Klinisch Redeneren

Summa College wanted nursing students to practice clinical reasoning, which means observing a patient, working out what's wrong, deciding what to do and handing over. Teaching it through classroom roleplay works, but it's hard to repeat and puts the teacher at the center. The ask was a clinically accurate hospital scenario, playable in the browser and in VR without installing anything.

The hospital room is built from 21 panoramic images. Swapping them moves the story along, from the patient waking up to the doctor walking in, without any loading. Each step of clinical reasoning became its own part of the game, from questioning the patient and his sister, preparing medication step by step, an ABCDE check, to an SBAR handover to the doctor. In the handover you can only use what you actually found out, so if you skipped the glucose meter, that answer is grayed out. Every choice is scored on relevance. A colleague made the illustrated room, and I built the rest solo.

The simulation follows a shift with a diabetes patient, from intake to handover, and can be played on a laptop or in a headset. It's live at klinischredenerenvp.summacollege.nl.

The simulation has been in classroom use since launch. Students work through it at their own pace and see the consequences of every choice. It was one of the more meaningful projects to build, because clinical reasoning is a real skill with real stakes.