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Development and Effects of a Nursing Education Program Using Virtual Reality for Enhancing Clinical Decision-Making Ability in Respiratory Disease Nursing Care

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KMID : 0388320210280040458
ÀÌÀºÁÖ ( Lee Eun-Ju ) - Keimyung University College of Nursing

·ù¹ÎÁ¤ ( Ryu Min-Jung ) - Keimyung University Graduate School Department of Nursing

Abstract

Purpose: This study was conducted to develop and examine the effects of a nursing education program using virtualreality to enhance clinical decision-making ability in respiratory disease nursing care by assessing students¡¯confidence in performance, clinical decision-making ability, practice flow, class evaluations, and simulation designevaluations.
Methods: This study was developed based on the Jeffries simulation model and 5E learning cycle model,blending a virtual reality simulation and high-fidelity simulation. The participants were 41 third-year nursing studentswith no virtual reality and simulation education experience. The experimental group (n=21) received the virtual reality program, while the control group (n=20) received traditional simulation education. Data were collected from March 8 to May 28, 2021 and analyzed using SPSS version 27 for Windows.

Results: Statistically significant differences were found between the experimental group and the control group post-intervention in confidence in performance (F=4.88, p=.33) and clinical decision-making ability (F=18.68, p£¼.001). The experimental group showed significant increases in practice flow (t=2.34, p=.024) and class evaluations (t=2.99, p=.005) compared to the control group.

Conclusion: Nursing education programs using virtual reality to enhance clinical decision-making ability in respiratory disease nursing care can be an effective educational strategy in the clinical context.
KeyWords
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Clinical decision making, Nursing students, Respiratory disease, Simulation training, Virtual reality
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