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Table 2 Trigger definitions and directions (i.e., if they indicate reduced or enhanced immersion)

From: The impact of contextualization on immersion in healthcare simulation

Trigger#

Definition

Direction

T1

Destructive interaction between participants and persons outside the scenario

Negative

T2

A participant expresses that the expected equipment is missing or not functioning normally.

Negative

T3

Disturbing jumps in time and/or space

Negative

T4

All or part of the operations are pretended.

Negative

T5

Unnatural interaction with the patient and/or another person in the scenario

Negative

T6

Uncertainty in what is expected or can be done in the simulated scenario

Negative

T7

Technology that would not be part of a natural context disturbs the participants.

Negative

T8

Natural responses to stimuli in the scenario

Positive

T9

Natural interaction with the simulator

Positive

T10

Natural interaction and/or verbal communication with another person in the scenario

Positive