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Mixed Reality in Nursing Practice: A Mixed Methods Systematic Review.

Chandler H Moser¹, Changhwan Kim², Bindu Charles³

¹Nurse Scientist, Center for Nursing Science and Clinical Inquiry, Madigan Army Medical Center, Joint Base Lewis-McChord, Tacoma, WA, USA.

Journal of Clinical Nursing

|April 9, 2025

Summary

This summary is machine-generated.

Mixed reality (MR) shows promise for improving nursing efficiency and competency. However, more research is needed to address ergonomic challenges and clarify clinical relevance for widespread adoption in healthcare.

Keywords:

augmented reality competency ergonomics healthcare technology mixed reality nursing efficiency nursing practice satisfaction team effectiveness

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Area of Science:

Nursing
Health Informatics
Human-Computer Interaction

Background:

Mixed reality (MR) technology offers innovative solutions for healthcare, with potential applications in nursing practice.
Understanding the impact of MR on nursing is crucial for optimizing patient care and workflow efficiency.

Purpose of the Study:

To systematically review current evidence on mixed reality (MR) applications in nursing practice.
To evaluate MR's effects on nursing efficiency, ergonomics, satisfaction, competency, and team effectiveness.

Main Methods:

A mixed methods systematic review was conducted, adhering to PRISMA guidelines.
Searched 12 databases for empirical studies published between January 2013 and January 2023.
Assessed risk of bias and methodological quality using established tools (Cochrane ROBINS-I, RoB 2, CASP).

Main Results:

Eight studies evaluated diverse MR interventions (smart glasses, mobile apps) in nursing.
MR showed potential for enhanced efficiency (faster task completion, improved accuracy) and promising satisfaction outcomes.
Identified ergonomic challenges (discomfort, technical issues) and mixed results for competency; team effectiveness and health equity were underexplored.

Conclusions:

Mixed reality demonstrates potential benefits for nursing practice, particularly in efficiency and satisfaction.
Evidence is heterogeneous, and clinical relevance requires further investigation.
Rigorous comparative studies are needed to establish MR's utility and overcome adoption barriers.