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Updated: Sep 3, 2025

Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
Evaluation of nursing students' efficacy, attitude, and confidence level in a perioperative setting using
Rosalind C J Siah1, Ping Xu2, Cheang L Teh2
1Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore City, Singapore.
Aims:
This study aimed to evaluate the efficacy, attitude, and level of confidence among nursing students as scrub nurses in a perioperative environment via virtual-reality simulation.
Background:
The advantages of virtual reality have been demonstrated to provide a safe and effective mechanism to educate and evaluate students' performances, but the use of virtual reality in perioperative nursing remained limited.
Methods:
Nineteen sessions were conducted in a room equipped with virtual-reality headsets and two touch controllers. The surgical workflow of a scrub nurse was developed based on qualitative perspectives from nursing faculties and hospital clinicians working in operating theaters. A survey on the efficacy, attitude, and level of confidence among the participants was conducted after the virtual-reality simulation.
Results:
Two hundred and seven nursing students due for their clinical posting in operating theaters completed the evaluation. More than 90% of them indicated "neutral" and above in terms of efficacy, attitude, and confidence level with Cronbach's α values exceeding .90.
Conclusions:
Virtual reality offers promising potential as an alternative clinical experience to physical simulation for nursing students to increase their efficacy, attitude, and level of confidence as scrub nurses in a perioperative environment through a standardized scenario-based digital environment.

