Abstract:

This study aims to develop the "serious game Comunica-enf" using artificial intelligence focusing on 3D virtual reality to improve the knowledge and confidence of nursing students in communication with patients and families.

Methods:
Methodologic study that followed the Kuutti technology development framework; carried out on 2018-2019, in a public Brazilian University. The content was developed according to with scientific literature and based on Health Communication Assessment Tool which evaluates nursing student/professional abilities to communicate; "Comunica-enf" technologic development was carried out by a specialized team according to with pedagogical principles of virtual learning.

Results:
The authors developed a virtual scenario using clinical history in which the participant should request authorization to perform a nursing procedure using verbal and nonverbal communication strategies. The virtual scenario simulates a hospital ward with hospital bed medical devices and a virtual patient with facial expressions. For the technological development of the game artificial intelligence was used to simulate in human environments human capabilities such as reasoning, perception, resolution and decision making; The game was developed in 3D virtual reality in which the immersion, interaction and involvement of the participant were guaranteed by the use of virtual reality immersion glasses. The communication between the participant and the virtual patient was made using microphones which are manipulated by the mediator teacher to allow the interaction closer to the real, as well as coordinate the virtual patient's reactions according to the effectiveness of the participant's communication, generating possibilities for the participant to experience good, bad or mixed communication situations. The feedback to the participant was performed using the virtual patient's facial expressions, the mediator teacher's speech and also colors (similarity of traffic lights), the expressions to indicate if the communication was efficient or not, as well as by the interaction with the mediator.

Conclusion:
The serious game Comunica-enf was developed using scientific evidence from nursing and communication, advanced technology, artificial intelligence, virtual reality, use of immersion glasses, communication devices in an attempt to create experiential learning for the participant to feel immersed. in the virtual environment. This game seeks to create possibilities for Brazilian students to apply their knowledge to better nursing care, improving the safety of care to the real patient and family.

Keywords:

Nursing Education, Artificial Intelligence, 3D virtual reality, health communication.