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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.
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.
