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Updated: Jun 9, 2025

Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
Development of a Virtual Pediatric Holistic Comfort Care Clinic
April A Braswell1, Brittany Denning, Coleen E O'Brien
1Author Affiliations: School of Nursing (Drs Braswell and O'Brien), Distance Education and eLearning (Mss Denning and Harris), University of North Carolina Wilmington, Wilmington, North Carolina.
Background:
Guided by the tenets of Kolcaba's holistic comfort theory, we developed, implemented, and evaluated a simulated online pediatric advanced practice health center. The Pediatric Comfy Care Clinic (PCCC) was created to enhance person-centered diagnostic reasoning and holistic advanced management skills for family nurse practitioner students.
Methods:
Our interprofessional team used a standardized approach to online design and development while integrating essential holistic comfort theory concepts for student engagement and assessment of learning. We explored outcomes of pre- and postclinic quizzes and student reflection data using mixed methods.
Results:
Significant differences ( P < .001) were noted in all postpractice quizzes in each affiliated PCCC module with variable student outcomes on graded clinic encounters. Important student perspectives on teaching and learning in the virtual clinic were noted.
Conclusion:
A comfort theory-driven, simulated, and digitally enhanced virtual clinic is feasible and valuable with important implications for holistic advanced practice.
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