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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I whakaputaina i:Nurse Education in Practice vol. 87 (Aug 2025), p. 104481-104492
Kaituhi matua: Jeon, Hwi Gon
Ētahi atu kaituhi: Jeong, Hye Won
I whakaputaina:
Elsevier Limited
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Urunga tuihono:Citation/Abstract
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LEADER 00000nab a2200000uu 4500
001 3244815150
003 UK-CbPIL
022 |a 1471-5953 
022 |a 1873-5223 
024 7 |a 10.1016/j.nepr.2025.104481  |2 doi 
035 |a 3244815150 
045 2 |b d20250801  |b d20250831 
084 |a 170342  |2 nlm 
100 1 |a Jeon, Hwi Gon  |u Department of Nursing, Chonnam National University Hospital, 42 Jebong-ro, Dong-gu, Gwangju 61469, Republic of Korea 
245 1 |a Development and application of an immersive 360° video-based VR simulation program for pressure injury management for new nurses: A mixed methods study 
260 |b Elsevier Limited  |c Aug 2025 
513 |a Journal Article 
520 3 |a 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. 
610 4 |a European Wound Management Association 
653 |a Wound healing 
653 |a Performance evaluation 
653 |a Virtual reality 
653 |a Medical education 
653 |a Simulation 
653 |a Patient safety 
653 |a Learning 
653 |a Pressure ulcers 
653 |a Knowledge 
653 |a Discomfort 
653 |a Hospitals 
653 |a Focus groups 
653 |a Nursing education 
653 |a Control groups 
653 |a Injuries 
653 |a Quasi-experimental methods 
653 |a Competence 
653 |a Nurses 
653 |a Health care 
653 |a Professional training 
653 |a Educational objectives 
653 |a Clinical decision making 
653 |a Interviews 
653 |a Experiential learning 
653 |a Prevention 
653 |a Nursing care 
653 |a Skill development 
653 |a Clinical nursing 
653 |a Confidence 
653 |a Medical personnel 
653 |a Training 
653 |a Health services 
653 |a Education 
653 |a Decision making 
653 |a Nursing 
653 |a Medical decision making 
653 |a Video recordings 
653 |a Computer Simulation 
653 |a Group Discussion 
653 |a Literature Reviews 
653 |a Data Collection 
653 |a Knowledge Level 
653 |a Effect Size 
653 |a Instructional Effectiveness 
653 |a Evidence Based Practice 
653 |a Educational Environment 
653 |a Learner Engagement 
653 |a Algorithms 
653 |a Content Validity 
653 |a Clinical Experience 
653 |a Experimental Groups 
653 |a Educational Methods 
653 |a Learning Theories 
653 |a Learning Experience 
653 |a Educational Needs 
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. 87 (Aug 2025), p. 104481-104492 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3244815150/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3244815150/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3244815150/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch