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360° Contextual Simulation Videos for Undergraduate Nursing Students: Electroencephalography-Based Quasi-Experimental
Yi-Chang Chen1, Chen-Jung Chen2
1Institute of Long-Term Care, MacKay Medical University, New Taipei City, Taiwan.
JMIR Nursing
|June 30, 2026
Summary
Integrating 360° contextual simulation videos in nursing education improved student perceptions and satisfaction. This method also showed potential neural correlates of action observation via electroencephalography (EEG) measures.
Area of Science:
- Nursing Education
- Educational Technology
- Neuroscience
Background:
- Screen-based 360° contextual simulation videos are increasingly used in nursing education.
- Limited evidence exists on their impact on learning outcomes and neural electroencephalography (EEG) patterns.
Purpose of the Study:
- To evaluate the influence of 360° simulation videos on nursing students' perceptions of simulation design and educational practices.
- To assess the effect on student satisfaction, self-confidence, and EEG-based neural correlates of action observation.
Main Methods:
- A quasi-experimental study involving 55 third-year nursing students.
- The experimental group used 360° simulation videos; the control group received traditional classroom instruction.
- Outcomes included Simulation Design Scale (SDS), Educational Practices Questionnaire (EPQ), Student Satisfaction and Self-Confidence in Learning Scale (SCLS) scores, and EEG indices.
Main Results:
- The experimental group showed significantly higher posttest scores on SDS, EPQ, and SCLS compared to the control group.
- EEG analyses revealed significant reductions in power at C3, Cz, and C4 in the experimental group.
- Greater μ-suppression, an indicator of action observation, was observed in the experimental group at Cz and C4.
Conclusions:
- Integrating 360° simulation videos in nursing education is associated with improved student perceptions and satisfaction.
- EEG findings suggest potential neural patterns related to action observation.
- Further multisite randomized trials are recommended to confirm efficacy and cost-effectiveness.

