Description:
<jats:title>ABSTRACT</jats:title><jats:sec id="S1935789318000587_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>This study examined differences in learning outcomes among newborn intensive care unit (NICU) workers who underwent virtual reality simulation (VRS) emergency evacuation training versus those who received web-based clinical updates (CU). Learning outcomes included a) knowledge gained, b) confidence with evacuation, and c) performance in a live evacuation exercise.</jats:p></jats:sec><jats:sec id="S1935789318000587_abs3" sec-type="methods"><jats:title>Methods</jats:title><jats:p>A longitudinal, mixed-method, quasi-experimental design was implemented utilizing a sample of NICU workers randomly assigned to VRS training or CUs. Four VRS scenarios were created that augmented neonate evacuation training materials. Learning was measured using cognitive assessments, self-efficacy questionnaire (baseline, 0, 4, 8, 12 months), and performance in a live drill (baseline, 12 months). Data were collected following training and analyzed using mixed model analysis. Focus groups captured VRS participant experiences.</jats:p></jats:sec><jats:sec id="S1935789318000587_abs4" sec-type="results"><jats:title>Results</jats:title><jats:p>The VRS and CU groups did not statistically differ based upon the scores on the Cognitive Assessment or perceived self-efficacy. The virtual reality group performance in the live exercise was statistically (<jats:italic>P</jats:italic>&lt;.0001) and clinically (effect size of 1.71) better than that of the CU group.</jats:p></jats:sec><jats:sec id="S1935789318000587_abs4a" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>Training using VRS is effective in promoting positive performance outcomes and should be included as a method for disaster training. VRS can allow an organization to train, test, and identify gaps in current emergency operation plans. In the unique case of disasters, which are low-volume and high-risk events, the participant can have access to an environment without endangering themselves or clients. (<jats:italic>Disaster Med Public Health Preparedness.</jats:italic> 2019;13:301–308)</jats:p></jats:sec>