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Updated: Oct 21, 2026

Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
Effects of an embodied cognitive learning-based inductive venipuncture arm simulator on nursing internship trainees'
Shan-Shan Hsieh1,2, Gwo-Jen Hwang3,4,5, Yu-Kai Sung2
1Graduate Institute of Digital Learning and Education, National Taiwan University of Science and Technology, Taipei City, Taiwan.
Background:
This study developed an inductive venipuncture arm simulator (IVPAS) based on embodied cognitive theory for healthcare providers to enhance their learning and experience of venipuncture skills. The IVPAS integrated a highly adopted simulated arm model, which is available on the market, with customized simulated blood vessels. Equipped with a touch-sensitive device, the IVPAS offered feedback on the proper angle of insertion and vein location, enabling trainees to safely practice venipuncture techniques in a realistic setting. In addition, this system simulated unexpected occurrences that could arise during venipuncture, such as fainting and nerve injury, to enhance trainees' capacity to respond effectively in real-time situations.
Methods:
This study adopted a mixed-methods design to examine the effectiveness of the IVPAS learning approach in venipuncture training for nursing internship trainees. It was applied to simulated venipuncture training for nursing internship trainees at a medical college. This study analyzed the learning achievement, learning motivation, self-efficacy, performance in the direct observation of procedural skills (DOPS) assessment, anxiety levels, and interview results among nursing internship trainees.
Results:
Higher post-intervention scores were observed for trainees' learning achievement, learning motivation, and self-efficacy. Moreover, there was a significant reduction in their anxiety levels.
Conclusions:
These findings suggest that the IVPAS, as a tool grounded in embodied cognitive learning, not only facilitated nursing internship trainees' mastery of venipuncture skills, but was also associated with higher learning motivation and self-efficacy. Additionally, reduced anxiety was observed during the learning process.