J Korean Acad Fundam Nurs.  2021 Nov;28(4):458-469. 10.7739/jkafn.2021.28.4.458.

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

• Lee EJ
• Ryu MJ

• KMID: 2523017
• DOI: http://doi.org/10.7739/jkafn.2021.28.4.458

Abstract

Purpose
This study was conducted to develop and examine the effects of a nursing education program using virtual reality 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 design evaluations.
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 students with 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＜.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.

Keyword

Clinical decision making; Nursing students; Respiratory disease; Simulation training; Virtual reality; 시뮬레이션 훈련, 가상현실, 호흡기계 문제, 간호학생, 임상의사결정