did not get recognized.” “Remedy the glitches, like disappearing medical kit.” “The lag between the device and the computer running it was distracting one or two times.” “There were some glitches and lags with the system, like how the kit was often outside of my field of vision, so it was tough to grab it when needed.” |
Make scenario more chaotic/challenging | N=23 | “Background noise and radio traffic would make it more challenging.” “Building on this to add more stressors or distractions would be great.” “More chaos-distractions, noise, screaming.” |
Improve orientation/preparation for VR | N=22 | “I needed a little more practice opening med kit and moving. But was not an issue for very long.” “A little more time familiarizing with the controls” “More acclimation before event” “More time to prepare for those have never used it.” “I did not realize the gray-expectant tag was in the kit until the feedback at the end.” |
Make system more available | N=13 | “Do it again in 6 months or a year to see if or how we've improved.” “Make it easy for use individually outside of work.” “More opportunities to try it.” |