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Blending of virtual reality with high-fidelity simulation for interprofessional team training: A mixed methods study
Wei Ling Chua1, Ronel Xian Rong Tan1, Sok Ying Liaw1
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Nurse Education Today
|September 3, 2025
Summary
This study shows blended simulation training improved nursing and medical students' interprofessional collaboration skills. The approach enhanced teamwork knowledge, attitudes, and confidence, preparing a safer healthcare workforce.
Area of Science:
- Medical Education
- Healthcare Simulation
- Interprofessional Collaboration
Background:
- Developing interprofessional competencies is crucial for a collaborative, patient-centered healthcare workforce.
- Pre-registration training is essential for fostering teamwork skills in future healthcare professionals.
- Effective interprofessional training prepares students for safe and effective patient care.
Purpose of the Study:
- To assess the impact of Blended Learning Approach with Simulation-based TeamSTEPPS® (BLAST) training on nursing and medical students.
- To evaluate changes in students' attitudes, knowledge, and confidence in interprofessional collaboration.
- To explore student and facilitator experiences with the BLAST training program.
Main Methods:
- A mixed-methods design incorporating a one-group pretest-posttest and focus group discussions.
- Utilized a Blended Learning Approach with Simulation-based TeamSTEPPS® (BLAST) training for final-year nursing and medical students.
- Employed virtual reality and high-fidelity simulations, with pre- and post-tests and qualitative focus groups.
Main Results:
- Statistically significant improvements were observed in students' understanding of TeamSTEPPS® concepts, attitudes towards interprofessional teamwork, and perceived training value.
- Virtual reality simulation enhanced students' confidence in high-fidelity simulation scenarios.
- Qualitative data revealed themes of interprofessional learning synergy, blended simulation as a scaffold, and operationalizing blended simulation.
Conclusions:
- Blended simulation-based learning effectively enhances interprofessional team training for nursing and medical students.
- Scaffolded learning approaches improve knowledge, collaboration, and communication skills in interprofessional teams.
- Innovative and scalable methods are needed for sustainable interprofessional team training.

