Department of Nursing, Daejeon Health Institute of Technology, Daejeon 34504, Republic of Korea.
Department of Nursing, Department of Biomedicine, Health & Life Convergence Sciences, BK21 Four, Biomedical and Healthcare Research Institute, Mokpo National University, Muan-gun, Jeollanam-do 58554, Republic of Korea.
Appl Nurs Res. 2024 Jun;77:151800. doi: 10.1016/j.apnr.2024.151800. Epub 2024 May 14.
Virtual reality technology has been used to establish a risk-free environment in which students can practice psychiatric nursing. A quasi-experimental study was conducted to examine the effects of a virtual reality (VR) based mental health nursing simulation on practice performance of undergraduate nursing students.
A quasi-experimental, pre- and post-test design was used. A total of 68 students were randomly assigned to an experimental group (n = 32) and a control group (n = 36). The control group received conventional simulation using text scenario-based role play. The intervention group received VR software consisting of 360° video clips and related quiz questions.
The self-reported perceived competency in nursing performance showed no statistically significant improvement in the experimental group, whereas the control group showed a statistically significant improvement in symptom management (t = 2.84, p = 0.007) and nurse-patient interaction (t = 2.10, p = 0.043). Scores from the assessor showed better performance scores in the experimental group in symptom management (t = -2.62, p = 0.011), violence risk management (t = -3.42, p = 0.001), and nurse-patient interaction (t = -3.12, p = 0.003).
The findings of this study indicate the potential of using VR for optimized mental health nursing simulation. VR technology allowed realistic experiences which may ensure students have a more comprehensive understanding of mentally ill patients and in doing so, overcome barriers of traditional simulation, resulting in better learning outcomes.
虚拟现实技术已被用于建立一个无风险的环境，使学生能够在其中练习精神科护理。本研究采用准实验研究，旨在探讨基于虚拟现实的心理健康护理模拟对本科护生实践表现的影响。
采用准实验、前后测试设计。共随机分配 68 名学生进入实验组（n=32）和对照组（n=36）。对照组接受基于文本情景角色扮演的传统模拟，干预组接受包含 360°视频剪辑和相关测验题的 VR 软件。
自我报告的护理表现感知能力在实验组中没有显著提高，而对照组在症状管理（t=2.84，p=0.007）和护患互动（t=2.10，p=0.043）方面表现出显著提高。评估者的评分显示，实验组在症状管理（t=-2.62，p=0.011）、暴力风险管理（t=-3.42，p=0.001）和护患互动（t=-3.12，p=0.003）方面的表现得分更好。
本研究结果表明，虚拟现实技术在优化心理健康护理模拟方面具有潜力。虚拟现实技术可以提供逼真的体验，这可能确保学生对精神病患者有更全面的了解，并克服传统模拟的障碍，从而取得更好的学习成果。
