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Updated: Jan 26, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
Evaluating the Usability of a Second-Generation Virtual Reality Game for Refreshing Sterile Urinary Catheterization
Suzan Kardong-Edgren1, Karen Breitkreuz, Michael Werb
1Author Affiliations: Professor and RISE Center Director (Dr Kardong-Edgren) and RISE Center Graduate Assistant (Mr Werb), School of Nursing and Health Sciences, and Associate Professor (Dr Foreman), Robert Morris University, Moon Township, Pennsylvania; and CQ Certified, Associate Professor (Dr Breitkreuz), School of Nursing, and Director and Clinical Associate Professor (Dr Ellertson), Games, Interactive Media and Mobile Program, College of Innovation & Design, Boise State University, Idaho.
Background:
Virtual reality (VR) allows risk- and anxiety-free practice, mediated by consistent objective feedback.
Purpose:
This study evaluated the usability of a VR game system for sterile catheterization practice. Participant enjoyment, engagement, likelihood to practice, and comfort using VR are reported.
Methods:
Thirty-one students and faculty tested a VR game using Oculus Rift devised to allow practice of placing a urinary catheter in a virtual patient. Data were collected via an electronic survey using the System Usability Survey (SUS) and a User Reaction Survey (URS).
Results:
The SUS score was 64.03. Seventy-five percent of participants rated the game as positive overall on the URS. Left-handed players had more difficulty playing the game. Players with prescription glasses could not comfortably place the Oculus Rift over their glasses to play.
Conclusions:
The VR game shows promise for refreshing sterile catheterization skills.
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