Effect of Infection Control Simulation Based on a Negative Pressure Isolation Room Using Mixed Reality.

Area of Science:

• Nursing Education
• Medical Simulation
• Health Professions Education

Background:

• Simulation-based learning is crucial for developing clinical skills in nursing.
• Traditional methods like mannequin (MN) simulation and problem-based learning (PBL) with written cases have limitations.
• Exploring innovative simulation modalities like mixed reality (MR) is essential for enhancing learning outcomes.

Purpose of the Study:

• To compare the effectiveness of infection control simulation using mixed reality (MR) against high-fidelity mannequin (MN) simulation and problem-based learning (PBL) with written cases.
• To evaluate the impact of different simulation fidelities on nursing students' clinical reasoning ability and clinical competence.
• To assess student immersion, satisfaction, and self-confidence in MR simulation.

Main Methods:

• A pretest-posttest quasi-experimental design involving 72 nursing students across three groups: MR simulation, MN simulation, and PBL with written cases.
• Random assignment of participants to groups.
• Data analysis using descriptive statistics, chi-squared, Kruskal-Wallis, and Wilcoxon signed rank tests.

Main Results:

• MR simulation demonstrated significantly positive effects on clinical reasoning ability and clinical competence compared to PBL with written cases.
• MN simulation also showed significant positive effects on clinical competence compared to PBL with written cases.
• MR simulation enhanced learning immersion, satisfaction, and self-confidence.

Conclusions:

• Mixed reality simulation is an effective and appropriate method for enhancing nursing students' learning immersion, satisfaction, and self-confidence.
• MR simulation can serve as a viable substitute for mannequin simulation in improving clinical reasoning and competence.
• Utilizing diverse simulation fidelity approaches is key to comprehensively enhancing nursing student competency.