Effectiveness of virtual reality-based training in clinical skills for newly graduated nurses

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Publikašuvnnas:Nurse Education in Practice vol. 88 (Oct 2025), p. 104587-104594
Váldodahkki: Lee, YaWen
Eará dahkkit: Chen, ShuJyuan, Huang, WanRu, Ku, HuiHsin, Chang, AiLing, Lin, Chihhao
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Elsevier Limited
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LEADER 00000nab a2200000uu 4500
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022 |a 1471-5953 
022 |a 1873-5223 
024 7 |a 10.1016/j.nepr.2025.104587  |2 doi 
035 |a 3270292441 
045 2 |b d20251001  |b d20251031 
084 |a 170342  |2 nlm 
100 1 |a Lee, YaWen  |u Department of Nursing, Changhua Christian Hospital, No. 135, Nanxiao St., Changhua City, Changhua 500209, Taiwan 
245 1 |a Effectiveness of virtual reality-based training in clinical skills for newly graduated nurses 
260 |b Elsevier Limited  |c Oct 2025 
513 |a Journal Article 
520 3 |a Aim This study compares the impact of virtual reality (VR) training versus conventional e-learning on newly graduated nurses (NGNs) learning six core clinical skills. We primarily assessed self-efficacy, along with secondary outcomes including knowledge, skills and satisfaction, while also identifying factors that influence self-efficacy. Background NGNs need strong self-efficacy and skills for clinical transitions. VR’s immersive training potential is promising, but its long-term impact versus traditional methods is unclear due to mixed evidence. Design Quasi-experimental pre-test/post-test with a comparison group and three-month follow-up. Methods 150 NGNs at a Taiwanese medical center were assigned to VR (n = 75) or e-learning (n = 75) groups via alternating cohorts. Both received physical skills training post-online modules. Outcomes were assessed at baseline (T1), post-physical training (T2) and three months (T3) using the General Self-Efficacy Scale, cognitive questionnaire, Direct Observation of Procedural Skills and satisfaction scale. Mixed-design ANOVA and regression analyzed data, with last observation carried forward for attrition. Results No significant Time*Group interactions were found for self-efficacy (p = 0.970), cognitive knowledge (p = 0.459), clinical skills (p = 0.741), or satisfaction (p = 0.245), showing VR was not superior. Significant Time effects (p < 0.001) indicated T1-to-T2 gains, with declines at T3 for self-efficacy and cognition. Baseline self-efficacy and T3 satisfaction predicted T3 self-efficacy (R²=0.215). Attrition was 42.7 % by T3. Conclusions VR training did not outperform e-learning over three months. Both supported short-term gains, but sustaining these requires further strategies. Baseline self-efficacy and satisfaction are key predictors. Future studies should address attrition and optimize VR designs for NGNs. 
653 |a Intubation 
653 |a Attrition 
653 |a Nurses 
653 |a Clinical training 
653 |a Computer assisted instruction--CAI 
653 |a Workshops 
653 |a Clinical skills 
653 |a Questionnaires 
653 |a Virtual reality 
653 |a Quasi-experimental methods 
653 |a Cognition 
653 |a Teachers 
653 |a Blood transfusions 
653 |a Oral administration 
653 |a Knowledge 
653 |a Online instruction 
653 |a Skill development 
653 |a Self-efficacy 
653 |a Variance analysis 
653 |a Suctioning 
653 |a Drug administration 
653 |a Satisfaction 
653 |a Nursing education 
653 |a Training 
653 |a Skills 
653 |a Clinical medicine 
653 |a Distance learning 
653 |a Internet 
653 |a Feedback 
653 |a Professional training 
653 |a Learning 
653 |a Clinical outcomes 
653 |a Computer Simulation 
653 |a Hospitals 
653 |a Data Collection 
653 |a Self Efficacy 
653 |a Attrition (Research Studies) 
653 |a Likert Scales 
653 |a Participant Characteristics 
653 |a Outcome Measures 
653 |a Test Construction 
653 |a Effect Size 
653 |a Potential Dropouts 
653 |a Informed Consent 
653 |a Control Groups 
653 |a Skill Centers 
653 |a Experimental Groups 
653 |a Interrater Reliability 
653 |a Learning Experience 
653 |a Instructional Materials 
653 |a Correlation 
653 |a Electronic Learning 
653 |a Statistical Analysis 
700 1 |a Chen, ShuJyuan  |u Department of Nursing, Changhua Christian Hospital, No. 135, Nanxiao St., Changhua City, Changhua 500209, Taiwan 
700 1 |a Huang, WanRu  |u Department of Nursing, Changhua Christian Hospital, No. 135, Nanxiao St., Changhua City, Changhua 500209, Taiwan 
700 1 |a Ku, HuiHsin  |u Changhua Christian Hospital Home Nursing Care Institution, Changhua Christian Hospital, No. 135, Nanxiao St., Changhua City, Changhua 500209, Taiwan 
700 1 |a Chang, AiLing  |u Department of Nursing, Changhua Christian Hospital, No. 135, Nanxiao St., Changhua City, Changhua 500209, Taiwan 
700 1 |a Lin, Chihhao  |u Department of Big Data and Digital Promotion Center, Changhua Christian Hospital, No. 135, Nanxiao St., Changhua City, Changhua 500209, Taiwan 
773 0 |t Nurse Education in Practice  |g vol. 88 (Oct 2025), p. 104587-104594 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3270292441/abstract/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3270292441/fulltext/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3270292441/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch