Cho In Young, Yun Ji Yeong
College of Nursing, Chonnam National University, 160 Baekseo-ro, Dong-gu, Gwangju 61469, South Korea.
Department of Nursing, Jesus University, 383 Seowon-ro, Wansan-gu, Jeonju-si, Jeonbuk-do 54989, South Korea.
Nurse Educ Today. 2025 Oct;153:106824. doi: 10.1016/j.nedt.2025.106824. Epub 2025 Jul 7.
Integrated patient safety nursing competencies are vital in pediatric nursing. The metaverse based simulation program could enhance nursing students' pediatric patient safety competency fostering deeper holistic development.
This study aims to develop and identify the effect of the META-CARES (METaverse Appli-CAtions for Real-world Educational Success) Program using ZEPETO on patient safety competency, patient safety communication, learning immersion, and learning satisfaction among nursing students.
A non-randomized, quasi-experimental, pretest-posttest design was used to develop, implement, and verify a Metaverse application-based patient safety enhancement program at nursing school in South Korea.
Sixty-two senior nursing university students were assigned to two groups: the experimental and control groups.
We developed the Metaverse-based META-CARES Program to enhance patient safety competency through the creation of the pediatric field using Metaverse Zep and ZEPETO. The program included an online lecture, a quiz on the Zep platform, a Metaverse rounding discussion, and a ZEPETO-based simulation on managing medication errors and fall accidents in the pediatric field. The program was tested on senior nursing students. The outcomes, including patient safety competency, patient safety communication, learning immersion, and satisfaction were measured pre and post-program. The data were analyzed using SPSS 29.0.
RESULT(S): The experimental group showed significantly higher patient safety communication skills (t = 2.63, p = 0.011) and deeper learning immersion than that of the control group (t = 2.22, p = 0.030). Patient safety competency and learning satisfaction showed no significant difference between the groups.
CONCLUSION(S): These findings indicate that the META-CARES program, developed using Metaverse applications, such as Zep and ZEPETO, effectively enhances the patient safety communication and learning immersion of nursing students.
综合患者安全护理能力在儿科护理中至关重要。基于元宇宙的模拟程序可以提高护理专业学生的儿科患者安全能力，促进更深入的整体发展。
本研究旨在开发并确定使用ZEPETO的META-CARES（元宇宙促进现实世界教育成功应用程序）计划对护理专业学生的患者安全能力、患者安全沟通、学习沉浸度和学习满意度的影响。
采用非随机、准实验、前测-后测设计，在韩国一所护理学校开发、实施并验证基于元宇宙应用程序的患者安全增强计划。
62名护理专业大四学生被分为两组：实验组和对照组。
我们开发了基于元宇宙的META-CARES计划，通过使用Metaverse Zep和ZEPETO创建儿科领域来提高患者安全能力。该计划包括在线讲座、Zep平台上的测验、元宇宙查房讨论以及基于ZEPETO的儿科领域用药错误和跌倒事故管理模拟。该计划在护理专业大四学生中进行了测试。在计划前后测量包括患者安全能力、患者安全沟通、学习沉浸度和满意度在内的结果。使用SPSS 29.0对数据进行分析。
实验组的患者安全沟通技能显著高于对照组（t = 2.63，p = 0.011），学习沉浸度也比对照组更深（t = 2.22，p = 0.030）。两组之间的患者安全能力和学习满意度没有显著差异。
这些发现表明，使用Zep和ZEPETO等元宇宙应用程序开发的META-CARES计划有效地提高了护理专业学生的患者安全沟通和学习沉浸度。
