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Effects of a self-determination theory-based mixed reality pressure injury nursing simulation program: A
1Department of Nursing, Chonnam National University Hospital, 42 Jebong-ro, Dong-gu, Gwangju 61469, Republic of Korea; College of Nursing, Chonnam National University, 160, Baekseo-ro, Dong-gu, Gwangju, Republic of Korea.
Nurse Education in Practice
|January 29, 2026
Summary
Mixed reality simulations based on self-determination theory improved nurses' confidence and clinical performance in pressure injury prevention. This innovative approach enhances nursing education for better patient safety outcomes.
Area of Science:
- Nursing Education
- Patient Safety
- Mixed Reality Simulations
Background:
- Pressure injuries (PIs) represent a significant patient safety challenge.
- This study utilized self-determination theory (SDT) to design a mixed reality (MR)-based nursing simulation for PI prevention.
Purpose of the Study:
- To compare the effectiveness of an SDT-based MR pressure injury nursing simulation (MR-PINS) against traditional case-based education.
- To evaluate nurses' competencies and learning experiences in both educational approaches.
Main Methods:
- A mixed-methods study with a non-equivalent control group pretest-posttest design.
- 73 nurses were divided into an intervention group (MR-PINS) and a control group (case-based education).
- Clinical performance was assessed via manikin-based simulation, and qualitative data were collected through focus group interviews.
Main Results:
- Both groups showed significant knowledge improvement.
- The MR-PINS group demonstrated higher post-test confidence and superior clinical performance.
- While clinical reasoning improved in both groups, no significant difference was found after adjustment. Qualitative feedback highlighted enhanced realism and engagement but also noted technical challenges.
Conclusions:
- The MR-PINS effectively supported competence development, motivation, and practice readiness in pressure injury nursing.
- Integrating SDT into MR simulations offers a promising method for enhancing nursing curricula, fostering clinical skills, and boosting intrinsic motivation.
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