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Effectiveness of a virtual reality triage simulation program for nursing students: A mixed-methods study
Li-Hsiang Wang1, Chun-Chih Lin2, Li-Fen Chao3
1Department of Nursing, China Medical University Hsinchu Hospital, Taiwan, ROC.
Nurse Education in Practice
|October 19, 2024
Summary
Virtual reality simulation (VRS) triage significantly improved nursing students' motivation, confidence, and satisfaction in emergency nursing education. This innovative approach enhances clinical skills and fosters a positive attitude toward patient care.
Area of Science:
- Nursing Education
- Medical Simulation
- Virtual Reality Technology
Background:
- Virtual Reality Simulation (VRS) offers immersive clinical scenarios crucial for emergency nursing education.
- Triage presents a significant teaching challenge in emergency nursing due to limited practical learning opportunities.
Purpose of the Study:
- To evaluate the effectiveness of a Virtual Reality Simulation (VRS) triage program.
- To assess improvements in nursing students' learning motivation, attitudes, satisfaction, and overall learning experiences in an emergency nursing course.
Main Methods:
- Convergent parallel mixed-methods design involving 164 third-year nursing students.
- Experimental group (n=73) used VRS triage; control group (n=91) used traditional case studies.
- Learning outcomes measured via motivational learning inventory (Attention, Relevance, Confidence, Satisfaction), attitude/satisfaction questionnaires, and phenomenographic interviews.
Main Results:
- The VRS group demonstrated significant improvements in motivational learning inventory scores, particularly in satisfaction, confidence, attention, and relevance.
- Qualitative data revealed themes of realistic clinical environments, knowledge internalization, enhanced clinical skills, and positive attitudes toward patient care.
- The core theme identified was the establishment of professional core competency.
Conclusions:
- Virtual Reality Simulation (VRS) learning positively enhances nursing students' educational experiences.
- VRS triage is an effective tool for improving motivation, satisfaction, and clinical skills in emergency nursing education.
- This study provides valuable insights into the application and effectiveness of VR technology in nursing education.

