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Development of a Virtual Reality Assessment of Everyday Living Skills
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Exploring nursing students' experiences with virtual patient-based health assessment simulation program: A

Shinhye Ahn1, Hye Won Jeong2

  • 1Department of Nursing, Sunchon National University, 255, Jungang-ro, Suncheon-si, Jeollanam-do 57922, Republic of Korea.

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Summary

Virtual patient simulations (VPSs) enhance nursing students' health assessment skills and clinical reasoning in a safe environment. While effective, VPSs have limitations in non-verbal communication and emotional engagement, requiring pedagogical support.

Keywords:
BaccalaureateClinical competencyEducationNursingPatient simulationPhysical examinationQualitative research

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Area of Science:

  • Nursing Education
  • Health Assessment Simulation
  • Virtual Patient Simulation (VPS)

Background:

  • Virtual patient simulations (VPSs) are increasingly used in nursing education to address limited clinical practice and enhance patient safety.
  • Understanding nursing students' learning experiences with VPSs is crucial for optimizing this educational strategy.

Purpose of the Study:

  • To explore nursing students' experiences with the Virtual Patient-Based Health Assessment Simulation Program (VP-HASP).
  • To analyze learning processes within VP-HASP using Kolb's Experiential Learning Theory.

Main Methods:

  • Qualitative study employing focus group interviews (FGIs) with 30 second-year nursing students.
  • Data collected from 11-week VP-HASP program, including weekly 2-hour sessions (pre-briefing, VPS, debriefing).
  • Qualitative content analysis applied following Graneheim and Lundman's approach.

Main Results:

  • Students demonstrated improved clinical reasoning, progressing from adaptation to advanced judgment.
  • Clinical performance evolved from basic skills to integrated expertise.
  • VPS offered psychological safety and repeated practice but lacked non-verbal communication and emotional engagement.

Conclusions:

  • VP-HASP effectively improved nursing students' health assessment competencies, clinical reasoning, and integrated thinking.
  • The safe learning environment and practice opportunities were valued, but limitations in simulating non-verbal cues and emotional aspects were noted.
  • VPS is an effective educational tool when supported by appropriate pedagogy and awareness of its limitations.