Development and application of an immersive 360° video-based VR simulation program for pressure injury management for new nurses: A mixed methods study

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Detalles Bibliográficos
Publicado en:	Nurse Education in Practice vol. 87 (Aug 2025), p. 104481-104492
Autor principal:	Jeon, Hwi Gon
Otros Autores:	Jeong, Hye Won
Publicado:	Elsevier Limited
Materias:	European Wound Management Association Wound healing Performance evaluation Virtual reality Medical education Simulation Patient safety Learning Pressure ulcers Knowledge Discomfort Hospitals Focus groups Nursing education Control groups Injuries Quasi-experimental methods Competence Nurses Health care Professional training Educational objectives Clinical decision making Interviews Experiential learning Prevention Nursing care Skill development Clinical nursing Confidence Medical personnel Training Health services Education Decision making Nursing Medical decision making Video recordings Computer Simulation Group Discussion Literature Reviews Data Collection Knowledge Level Effect Size Instructional Effectiveness Evidence Based Practice Educational Environment Learner Engagement Algorithms Content Validity Clinical Experience Experimental Groups Educational Methods Learning Theories Learning Experience Educational Needs
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Descripción
Resumen:	Aim The aim was to evaluate the effectiveness of an immersive 360° video-based VR simulation program for pressure injury management (VR-SIMPI) and explore new nurses’ perceptions and learning experiences qualitatively. Background Pressure injuries pose major healthcare challenge, causing patient discomfort, longer hospital stays and increased costs. Effective education for new nurses is essential, but traditional lecture-based training lacks hands-on experience. VR offers an innovative solution by providing immersive, interactive learning that enhances skill development and clinical decision-making. Design A quasi-experimental pretest-posttest design with a control group. Methods The study was conducted in a tertiary hospital in South Korea with 69 new nurses, divided into an experimental group (n = 35) receiving VR-SIMPI and a control group (n = 34) receiving lecture-based training. Nursing knowledge, performance confidence and clinical competency were assessed quantitatively; qualitative insights were collected through focus group interviews. Results The VR-SIMPI program significantly improved pressure injury nursing knowledge (z = -3.78, p < .001, ES = 0.90) and performance confidence (z = -8.40, p < .001, ES = 1.69) in the experimental group. Clinical competency also showed a large effect size (z = -7.00, p < .001, ES = 3.55) compared with the control group. Focus group interviews revealed that participants found the VR environment highly immersive and beneficial for mastering complex clinical scenarios. Conclusions VR-SIMPI significantly enhanced knowledge, confidence and competency among new nurses. These findings suggest that VR is a valuable nursing education tool. Future studies should explore its scalability and long-term impact.
ISSN:	1471-5953 1873-5223
DOI:	10.1016/j.nepr.2025.104481
Fuente:	Sociology Database