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AI-Assisted Virtual Reality Simulation for Therapeutic Ambient Communication: An Integrative Review.

Kerry L O'Brien^1,2, Jennifer Emilie Mannino²

¹NYU Langone Health, MCIT Department of Health Informatics, Division of Nursing Informatics, New York.

Computers, Informatics, Nursing : CIN

|April 2, 2026

Summary

Artificial intelligence (AI)-enabled virtual reality (VR) simulations show mixed results for developing nursing students' communication and assessment skills. More research is needed, especially for practicing nurses, as AI ambient voice technology becomes standard.

Keywords:

ambient voice technology artificial intelligence nurse-patient communication nursing assessment virtual patient

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Area of Science:

Nursing Education
Health Informatics
Artificial Intelligence

Background:

Emerging AI-enabled ambient speech recognition technology is set to revolutionize patient care through conversational narration.
This technology offers potential for nurses to enhance patient engagement and care delivery.

Purpose of the Study:

To review current evidence on AI-enabled virtual reality (VR) simulation for developing therapeutic communication and health assessment skills in nursing.
To identify gaps in the literature regarding VR efficacy for conversational assessment training.

Main Methods:

Systematic literature search across CINAHL, PubMed, and OVID databases.
Data extraction and synthesis to identify themes and patterns in the selected studies.

Main Results:

Eight studies met inclusion criteria; none involved practicing nurses.
Findings indicate a mixed association between AI-enabled VR patient simulation and skill development in nursing students.
Key domains analyzed included therapeutic communication, learning effectiveness (confidence, self-efficacy), and VR usability.

Conclusions:

A significant literature gap exists concerning VR efficacy for conversational assessment training, particularly for practicing nurses.
Ambient voice technology is evolving rapidly and is expected to become standard in nursing practice.
Future research should explore VR patient simulation's role in supporting ambient technology adoption and inform future nursing practice and education.