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Artificial intelligence-enabled virtual reality simulation for clinical deterioration training: An
Sok Ying Liaw1, Khairul Dzakirin Bin Rusli1, Jian Zhi Tan1
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nurse Education in Practice
|July 8, 2025
Summary
Artificial intelligence in virtual reality simulation (AI-enabled VRS) shows promise for improving nursing students' clinical deterioration knowledge. Further integration of generative AI is recommended to enhance learning effectiveness and program acceptance.
Area of Science:
- Nursing Education
- Medical Simulation
- Artificial Intelligence
Background:
- AI-enabled VRS was integrated into nursing education to aid the transition to clinical practice.
- Evaluating its effectiveness and implementation is crucial for wider adoption.
- This study addresses the need to assess this innovative educational tool.
Purpose of the Study:
- To evaluate the effectiveness of AI-enabled VRS in enhancing nursing students' knowledge of clinical deterioration.
- To assess the implementation outcomes of AI-enabled VRS in nursing education.
- To determine the acceptability, adoption, appropriateness, and feasibility of AI-enabled VRS.
Main Methods:
- A wait-list quasi-experimental, type 2 hybrid study design was used.
- 147 graduating nursing students were divided into experimental (AI-enabled VRS) and control groups.
- Implementation outcomes were measured via survey questionnaires post-intervention.
Main Results:
- The experimental group showed higher mean scores in recognizing/responding to clinical deterioration and interprofessional communication.
- Participants reported positive perceptions of AI-enabled VRS's acceptability, adoption, appropriateness, and feasibility.
- Areas for improvement included AI-human conversations, usability, and technical stability.
Conclusions:
- AI-enabled VRS demonstrates potential in improving nursing students' clinical knowledge and preparedness.
- Further strategies, including integrating generative AI, are needed to optimize learning and acceptance.
- The study highlights the need for refinement to maximize the benefits of AI-enabled VRS in nursing education.
