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Design and Evaluation of Using Head-Mounted Virtual Reality for Learning Clinical Procedures: Mixed Methods Study
Siew Tiang Lau1, Rosalind Chiew Jiat Siah1, Khairul Dzakirin Bin Rusli1
1Alice Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
JMIR Serious Games
|August 30, 2023
Summary
Immersive virtual reality (IVR) shows promise for nursing students to practice clinical procedures, enhancing skills acquisition. Further system development is needed to optimize the user experience and learning outcomes for this innovative educational tool.
Area of Science:
- Medical Education Technology
- Virtual Reality in Healthcare
- Nursing Skills Development
Background:
- Safe and competent clinical procedure performance is vital for patient outcomes.
- Head-mounted virtual reality (VR) offers a simulated environment for nurses to acquire and refine clinical skills.
- Limited research currently exists on VR's application in learning clinical procedures.
Purpose of the Study:
- To design and evaluate a head-mounted VR system for teaching clinical procedures to nursing students.
- To explore nursing students' experiences and the system's usability when learning clinical procedures via VR.
Main Methods:
- A mixed-methods usability study was conducted.
- 3D models of instruments for intravenous therapy and subcutaneous injections were developed using the Unreal Engine.
- Questionnaires (System Usability Scale, continuance intention) and open-ended questions assessed user perception.
Main Results:
- Twenty-nine nursing students participated in the immersive virtual reality (IVR) intervention.
- Participants reported positive perceptions of the game and learning experience (mean scores 3.21-4.38/5).
- The system usability score averaged 53.53/100, with common challenges including unfamiliarity, technological constraints, and physical discomfort.
Conclusions:
- IVR presents a promising approach for deliberate practice to enhance nurses' knowledge and skills in clinical procedures.
- Prototype refinement is necessary to improve user experience and learning effectiveness.
- Future research should investigate broader applications of IVR in healthcare education.

