PDF(Pubmed)
Abstract：
BACKGROUND: Aggression and negative activation in mental health inpatient units pose significant challenges for both patients and staff with severe physical and psychological ramifications. The Safewards model is an evidence-based conflict-containment framework including 10 strategies, such as \'Calm Down Methods\'. As virtual reality (VR) scenarios have successfully enhanced anxiolytic and deactivating effects of therapeutic interventions, they are increasingly considered a means to enhance current models, like Safewards.
OBJECTIVE: The present participatory design investigates the feasibility and user experience of integrating VR therapy as an add-on strategy to the Safewards model, gathering preliminary data and qualitative feedback from bedside staff in an adult inpatient mental health unit.
METHODS: An exploratory within-subjects design combining qualitative observations, self-report questionnaires and semistructured interviews is employed with four nurse champions from the mental health unit at Michael Garron Hospital (Toronto, Canada).
RESULTS: A chronological overview of the design process, adaptations and description of the user experience is reported.
CONCLUSIONS: \'SafeVRwards\' introduces VR as a promising conflic-containment strategy complementary to the Safewards model, which can be optimised for deployment through user-oriented refinements and enhanced customisation capacity driven by clinical staff input.
OBJECTIVE: The present participatory design investigates the feasibility and user experience of integrating VR therapy as an add-on strategy to the Safewards model, gathering preliminary data and qualitative feedback from bedside staff in an adult inpatient mental health unit.
METHODS: An exploratory within-subjects design combining qualitative observations, self-report questionnaires and semistructured interviews is employed with four nurse champions from the mental health unit at Michael Garron Hospital (Toronto, Canada).
RESULTS: A chronological overview of the design process, adaptations and description of the user experience is reported.
CONCLUSIONS: \'SafeVRwards\' introduces VR as a promising conflic-containment strategy complementary to the Safewards model, which can be optimised for deployment through user-oriented refinements and enhanced customisation capacity driven by clinical staff input.
摘要：
背景：精神卫生住院患者中的攻击和负激活对具有严重生理和心理影响的患者和工作人员都构成了重大挑战。Safewards模型是一个基于证据的冲突遏制框架，包括10个策略，例如“冷静方法”。由于虚拟现实（VR）场景已成功增强了治疗干预措施的抗焦虑和灭活效果，它们越来越被认为是增强当前模型的一种手段，比如Safewards.
目的：当前的参与式设计研究了将VR疗法作为Safewards模型的附加策略的可行性和用户体验，从成人住院精神卫生病房的床边工作人员那里收集初步数据和定性反馈。
方法：结合定性观察的探索性学科内设计，自我报告问卷和半结构化访谈与迈克尔·加伦医院精神卫生部门的四名护士冠军(多伦多，加拿大)。
结果：设计过程的时间顺序概述，报告了用户体验的适应和描述。
结论：\'SafeVRwards\'将VR作为一种有前途的控制策略，与Safewards模型互补，可以通过面向用户的改进和由临床工作人员输入驱动的增强定制能力来优化部署。
目的：当前的参与式设计研究了将VR疗法作为Safewards模型的附加策略的可行性和用户体验，从成人住院精神卫生病房的床边工作人员那里收集初步数据和定性反馈。
方法：结合定性观察的探索性学科内设计，自我报告问卷和半结构化访谈与迈克尔·加伦医院精神卫生部门的四名护士冠军(多伦多，加拿大)。
结果：设计过程的时间顺序概述，报告了用户体验的适应和描述。
结论：\'SafeVRwards\'将VR作为一种有前途的控制策略，与Safewards模型互补，可以通过面向用户的改进和由临床工作人员输入驱动的增强定制能力来优化部署。
