Second Life simulation as a strategy to enhance decision-making in diabetes care: A case study

Krysia Hudson, Laura A. Taylor, Sharon L. Kozachik, Sarah J. Shaefer, Marisa L. Wilson

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Aims and objectives: 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. Design: 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. Relevance to clinical practice: 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.

Original languageEnglish (US)
Pages (from-to)797-804
Number of pages8
JournalJournal of clinical nursing
Issue number5-6
StatePublished - Mar 1 2015


  • Clinical decision-making
  • Second Life
  • Simulation
  • Virtual immersive environment

ASJC Scopus subject areas

  • General Nursing


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