College of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinju, Republic of Korea.
Graduate School of Nursing, Gyeongsang National University, Jinju, Republic of Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2021 Aug;15(3):189-196. doi: 10.1016/j.anr.2021.03.002. Epub 2021 Apr 21.
Virtual reality simulation can give nursing students a safe clinical experience involving high-risk infants where access to neonatal intensive care units is limited. This study aimed to examine the effects of a virtual reality simulation program on Korean nursing students' knowledge, performance self-efficacy and learner satisfaction.
A nonequivalent control group design was applied. Senior nursing students were divided into an experimental group (n = 25) experiencing virtual reality simulation and routine neonatal intensive care unit practice and a control group (n = 25) having routine neonatal intensive care unit practice. The program consisted of three scenarios: basic care, feeding management and skin care and environmental management for prevention of neonatal infection. The total execution time for the three scenarios was 40 minutes. The simulation created immersive virtual reality experiences using a head-mounted display with hand-tracking technology. Data were collected from December 9, 2019, to January 17, 2020, and were analyzed using descriptive statistics and the t-test, paired t-tests, Mann-Whitney test and Wilcoxon signed-ranks test.
Compared to the control group, the experimental group showed significantly greater improvements in high-risk neonatal infection control performance self-efficacy (t = -2.16, p = .018) and learner satisfaction (t = -5.59, p < .001).
The virtual reality simulation program can expand the nursing students' practice experience in safe virtual spaces and enhance their performance self-efficacy and learning satisfaction.
虚拟现实模拟可以为护理学生提供安全的临床体验，涉及到新生儿重症监护病房（NICU）访问受限的高风险婴儿。本研究旨在探讨虚拟现实模拟方案对韩国护理学生知识、操作自我效能感和学习者满意度的影响。
采用非等效对照组设计。将高年级护理学生分为实验组（n=25）和对照组（n=25），实验组体验虚拟现实模拟和常规新生儿重症监护病房实践，对照组仅进行常规新生儿重症监护病房实践。方案包括三个场景：基本护理、喂养管理和皮肤护理及环境管理以预防新生儿感染。三个场景的总执行时间为 40 分钟。模拟使用具有手部跟踪技术的头戴式显示器创建沉浸式虚拟现实体验。数据于 2019 年 12 月 9 日至 2020 年 1 月 17 日收集，采用描述性统计和 t 检验、配对 t 检验、Mann-Whitney 检验和 Wilcoxon 符号秩检验进行分析。
与对照组相比，实验组在高危新生儿感染控制操作自我效能感（t=-2.16，p=.018）和学习者满意度（t=-5.59，p<.001）方面的改善更为显著。
虚拟现实模拟方案可以扩大护理学生在安全虚拟空间中的实践经验，提高他们的操作自我效能感和学习满意度。
