Exploring Care Home Workers’ Views on Augmented Reality and Virtual Reality Hand Hygiene Training: A Realist Interview Study
Table 5
Revised context-mechanism-outcome configurations for AR and VR hand hygiene training in care homes.
Context/condition
Mechanism (s)
Outcome (s)
Realistic (high fidelity) simulations
+Perceived task realism (relevance to work)
=Effective learning (understanding and awareness of technique and spread of infections) = Learner satisfaction
Contested mechanisms:
+Perceived realism of imagery
+Visualisation of personal anatomy (hands) and mistakes
Immersive VR
+Perceived task realism (relevance to work)
= Learner satisfaction =Effective learning (awareness of technique and spread of infections)
+Interactive learning experience
Contested mechanisms:
+Engages learners in deep immersion
+Perceived environmental realism
Novice carers
+Repeated practice
=Effective learning (understanding and awareness of technique and spread of infections) = Learner satisfaction =Enhanced hand hygiene skills (improved technique and/or skill performance in care homes)
Contested mechanisms:
+Engages learners in deep immersion
+Practice in a safe environment
Care homes that require ongoing hand hygiene training/refresher
+Feedback and reminding
=Enhanced hand hygiene skills (improved technique and/or skill performance in care homes) =Infection control and lower rates of infections; resident and staff safety
