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Development of a Virtual Reality Assessment of Everyday Living Skills

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Enhancing metacognition and nursing competency in undergraduate students utilizing multi-user virtual environment

Seung Hyeon Yang¹, Hyejin Jeon¹, Seok Yeong Hong¹

¹College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea.

Nurse Education Today

|March 27, 2025

Summary

Multi-user virtual environment simulations significantly improve nursing students' metacognition and competency, offering a cost-effective alternative to traditional methods. Increased exposure to virtual scenarios enhances these crucial skills.

Keywords:

Education Metacognition Nursing Nursing competency Simulation training Virtual simulation

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Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

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Published on: September 27, 2020

Area of Science:

Nursing Education
Health Professions Education
Simulation-Based Learning

Background:

Simulation-based education is crucial for developing nursing competencies in safe environments.
Traditional simulations face limitations such as high costs and spatial constraints.
Multi-user virtual environment simulations offer immersive and interactive learning experiences, overcoming traditional limitations.

Purpose of the Study:

To evaluate the impact of multi-user virtual environment simulations on nursing students' metacognition and competency.
To examine how varying simulation exposures influence outcomes in a multi-site context.

Main Methods:

A multi-site, multi-group comparative design involving 518 undergraduate nursing students across five South Korean universities.
Students participated in virtual child and community health nursing simulations with expert-validated scenarios.
Metacognition and nursing competency were assessed using pretest-posttest questionnaires and statistical analysis.

Main Results:

Significant improvements in metacognition and nursing competency were observed, particularly in students with lower baseline skills.
Exposure to three or more virtual scenarios led to substantial gains in both metacognition and competency.
Students in high-cluster groups showed metacognitive changes through integrated simulation and clinical practicum.

Conclusions:

Multi-user virtual environment simulations effectively enhance nursing students' metacognition and competency.
These virtual simulations present a cost-effective, immersive, and interactive educational alternative.
High-quality scenarios and peer feedback are vital; future research should focus on optimizing scenario design and integration with clinical practice.