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VR-NRP: A development study of a virtual reality simulation for training in the neonatal resuscitation program
Mustafa Yalin Aydin1, Vernon Curran2, Susan White3
1Department of Computer Science, Faculty of Science, Memorial University of Newfoundland, St. John's, Canada.
Digital Health
|March 19, 2025
Summary
Virtual reality (VR) training for the Neonatal Resuscitation Program (NRP) enhances healthcare provider confidence and skills, particularly in positive pressure ventilation. This immersive VR simulation offers improved experiential learning outcomes compared to 360° videos.
Area of Science:
- Medical Education Technology
- Virtual Reality in Healthcare
- Simulation-Based Training
Background:
- Virtual reality (VR) offers a safe and interactive platform for healthcare training.
- The Neonatal Resuscitation Program (NRP) requires standardized skill refreshment for healthcare providers.
- Developing effective VR simulations is crucial for advancing medical education.
Purpose of the Study:
- To develop and evaluate a VR simulation for the Neonatal Resuscitation Program (NRP).
- To assess the efficacy of VR simulation in training foundational NRP skills, specifically positive pressure ventilation (PPV).
- To compare the immersive VR simulation with 360° VR videos for medical training.
Main Methods:
- Developed a VR-NRP simulation using Unity, a VR-capable laptop, and HTC Vive Pro.
- Focused the simulation on positive pressure ventilation (PPV) with bag and mask.
- Conducted a crossover study with 30 participants comparing VR simulation to 360° VR videos, collecting data via questionnaires and skill assessments.
Main Results:
- Both VR technologies were well-received, with the VR simulation offering a significantly higher feeling of presence.
- Participants reported increased confidence in NRP skills like mask placement and newborn response evaluation.
- The VR simulation demonstrated improved experiential learning outcomes compared to 360° videos.
Conclusions:
- VR technology can be effectively developed and applied for immersive medical training.
- VR simulations enhance the availability of NRP refresher training and skill acquisition.
- This study provides valuable insights for integrating VR/XR technologies in medical education.

