Effects of an integrated fall educational intervention in nursing students: A quasi-experimental study using virtual reality simulations

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-04-12 DOI:10.1016/j.nepr.2025.104370

Sunghee H. Tak , Dayeon Lee , Inyoung Suh , Hyein Choi , Eunbi Lee

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Abstract

Aim

This study aimed to examine the effects of an integrated fall educational intervention on nursing students’ knowledge, attitude and self-efficacy. In addition, both immersive and non-immersive virtual simulations which were used in fall education were investigated in terms of usability, user experience and satisfaction among the participants.

Background

Falls among the older population have a significant impact on morbidity, mortality and healthcare costs, making it essential to incorporate fall risk assessment and management education into the geriatric nursing curriculum to prepare future nurses for improving older patients' health.

Design

This study was a quasi-experimental study with a two-group, pretest-posttest design.

Method

Ninety-two undergraduate nursing students were recruited with 36 in the experimental group and 56 in the control group. Data were collected through survey questionnaires before and after the intervention.

Results

There were significant improvements in both fall knowledge and self-efficacy following the intervention in the experimental group (p < .001). In particular, compared with the control group, self-efficacy was significantly improved in the experimental group (p < .01). Participants reported greater usability, attractiveness, perspicuity, novelty, stimulation, dependability, efficiency and satisfaction in the immersive compared with the non-immersive virtual simulation. However, some participants experienced some discomfort such as dizziness, motion sickness and the heaviness of the head-mounted display device.

Conclusion

An integrated fall educational intervention using virtual-reality simulations for nursing students can increase fall-related knowledge and self-efficacy. When designing an effective educational program, educators should consider the strengths and weaknesses of immersive and non-immersive virtual simulations.

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综合秋季教育干预对护生的影响：虚拟现实模拟准实验研究

目的探讨秋季综合教育干预对护生知识、态度和自我效能感的影响。此外，对秋季教育中使用的沉浸式和非沉浸式虚拟仿真在可用性、用户体验和参与者满意度方面进行了调查。老年人跌倒对发病率、死亡率和医疗保健费用有重大影响，因此必须将跌倒风险评估和管理教育纳入老年护理课程，以培养未来的护士改善老年患者的健康。设计本研究为准实验研究，采用两组前测后测设计。方法选取92名本科护生，实验组36名，对照组56名。通过干预前后的问卷调查收集数据。结果实验组干预后跌倒知识和自我效能感均有显著提高（p <； .001）。特别是，与对照组相比，实验组的自我效能感显著提高（p <； .01）。参与者报告说，与非沉浸式虚拟模拟相比，沉浸式虚拟模拟的可用性、吸引力、清晰度、新奇性、刺激性、可靠性、效率和满意度更高。然而，一些参与者经历了一些不适，如头晕、晕动病和头戴式显示设备的重量。结论采用虚拟现实模拟技术对护生进行综合跌倒教育干预，可提高护生跌倒相关知识和自我效能感。在设计有效的教育课程时，教育者应该考虑沉浸式和非沉浸式虚拟模拟的优缺点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.