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Effectiveness of a scenario-based gamified virtual reality training on nurses' basic life support knowledge: a
Duygu Akbaş Uysal1, Fisun Şenuzun Aykar2, Filiz Özel Çakir3
1Dialysis of Department, Izmir Konak Vocational School, İzmir, Turkey. duygu.uysal@konak.edu.tr.
Aim:
The aim of this study is to examine the effect of virtual reality (VR)-based training, prepared within the framework of Kolb's Experiential Learning Model, on nurses' Basic Life Support (BLS) knowledge gains and to investigate user attitudes.
Design:
The research was conducted as a randomized controlled trial between December 2024 and August 2025, with the participation of 60 nurses (30 experimental, 30 control) working in emergency and intensive care units.
Method:
Nurses meeting the inclusion criteria were consecutively recruited from the target clinical units and then randomly allocated to groups. While the nurses in the experimental group worked on a BLS scenario with VR, the control group received training with traditional methods. Data were collected with a descriptive information form, a BLS Knowledge Test prepared according to AHA standards (pre-test, post-test, and 2-week follow-up), and the Virtual Reality Attitude Scale. Mann-Whitney U and Friedman tests were used in statistical analysis.
Results:
As a result of the study, it was determined that both the sub-dimension and total knowledge scores of the experimental group were significantly higher than the control group. The mean post-test knowledge score of the experimental group was reported as (15.6 ± 2.14), and (12.9 ± 2.47) for the control group (p < 0.001). In addition, a moderate positive relationship was found between VR Attitude Scale scores and knowledge tests (r = 0.462, p < 0.05). It was determined that VR-based training is effective in enhancing short-term knowledge retention.
Conclusion:
Scenario-based and gamified VR-based training is a promising educational tool that increases nurses' BLS knowledge and supports retention. Including such interactive applications in clinical training programs can contribute to patient safety by strengthening nurses' preparedness for emergency situations.
Trial Registration:
ClinicalTrials.gov NCT07167303, registered on 11 September 2025. Retrospectively registered.