DOI QR코드

DOI QR Code

Effects of Preclinical Virtual Reality Simulation in Undergraduate Nursing Students

  • 투고 : 2023.11.25
  • 심사 : 2023.12.27
  • 발행 : 2023.12.30

초록

Virtual reality (VR) simulation in nursing education, especially in the teaching of VR simulations just prior to clinical practice, has the potential to enhance the effectiveness of clinical practice and better prepare nursing students for patient care. The aim of this study was to evaluate the effect of a preclinical VR simulation education program on the development of critical thinking, self-efficacy, problem-solving ability, and perceived clinical competency among undergraduate nursing students. The study was conducted between May and June 2021 using a pretest-posttest design with a control group. A total of 42 nursing students were recruited through convenience sampling from two separate classes. The intervention group participated in VR simulation education, while the control group engaged in lecture-based education, before beginning clinical practice. Assessments were conducted before preclinical education and after completing clinical practice using structured questionnaires. The data was analyzed using chi-square tests, independent t-tests, and ANCOVA. The findings indicated that the intervention group had a significantly higher score in perceived clinical competency compared to the control group (F = 5.25, p = 0.029) after controlling for pretest scores. However, there were no statistically significant differences in critical thinking, self-efficacy, or problem-solving abilities between the two groups. These findings suggest that preclinical VR simulation education is partially effective in preparing nursing students for their clinical practice, underscoring the need for a balanced educational approach that integrates VR with clinical practice to develop a full spectrum of nursing skills and knowledge.

키워드

과제정보

This research was funded by Research Fund of Gwangju University in 2023, grant number 202301-44.

참고문헌

  1. M. N. Mumba, S. K. Kaylor, H. Townsend, K. Barron, and M. Andrabi, "Improving Confidence in Clinical Assessment Skills Through Service-Learning Experiences Among Nursing Students," Journal of Nursing Education, Vol.61, No.5, pp.272-275, (2022). https://doi.org/10.3928/01484834-20220303-02
  2. K. Ye-Eun and K. Hee-Young, "Effects of a Nursing Simulation Learning Module on Clinical Reasoning Competence, Clinical Competence, Performance Confidence, and Anxiety in COVID-19 Patient-Care for Nursing Students." Journal of Korean Academy of Nursing, Vol.53, No.1, (2023).
  3. L. E. Boman, A J. Stark, C. Georg, and C. Silen, "The extraordinary makes the ordinary visible-nursing students' experiences of their learning in clinical practice during COVID-19: a qualitative study," BMC Medical Education, Vol.22, No.1, pp.735, (2022).
  4. E. Hwang and J. Kim, "Factors affecting academic burnout of nursing students according to clinical practice experience," BMC Medical Education, Vol.22, No.1, pp.346, (2022).
  5. T. Levett-Jones, V. Pitt, H. Courtney-Pratt, G. Harbrow, and R. Rossiter, "What are the primary concerns of nursing students as they prepare for and contemplate their first clinical placement experience?" Nurse Education in Practice, Vol.15, No.4, pp.304-309, (2015). https://doi.org/10.1016/j.nepr.2015.03.012
  6. W. L. Chua, S. L. Ooi, G. W. H. Chan, T. C. Lau, and S. Y. Liaw, "The effect of a sepsis interprofessional education using virtual patient telesimulation on sepsis team care in clinical practice: mixed methods study," Journal of Medical Internet Research, Vol.24, No.4, pp.e35058, (2022).
  7. E. Lee, G. Baek, and Y. Hwang, "Effectiveness of the Patient's Severity Classification Competency Promotion Virtual Reality Program of Nursing Students during the COVID-19 Pandemic Period,", Vol.11, No.8, pp.1122, 2023.
  8. E. Lee and G. Baek, "Development and Effects of a Virtual Reality Simulation Nursing Education Program Combined With Clinical Practice Based on an Information Processing Model," CIN: Computers, Informatics, Nursing, pp.10.1097, (2023).
  9. K. Pernica, H. Virtanen, I. Lunddahl Bager, F. Jordan, N. Dutthorn, and M. Stolt, "Virtual reality simulation enabling high level immersion in undergraduate nursing education: A systematic review," Journal of Nursing Education and Practice, 13(11), 17-27, (2023).
  10. S. T. Jallad and B. Isik, "The effectiveness of virtual reality simulation as learning strategy in the acquisition of medical skills in nursing education: a systematic review," Irish Journal of Medical Science (1971-), pp.1-20, (2021).
  11. F. Chen, Y. Leng, J. Ge, D. Wang, C. Li, B. Chen, and Z. Sun, "Effectiveness of virtual reality in nursing education: Meta-analysis," Journal of Medical Internet Research, Vol.22, No.9, pp.e18290, (2020).
  12. S. Shorey and E. D. Ng, "The use of virtual reality simulation among nursing students and registered nurses: A systematic review," Nurse Education Today, Vol.98, pp.104662, (2021).
  13. J. Lee and P. Oh, "Effects of the use of high-fidelity human simulation in nursing education: A meta-analysis," Journal of Nursing Education, Vol.54, No.9, pp.501-507, (2015).
  14. C. L. Foronda, S. M. Swoboda, K. W. Hudson, E. Jones, N. Sullivan, J. Ockimey, and P. R. Jeffries, "Evaluation of vSIM for NursingTM: A trial of innovation," Clinical Simulation in Nursing, Vol.12, No.4, pp.128-131, (2016).
  15. J. Yoon, "Development of an Instrument for the Measurement of Critical Thinking Disposition in Nursing (Master's Thesis)," The Catholic University of Education, Seoul (Korea), Vol.69, (2004).
  16. H. Shin, C. G. Park, and H. Kim, "Validation of Yoon's critical thinking disposition instrument," Asian Nursing Research, Vol.9, No.4, pp.342-348, 2015. https://doi.org/10.1016/j.anr.2015.10.004
  17. M. Sherer, J. E. Maddux, B. Mercandante, S. Prentice-Dunn, B. Jacobs, and R. W. Rogers, "The self-efficacy scale: Construction and validation," Psychological Reports, Vol.51, No.2, pp.663-671, 1982. https://doi.org/10.2466/pr0.1982.51.2.663
  18. A. Jung, "A study on the relations between a health promoting behaviors and self-efficacy in general hospital nurse," Unpublished Master's Thesis, Hanyang University, Seoul, (2007).
  19. J. S. Lee, "No title," The Effects of Process Behaviors on Problem-Solving Performance in various Tests., (1978).
  20. Y. H. Seo and M. R. Eom, "The effect of simulation nursing education using the outcome-present state-test model on clinical reasoning, the problem-solving process, self-efficacy, and clinical competency in Korean nursing students," , Vol.9, No.3, pp.243, (2021). https://doi.org/10.3390/healthcare9030243
  21. W. H. Lee, C. J. Kim, J. S. Yoo, H. K. Hur, K. S. Kim, and S. M. Lim, "Development of a clinical competency measurement tool for student," Yonsei Nursing, Vol.13, No.1, pp.17-29, (1990).
  22. S. L. Turrise, C. E. Thompson, and M. Hepler, "Virtual simulation: Comparing critical thinking and satisfaction in RN-BSN students," Clinical Simulation in Nursing, Vol.46, pp.57-61, (2020). https://doi.org/10.1016/j.ecns.2020.03.004
  23. S. J. Kang, C. M. Hong, and H. Lee, "The impact of virtual simulation on critical thinking and self-directed learning ability of nursing students," Clinical Simulation in Nursing, Vol.49, pp.66-72, (2020). https://doi.org/10.1016/j.ecns.2020.05.008
  24. S. L. Farra, S. Smith, G. L. Gillespie, S. Nicely, D. L. Ulrich, E. Hodgson, and D. French, "Decontamination training: With and without virtual reality simulation," Advanced Emergency Nursing Journal, Vol.37, No.2, pp.125-133, (2015). https://doi.org/10.1097/TME.0000000000000059
  25. M. Yu, M. Yang, B. Ku, and J. S. Mann, "Effects of virtual reality simulation program regarding high-risk neonatal infection control on nursing students," Asian Nursing Research, Vol.15, No.3, pp.189-196, (2021). https://doi.org/10.1016/j.anr.2021.03.002
  26. G. Sahin and T. Basak, "The Effect of Virtual Patient Simulation on Nursing Students' Clinical Decision Making and Problem-Solving Skills." Journal of Education & Research in Nursing, Vol.18, No.2, (2021).
  27. P. C. Smith and B. K. Hamilton, "The effects of virtual reality simulation as a teaching strategy for skills preparation in nursing students," Clinical Simulation in Nursing, Vol.11, No.1, pp.52-58, (2015). https://doi.org/10.1016/j.ecns.2014.10.001
  28. M. Shah, A. Siebert-Evenstone, B. Eagan, and R. Holthaus, "Modeling Educator Use of Virtual Reality Simulations in Nursing Education Using Epistemic Network Analysis," pp.1-8, (2021).
  29. D. Fitria, J. Puspasari, and P. H. Lestari, "The Effect of Thinking Like a Nurse Simulation as an Online Clinical Learning Method on Nursing Students' Satisfaction and Confidence during the Covid-19 Pandemic," Journal Ners, Vol.16, No.2, pp.111-118, (2021). https://doi.org/10.20473/jn.v16i2.25701
  30. J. Wihlborg, G. Edgren, A. Johansson, B. Sivberg, and C. Gummesson, "Using the case method to explore characteristics of the clinical reasoning process among ambulance nurse students and professionals," Nurse Education in Practice, Vol.35, pp.48-54, (2019). https://doi.org/10.1016/j.nepr.2019.01.001