Development and evaluation of a virtual reality mechanical ventilation education program for nursing students

Abstract

Background Since COVID-19 limits safe clinical practice settings, virtual reality (VR) emerged as an alternative to practical education. Using VR simulation to learn mechanical ventilation is rare in nursing education. Methods This study developed a VR simulation program for mechanical ventilation care and evaluated its effects. We adopted a quasi-experiment design. Participants were fourth-year students across nursing colleges in South Korea. Results The interaction effect of the intervention time point and control group, to which the VR simulation program was applied, showed a significant difference in self-efficacy (F = 19.54, p < .001) and clinical reasoning capacity (F = 16.97, p < .001). Learning satisfaction of the experimental group was statistically significantly higher than that of the control group(F = 5.22, p = .026). The level of learning immersion (t = − 3.13, p = .003) and learning satisfaction (t = − 3.49, p = .001) were statistically significantly higher in the experimental group than in the control group. Conclusion These findings confirmed that the VR stimulation program for nursing students had a positive effect on their self-efficacy, clinical reasoning capacity, and learning satisfaction. Furthermore, it was effective in improving their nursing competence.

Development and evaluation of extracorporeal membrane oxygenation nursing education program for nursing students using virtual reality

“…Third, the hypothesis that "There would be differences in ECMO nursing-related clinical reasoning capacity between the intervention group applying the ECMO nursing VR simulation program and the control group" was rejected. This was contrary to the results of a study in South Korea, in which a simulation program using VR for nursing students was effective in clinical reasoning capabilities [30]. Clinical reasoning capability is a thought process for gathering and analyzing patient information, assessing the importance of analyzed information, and determining alternative behaviors [34].…”

“…This result is similar to the study [29] in which four hospitals in the United States applied a screen-based pediatric ECMO simulation training program to medical professionals. Regarding the knowledge of mechanical ventilation nursing in the intervention group, which applied the mechanical ventilation nursing simulation program using VR in South Korea, and the control group, there was no signi cant difference in the interaction effect between the group and the time point [30]. However, the results were inconsistent in a study [31] in Taiwan that showed that the experimental group had higher knowledge than the control group after providing nursing students with educational materials related to chemotherapy administration using VR.…”

The status of virtual simulation experiments in medical education in China: based on the national virtual simulation experiment teaching Center (iLAB-X)

“…In particular, virtual simulation training has been widely used in computerized tomography (CT), magnetic resonance imaging (MRI), and ultrasound practices in undergraduate medical education, and virtual simulation experiments have been demonstrated to be valuable and effective learning resources [ 49–51 ]. Moreover, virtual simulation experiments have also been developed as alternatives to practical nursing education and have effectively promoted nursing neurophysiologyperformance [ 52 , 53 ].…”

Effectiveness of Virtual Reality in Nursing Education: A Systematic Review and Meta-analysis

“…A computer search of PubMed, Web of Science, Wiley Online Library, Zhiwang database, Wanfang database and China Biomedical Literature Service (SinoMed) retrieved 2179 papers; titles and abstracts were reviewed and 152 articles were selected considering the inclusion and exclusion criteria. After excluding 140 papers that did not meet the inclusion criteria, 12 papers were nally selected [20][21][22][23][24][25][26][27][28][29][30][31] . As shown in Fig.…”