title: Second Life simulation as a strategy to enhance decision-making in diabetes care: a case study.
abstract: OBJECTIVE
  The case study evaluated the Second Life perceived usability and the decision-making of insulin administration via situational awareness at two different simulation freezes during Second Life simulation.
  
  
  BACKGROUND
  Due to safety issues stemming from nursing knowledge deficits of insulin administration, the use of simulation via practice in a virtual immersive environment, Second Life was evaluated in a case study of practicing nurses.
  
  
  METHODS
  This case study used a single convenience group, post-test design.
  
  
  METHODS
  Perceived usability was evaluated using the System Usability Scale. Evaluation of decision-making was evaluated via Situational Awareness Score at two simulation freezes in the Second Life simulation with practicing nurses (n = 12).
  
  
  RESULTS
  Nurses with more years of practice reported difficulty in using Second Life. As age increased, the total Situational Awareness Score decreased. Day shift nurses were more likely to obtain a High Situational Awareness Score.
  
  
  CONCLUSIONS
  Although usability was nearly obtained, virtual immersive environments for nurses has promise to provide practice in aiding clinical decision-making.
  
  
  CONCLUSIONS
  Finding a new platform to allow all nurses to practice difficult clinical decisions is key. A virtual immersive environment, like Second Life, can provide simulation for nurses to practice making such difficult decisions.
authors.affiliation: Johns Hopkins University School of Nursing, Baltimore, MA, USA.
authors.forename: Krysia
authors.initials: K
authors.lastname: Hudson
authors.forename: Laura A
authors.initials: LA
authors.lastname: Taylor
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Kozachik
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Shaefer
authors.forename: Marisa L
authors.initials: ML
authors.lastname: Wilson
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D000066491:Clinical Decision-Making; D003194:Computer-Assisted Instruction; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000188:drug therapy* / Q000451:nursing*; D004509:Education, Nursing, Continuing; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D000066908:Simulation Training
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin
keywords: Second Life; clinical decision-making; simulation; virtual immersive environment