Effectiveness of a mixed reality simulation program for dyspnoea care on new nurses’ clinical competency: A mixed-methods study

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-05-16 DOI:10.1016/j.nepr.2025.104397

Hwi Gon Jeon , Hye Won Jeong

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引用次数: 0

Abstract

Aims

This study developed and evaluated a mixed reality (MR) simulation program for dyspnoea care (D-MRSim) to enhance new nurses’ competency.

Background

Managing dyspnoea requires advanced skills, which many new nurses lack. Innovative training, such as MR simulation, may bridge this gap.

Design

This study used a mixed-methods design combining a randomized controlled trial and focus group interviews (FGIs).

Methods

A total of 59 new nurses at a university hospital in South Korea participated, with random assignment to the experimental (n = 30) or control group (n = 29). The experimental group received D-MRSim (three 2-hour sessions over 6 weeks), while controls received equivalent traditional training. D-MRSim, developed using the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model, was evaluated through surveys, performance assessments and FGIs.

Results

The experimental group demonstrated significant improvements over time in confidence (χ² = 82.27, p < 0.001), problem-solving ability (χ² = 23.06, p < 0.001) and knowledge (χ² = 33.34, p < 0.001). The experimental group showed significantly greater knowledge (F = 10.17, p = 0.002) and higher clinical performance both immediately (Z = -6.12, p < 0.001) and 3 months after the program (Z = -5.55, p < 0.001). FGIs identified four themes: (1) Realistic learning environment, (2) Effective learning approach, (3) Clinical competency enhancement and (4) Limitations and need for improvement.

Conclusions

D-MRSim effectively enhanced new nurses' clinical competency by providing an immersive learning environment with repeated practice opportunities, serving as a valuable educational tool for improving clinical skills and adaptability.

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呼吸困难护理的混合现实模拟程序对新护士临床能力的有效性：一项混合方法研究

目的：本研究开发并评估呼吸困难护理的混合现实（MR）模拟程序（D-MRSim），以提高新护士的能力。处理呼吸困难需要先进的技能，而这正是许多新护士所缺乏的。创新训练，如磁共振模拟，可能会弥补这一差距。本研究采用随机对照试验和焦点小组访谈（FGIs）相结合的混合方法设计。方法选取韩国某大学附属医院的59名新护士，随机分为实验组（n = 30）和对照组（n = 29）。实验组接受D-MRSim（6周内3次2小时的训练），对照组接受相同的传统训练。D-MRSim采用ADDIE（分析、设计、开发、实施、评估）模型开发，通过调查、绩效评估和fgi进行评估。结果实验组在自信心（χ²= 82.27,p <； 0.001）、解决问题能力（χ²= 23.06,p <； 0.001）和知识（χ²= 33.34,p <； 0.001）方面均有显著提高。实验组显示明显更大的知识(F = 10.17, p = 0.002)和较高的临床表现都立即(Z = -6.12,p & lt; 0.001)和3个月后程序(Z = -5.55,p & lt; 0.001)。fgi确定了四个主题：(1)现实的学习环境；(2)有效的学习方法；(3)临床能力的提高；(4)局限性和改进的需要。结论sd - mrsim通过提供具有重复实践机会的沉浸式学习环境，有效提高了新护士的临床能力，是提高临床技能和适应能力的宝贵教育工具。

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.