Spherical Video-Based Virtual Reality for Nurses' Workplace Violence Management: A Convergent Mixed-Methods Study.

Area of Science:

• Nursing Education
• Virtual Reality Technology
• Workplace Safety

Background:

• Workplace violence poses significant risks to nurses and patient care.
• Traditional training methods often lack the contextual realism needed for effective violence management.
• There is a need for innovative training solutions to enhance nurses' preparedness.

Purpose of the Study:

• To assess the feasibility, effectiveness, and acceptability of a spherical video-based virtual reality (VR) training program.
• To improve nurses' ability to manage workplace violence through immersive training.

Main Methods:

• A convergent mixed-methods study was conducted with nurses at a tertiary medical center in Taiwan.
• The VR training program featured four interactive 360° scenarios focused on recognizing, de-escalating, and responding to workplace violence.
• Quantitative (risk perception, confidence, technology acceptance) and qualitative (learning experiences) data were collected and integrated.

Main Results:

• The VR training program was feasible and well-accepted, with high perceived usefulness and ease of use.
• Significant improvements were observed in nurses' risk awareness and confidence in managing violent incidents.
• Qualitative feedback highlighted enhanced engagement, self-reflection, and learning reinforcement due to VR immersion.

Conclusions:

• Spherical video-based VR training is a feasible, acceptable, and effective method for preparing nurses to manage workplace violence.
• The program enhances situational awareness and confidence in addressing high-risk scenarios.
• Integrating VR into nursing education can strengthen safety competencies and improve patient care.