Related Experiment Video
Updated: Jan 6, 2026
The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
Published on: July 28, 2022
From Noticing to Clinical Judgment: Exploring Anxiety in Virtual Reality Nursing Simulation
Janet M Reed1, Michelle Aebersold, Kathie Lasater
1Author Affiliations: Assistant Professor (Dr Reed), College of Nursing, Kent State University, Kent, Ohio; Clinical Professor (Dr Aebersold), University of Michigan School of Nursing, Ann Arbor, Michigan; Professor Emerita (Dr Lasater), OHSU School of Nursing, Portland, Oregon; and Visiting Professor (Dr Lasater), Edinburgh Napier University, Edinburgh, United Kingdom.
Background:
Professional noticing is the first step of clinical judgment and a core competency for nurses. Immersive virtual reality (VR) simulations offer students individualized practice and feedback in noticing, which anxiety may impact.
Purpose:
To describe the relationship between facilitating and debilitating anxiety and noticing among students in VR simulation.
Methods:
This was a cross-sectional single-site quantitative study, using individual VR simulations with prelicensure nursing students. Outcomes were measured using the Achievement Anxiety Test and Lasater Clinical Judgment Rubric (LCJR).
Results:
There were no significant correlations between LCJR noticing scores and either type of anxiety: debilitating anxiety scores: (rs [31] = -0.035, P = .854), facilitating anxiety (rs [31] = 0.18, P = .32).
Conclusion:
This study suggests that anxiety, whether debilitating or facilitating, is not significantly associated with noticing in VR simulation.
Related Concept Videos
01:26Modeling in Therapy
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
01:18Anxiety: Overview
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
01:28Social Anxiety Disorder