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Immersive Learning in Nursing: A Mixed Reality Approach to IV Simulation With Bimanual Haptic Feedback.

Jeremy M Jarzembak¹, Jennifer Biggs, Ann James

¹Author Affiliations: College of Nursing, Kent State University, Kent, OH (Dr. Jarzembak, Ms Biggs, Ms James); Department of Computer Science, Kent State University, Kent, OH (Dr K Kim, Mr Jin Woo Kim); Department of Biological Sciences, Kent State University, Kent, OH (Dr Clements); and Department of Psychology Sciences, Kent State University, Kent, OH (Dr Clements).

|July 24, 2025

Summary

Nursing students improved confidence and success in peripheral intravenous catheter (PIVC) insertion using a mixed reality simulator. This innovative tool enhances tactile skills and hand-eye coordination for better patient care.

Keywords:

New Theory of Disuse haptic technology skill training virtual reality

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Area of Science:

Medical Simulation
Nursing Education Technology
Human-Computer Interaction

Background:

Peripheral intravenous catheter (PIVC) insertion is a critical nursing skill.
Limited patient practice opportunities hinder nursing student PIVC proficiency.
Traditional trainers lack variability and are costly.

Purpose of the Study:

Develop a mixed reality (MR) simulator with bimodal haptic feedback for PIVC insertion training.
Create a variable, cost-effective simulated learning environment.
Enhance tactile skills, hand-eye coordination, and procedural accuracy based on the New Theory of Disuse.

Main Methods:

Integration of a bimodal haptic feedback interface with MR technology.
Simulation of diverse IV needle insertion conditions.
Design promoting repeated practice and skill retrieval.

Main Results:

Students reported increased confidence in PIVC insertion.
A higher success rate was observed after simulator use.
The simulator provided realistic tactile feedback and anatomical variability.

Conclusions:

MR and haptic simulations offer a viable solution for PIVC training.
Simulators can replicate diverse clinical scenarios with patient-specific variability.
Technology can enhance nursing skill acquisition and patient safety.