Evidence map›Paper›PMID 41639805›Full record

ArticleBMC medical education2026

Learning components for mixed reality mass casualty incident training: a modified Delphi study.

Lina Gyllencreutz, Susanna Pusa, Rebecca Baxter

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lina GyllencreutzDepartment of Nursing, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0002-1848-060X
Susanna PusaDepartment of Nursing, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0002-4773-8796
Rebecca BaxterDepartment of Nursing, Umeå University, Umeå, Sweden. rebecca.baxter@umu.se.ORCID http://orcid.org/0000-0001-6595-6298

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMixed reality training encourages experiential learning to enhance skill acquisition and improve knowledge for medical first responders. The essential learning components for mixed reality innovations in the context of mass casualty incident training have yet to be explored. This modified Delphi study aimed to identify learning components for mixed reality training for mass casualty incident first responders.

methodsA modified Delphi method was undertaken comprising of three stages. In stage one, a literature search was conducted to generate statements regarding learning components for mixed reality training in mass casualty incidents. In stage two, participants rated the statements and contributed further ideas in relation to whether statements should be revised, added, or removed. In stage three, participants re-appraised their ratings in view of the group consensus. A consensus rating of 75% was set a priori. Descriptive statistical analysis was undertaken following each survey round.

resultsIn stage one, a total of 34 statements were derived from the literature. Eighteen experts were invited to participate. Of these, 14 provided ratings in stage two (response rate, 78%) and 8 provided ratings in stage three (response rate, 57%). Consensus was achieved for 27 of 34 statements (79%) in the first survey, and 29 of 30 statements (97%) in the second survey. Written comments from participants emphasised the importance of context in relation to the learner, the trainer, and the mixed reality system technology.

conclusionsThis study identified learning components that achieved consensus for mixed reality training for mass casualty incident first responders. The learner experience, collaborative interaction, system adaptability, and training environment were important components for mixed reality training. Skills development and learner engagement were given higher priority than knowledge improvement or retention. These findings can be used to inform the planning and development of future trainings that use mixed reality modalities.

Indexed as

Emergency RespondersMass Casualty IncidentsProblem-Based LearningDelphi TechniqueHumansDelphi studyMass casualty incidentMedical educationMixed realityPrehospital careTriage

Identifiers

PMID41639805
PMCPMC12930572

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.