Feasibility and Acceptability of Virtual Escape Room Simulations for Novice Anesthesia Learners in Augmented vs. Virtual Reality

Background: The operating room (OR) is an intimidating environment for novice anesthesia learners. This study aimed to evaluate the feasibility and acceptability of introduction to commonly -used anesthesia equipment in virtual escape room simulations through augmented reality (AR) in comparison to virtual reality (VR). Sample: Eighty-seven first -year graduate student registered nurse anesthetists completed a virtual simulated escape room experience. Methods: A descriptive study was conducted over three years with data from three cohorts. Results: In the AR cohort, 98% of learners found the AR user-friendly while 84% of learners found the application effective to become familiar with anesthesia equipment. With the VR cohort, 95% of learners found the VR user-friendly while 98% of learners indicated the application helped them understand use of the equipment. Conclusion: Both AR and VR were reported as feasible and demonstrated comparable acceptability. Faculty should have a back-up plan for those who may experience cybersickness.