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Games and Simulation in Healthcare:
            Past, Present, and Future




   Eric B. Bauman, PhD, RN                                                       Alex Games, PhD
University of Wisconsin-Madison                                            Michigan State University
    9th Annual International Nursing Simulation/Learning Resource Centers Conference
    June 17, 2010. Las Vegas Nevada
The Evolution of Educational
 Games: A Broad Context
1970’s          (Free Bird, Love Keep us Together, Night Fever)

•   The DOD funds the PLATO
    System at the University of
    Illinois, they develop the earliest
    experimental educational games
    around computer science issues


•   Oregon Trail is developed at the
    University of Minnesota, and
    becomes one of the earliest
    educational games adopted in
    the classroom



•   Early educational videogames
    enter the home in nascent game
    consoles
1980’s         (Livin’ on Prayer, When Doves Cry, Crazy Train)

 • The home PC first
   enters households
   driven in large part by a
   hobbyist videogame
   production culture


• Seminal simulation
  titles set the stage for
  integrating traditional
  educational content in
  effective game format
1990’s       (Smells Like Teen Spirit, Vogue, Enter Sandman)


 • The first “edutainment”
   bubble raises and bursts as
   book publishers make a
   slew of poorly designed
   educational games


• The exception was Where
  in the World is Carmen
  Sandiego, which
  successfully entered
  classrooms, culture, and
  spawned a whole media
  phenomenon.
2000’s           (Hey Ya!, Yellow, War Child, Small Town Vice)


•   Interest in “serious games” arises in industry, education, and
    public policy.

•   In Healthcare, Simulation-based learning begins to accelerate.
     – This gives rise to the Simulation versus Game discussion
What is the Difference between
   Games and Simulation
 This is always an easy question to answer
 because when we talk about higher order
 simulation, elements of good game design
 also apply to simulation-based learning…
Higher order simulation includes and
integrates behavioral components into
 designed experiences existing within
created spaces, whether those spaces
exist in a fixed or virtual environment…
Designed Experiences
• A Designed Experience is engineered to
  include structured activities targeted to
  facilitate interactions that drive anticipated
  experiences. These activities are created to
  embody participant experience as
  performance.

                                             Squire 2006
Created Environment
• An environment that has been specifically
  engineered to accurately replicate an actual
  existing space.                              Bauman, 2007
Ecology of Culturally
        Competent Design
• Addresses the rigors and challenges of
  accurately situating culture within virtual
  environments using a four-element model
  that emphasizes the importance of activities,
  contexts, narratives, and characters.

                            Bauman, In Press; Games and Bauman, In Press
Ludology
   The study of games and other forms of play
     Does higher order simulation constitute
                  Ludology?
Narrative      Engagement           Interactivity

                         Leader Board
 High Scores                         Consequence
               System of Rewards
So what’s out there…


Cherry Ames – Nursing Game 1959 Parker Bros.
Trauma Team - Atlus U.S.A

Game with ‘realistic’ clinical
situations involving diagnosis,
triage, surgery , and forensic
medicine. User performs
procedures
Pulse!!




Breakaway Games - Texas A&M-Corpus Christi
Training Healthcare workers in clinical skills
Hospital Hustle - Time Management Game
         (simulation/game) 2008
     “Help Nurse Sarah save Lives”
3DiTeams-
                         Healthcare
                      Team Training in
                          a Virtual
                        Environment




Jeff Teakman, et al
 Duke University
 Medical Center
http://projects.hsl.wisc.edu/healthcaregames/
Contact Information
      Eric B. Bauman, PhD, RN
  University of Wisconsin - Madison

          Email: ebauman@wisc.edu

Linkedin: http://www.linkedin.com/in/ericbbauman

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Games & Simulation For Healthcare Past Present Future ©Eric B. Bauman 2010

  • 1. Games and Simulation in Healthcare: Past, Present, and Future Eric B. Bauman, PhD, RN Alex Games, PhD University of Wisconsin-Madison Michigan State University 9th Annual International Nursing Simulation/Learning Resource Centers Conference June 17, 2010. Las Vegas Nevada
  • 2. The Evolution of Educational Games: A Broad Context
  • 3. 1970’s (Free Bird, Love Keep us Together, Night Fever) • The DOD funds the PLATO System at the University of Illinois, they develop the earliest experimental educational games around computer science issues • Oregon Trail is developed at the University of Minnesota, and becomes one of the earliest educational games adopted in the classroom • Early educational videogames enter the home in nascent game consoles
  • 4. 1980’s (Livin’ on Prayer, When Doves Cry, Crazy Train) • The home PC first enters households driven in large part by a hobbyist videogame production culture • Seminal simulation titles set the stage for integrating traditional educational content in effective game format
  • 5. 1990’s (Smells Like Teen Spirit, Vogue, Enter Sandman) • The first “edutainment” bubble raises and bursts as book publishers make a slew of poorly designed educational games • The exception was Where in the World is Carmen Sandiego, which successfully entered classrooms, culture, and spawned a whole media phenomenon.
  • 6. 2000’s (Hey Ya!, Yellow, War Child, Small Town Vice) • Interest in “serious games” arises in industry, education, and public policy. • In Healthcare, Simulation-based learning begins to accelerate. – This gives rise to the Simulation versus Game discussion
  • 7. What is the Difference between Games and Simulation This is always an easy question to answer because when we talk about higher order simulation, elements of good game design also apply to simulation-based learning…
  • 8. Higher order simulation includes and integrates behavioral components into designed experiences existing within created spaces, whether those spaces exist in a fixed or virtual environment…
  • 9. Designed Experiences • A Designed Experience is engineered to include structured activities targeted to facilitate interactions that drive anticipated experiences. These activities are created to embody participant experience as performance. Squire 2006
  • 10. Created Environment • An environment that has been specifically engineered to accurately replicate an actual existing space. Bauman, 2007
  • 11. Ecology of Culturally Competent Design • Addresses the rigors and challenges of accurately situating culture within virtual environments using a four-element model that emphasizes the importance of activities, contexts, narratives, and characters. Bauman, In Press; Games and Bauman, In Press
  • 12. Ludology The study of games and other forms of play Does higher order simulation constitute Ludology? Narrative Engagement Interactivity Leader Board High Scores Consequence System of Rewards
  • 13. So what’s out there… Cherry Ames – Nursing Game 1959 Parker Bros.
  • 14. Trauma Team - Atlus U.S.A Game with ‘realistic’ clinical situations involving diagnosis, triage, surgery , and forensic medicine. User performs procedures
  • 15. Pulse!! Breakaway Games - Texas A&M-Corpus Christi Training Healthcare workers in clinical skills
  • 16. Hospital Hustle - Time Management Game (simulation/game) 2008 “Help Nurse Sarah save Lives”
  • 17. 3DiTeams- Healthcare Team Training in a Virtual Environment Jeff Teakman, et al Duke University Medical Center
  • 19. Contact Information Eric B. Bauman, PhD, RN University of Wisconsin - Madison Email: ebauman@wisc.edu Linkedin: http://www.linkedin.com/in/ericbbauman