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Effects of virtual reality-based disaster simulation education on nursing students
Kyeng-Jin Kim1, Moon-Ji Choi2, MinJi Kim2
1College of Nursing, Kyungpook National University, Daegu, South Korea.
Plos One
|October 7, 2025
Summary
Virtual reality (VR) disaster simulation education significantly improved nursing students' triage accuracy, confidence, immersion, and cognitive flexibility compared to traditional methods. This study confirms VR as an effective tool for enhancing disaster preparedness.
Area of Science:
- Medical Education
- Emergency Medicine
- Virtual Reality Applications
Background:
- Disaster preparedness is crucial for healthcare professionals.
- Traditional simulation methods may have limitations in replicating realistic disaster scenarios.
- Virtual Reality (VR) offers immersive and interactive learning experiences.
Purpose of the Study:
- To confirm the effectiveness of disaster simulation education utilizing virtual reality (VR).
- To evaluate the impact of VR-based disaster simulation on nursing students' preparedness.
- To assess specific improvements in disaster triage, confidence, immersion, and cognitive flexibility.
Main Methods:
- A quasi-experimental study with a non-equivalent control group, pretest-posttest design.
- Involved 67 nursing students (33 experimental, 34 control) from two universities.
- The experimental group received VR disaster simulation education based on cognitive continuum theory; the control group received written case simulation.
Main Results:
- The VR group showed significant improvements in disaster triage accuracy (p < .001) and confidence (p = .009).
- Enhanced learning immersion (p < .001) and cognitive flexibility (p < .001) were observed in the VR group.
- These findings indicate a strong positive impact of VR simulation on key preparedness metrics.
Conclusions:
- VR simulation education, grounded in cognitive continuum theory, is a viable and effective strategy.
- The developed VR program shows potential for strengthening disaster response capabilities.
- This approach offers a promising educational tool for future healthcare professionals' disaster training.

