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Nursing Simulation 3.0: Contemporary issues in transitioning to extended reality
1Edson College of Nursing and Health Innovation, Arizona State University, AZ, USA.
Nurse Education Today
|July 6, 2026
Summary
Nursing simulation has evolved from static models to AI-enabled extended reality platforms. Emerging immersive technologies offer adaptive learning but require careful consideration of implementation challenges.
Area of Science:
- Nursing Education
- Medical Simulation Technology
Background:
- Simulation is a cornerstone of nursing education for skill and decision-making development.
- Traditional simulation tools, while advanced, may not fully capture complex patient interactions or dynamic clinical settings.
Purpose of the Study:
- To examine the historical evolution of nursing simulation through distinct phases.
- To explore the potential of emerging immersive technologies in nursing education.
Main Methods:
- Historical analysis of simulation development in nursing education.
- Review of three phases: Simulation 1.0 (static), Simulation 2.0 (computerized), and Simulation 3.0 (AI-enabled extended reality).
Main Results:
- Nursing simulation has progressed through static task trainers, computerized manikins, and AI-enabled extended reality platforms.
- Immersive technologies like virtual reality, augmented reality, and mixed reality offer interactive, scalable, and adaptive learning environments.
Conclusions:
- Emerging immersive simulation technologies present new opportunities for nursing education and workforce preparation.
- Challenges including cost, infrastructure, interoperability, data security, and faculty training need careful consideration for effective integration.
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