3LLS3 - Elevating Empathy to Reduce Stigma: Development and Usability Testing of a Virtual Simulation to Teach Social Justice Concepts Related to Poverty and Homelessness

Abstract :

Background: Stigma and bias against individuals experiencing poverty and homelessness remain pervasive, often leading to reduced access to essential services, and suboptimal care. Healthcare providers and students may lack the experiential learning needed to understand the impact of structural inequities on vulnerable populations. Virtual simulation addresses this gap by immersing learners in realistic scenarios that promote empathy and reduce stigma. Our international team, composed of members of the INACSL Research Special Interest Group, created an interactive virtual simulation allowing learners to “experience” challenges of living in poverty and navigating access to social services. Simulation development followed the Healthcare Simulation Standards of Best PracticeTM for Simulation Design.

Purpose: This study examined usability and potential impact of an innovative virtual simulation module designed to teach social justice competencies related to poverty and homelessness.

Methods: This study used a mixed methods approach. Health professions students and faculty (n=15) were recruited at a university in northeastern United States. Data were collected through pre- and post-simulation surveys, a Player Experience Inventory (PXI) and semi-structured interviews.

Results: The PXI and interview data indicated a positive player experience with the virtual simulation, Interviews highlighted meaningful engagement, with suggestions for enhancements in autonomy and immersion. Participants reported no major technical issues; however, some respondents suggested inclusion of progress bars, better visual indicators and improvements to the user interface to increase clarity and ease of use.

Conclusions: The virtual simulation was generally well-received with participants finding it engaging, realistic and providing a meaningful learning experience that met its objectives.

Please include a short summary of your presentation that highlights why an attendee would want to participate in your session.: This presentation will describe an innovative virtual simulation eLearning module for nursing student to experience the challenges of living in poverty and homelessness. Additionally participants will hear about the results of a mixed-methods study evaluating the usability and potential mpact of the module.