J Korean Acad Fundam Nurs.  2025 Feb;32(1):1-13. 10.7739/jkafn.2025.32.1.1.

The Effect of the Practice of Donning and Doffing Level D Personal Protective Equipment Using Augmented Reality on Nursing Students: A Mixed Method Research

• Heo SH
• Jeon MY

• KMID: 2565321
• DOI: http://doi.org/10.7739/jkafn.2025.32.1.1

Abstract

Purpose
This study investigated the effect of practice of donning and doffing level D personal protective equipment (PPE) based on augmented reality (AR) on the knowledge and performance confidence, practical immersion, practical satisfaction, and practical experience of nursing students.
Methods
This mixed-method study included 28 participants in the experimental group and 28 in the control group in C city. The intervention in the experimental group was practice of donning and doffing level D PPE based on AR and the control group received video-based training. Quantitative data were analyzed using the IBM SPSS program, and qualitative data were subjected to content analysis.
Results
There were significant differences in performance confidence (t=3.17, p=.002) and practice satisfaction (z=-2.13, p=.033), but not in knowledge (z=-0.90, p=.366) and practice immersion (t=1.71, p=.093) regarding PPE. In the experience of nursing students who participated in AR-based practice, the facilitating factors were “good concentration in practice,” “can use the technology accurately,” “the skills remain in memory for a long time,” and “the practice was interesting and fun.” The obstacles to AR-based practice were “using smart glasses to watch AR content was uncomfortable” and “it was difficult to adapt to AR-based content.”
Conclusion
Based on the results of this study, we suggest applying AR-based practice in practical education to increase nursing students' performance confidence and practice satisfaction.

Keyword

Augmented reality; Immersion; Knowledge; Nursing students; Personal protective equipment; 증강현실, 몰입, 지식, 간호대학생 , 개인보호구