Effectiveness of a mixed reality simulation program for dyspnoea care on new nurses’ clinical competency: A mixed-methods study

में बचाया:
ग्रंथसूची विवरण
में प्रकाशित:Nurse Education in Practice vol. 86 (Jul 2025), p. 104397
मुख्य लेखक: Jeon, Hwi Gon
अन्य लेखक: Jeong, Hye Won
प्रकाशित:
Elsevier Limited
विषय:
ऑनलाइन पहुंच:Citation/Abstract
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022 |a 1471-5953 
022 |a 1873-5223 
024 7 |a 10.1016/j.nepr.2025.104397  |2 doi 
035 |a 3227289873 
045 2 |b d20250701  |b d20250731 
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100 1 |a Jeon, Hwi Gon  |u Department of Nursing, Chonnam National University Hospital, 42 Jebong-ro, Dong-gu, Gwangju 61469, Republic of Korea; College of Nursing, Chonnam National University, 160, Baekseo-ro, Dong-gu, Gwangju, Republic of Korea 
245 1 |a Effectiveness of a mixed reality simulation program for dyspnoea care on new nurses’ clinical competency: A mixed-methods study 
260 |b Elsevier Limited  |c Jul 2025 
513 |a Journal Article 
520 3 |a Aims This study developed and evaluated a mixed reality (MR) simulation program for dyspnoea care (D-MRSim) to enhance new nurses’ competency. Background Managing dyspnoea requires advanced skills, which many new nurses lack. Innovative training, such as MR simulation, may bridge this gap. Design This study used a mixed-methods design combining a randomized controlled trial and focus group interviews (FGIs). Methods A total of 59 new nurses at a university hospital in South Korea participated, with random assignment to the experimental (n = 30) or control group (n = 29). The experimental group received D-MRSim (three 2-hour sessions over 6 weeks), while controls received equivalent traditional training. D-MRSim, developed using the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model, was evaluated through surveys, performance assessments and FGIs. Results The experimental group demonstrated significant improvements over time in confidence (χ² = 82.27, p < 0.001), problem-solving ability (χ² = 23.06, p < 0.001) and knowledge (χ² = 33.34, p < 0.001). The experimental group showed significantly greater knowledge (F = 10.17, p = 0.002) and higher clinical performance both immediately (Z = -6.12, p < 0.001) and 3 months after the program (Z = -5.55, p < 0.001). FGIs identified four themes: (1) Realistic learning environment, (2) Effective learning approach, (3) Clinical competency enhancement and (4) Limitations and need for improvement. Conclusions D-MRSim effectively enhanced new nurses' clinical competency by providing an immersive learning environment with repeated practice opportunities, serving as a valuable educational tool for improving clinical skills and adaptability. 
653 |a Problem solving 
653 |a Communication 
653 |a Clinical skills 
653 |a Learning environment 
653 |a Dyspnea 
653 |a Performance evaluation 
653 |a Virtual reality 
653 |a Simulation 
653 |a Focus groups 
653 |a Nursing education 
653 |a Competency based learning 
653 |a Nurses 
653 |a Clinical trials 
653 |a Mixed methods research 
653 |a Patients 
653 |a Professional training 
653 |a Educational objectives 
653 |a Experiential learning 
653 |a Clinical nursing 
653 |a Health education 
653 |a Health care 
653 |a Immersive learning 
653 |a Reality 
653 |a Medical personnel 
653 |a Competence 
653 |a Training 
653 |a Skills 
653 |a Groups 
653 |a Needs Assessment 
653 |a Computer Simulation 
653 |a Literature Reviews 
653 |a Environment 
653 |a Interviews 
653 |a Effect Size 
653 |a Learner Engagement 
653 |a Methods Research 
653 |a Content Validity 
653 |a Clinical Experience 
653 |a Control Groups 
653 |a Influence of Technology 
653 |a Experimental Groups 
653 |a Educational Methods 
653 |a Learning Processes 
653 |a Learning Theories 
653 |a Educational Technology 
653 |a Observation 
653 |a Outcomes of Education 
700 1 |a Jeong, Hye Won  |u Department of Nursing, Korea National University of Transportation, 61, Daehak-ro, Yonggang-ri, Jeungpyeong-eup, Jeungpyeong-gun, Chungcheongbuk-do 27909, Republic of Korea 
773 0 |t Nurse Education in Practice  |g vol. 86 (Jul 2025), p. 104397 
786 0 |d ProQuest  |t Sociology Database 
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