Development and evaluation of an integrative-fidelity nursing simulation education program using extended-reality smart glasses: A quasi-experimental study

Abstract

Background

Cutting-edge technologies have been developed for improved clinical competency and professional expertise in healthcare education. Therefore, this study aimed to evaluate the effects of integrative-fidelity nursing simulation education program using extended-reality smart glasses.

Methods

In this quasi-experimental study, participants were divided into experimental and control groups (39 participants each). In the low-fidelity stage, participants used a head-mounted display to view 360-degree immersive content and practiced neurological assessment and infusion pump operation using a partial model or mannequin. The high-fidelity stage included hybrid simulation using high-fidelity simulator and standardized patient. The smart glasses provided patient information and nursing records with first-person action recordings used for debriefing. The scores for positive attitudes toward wearable displays, perceived importance, critical thinking disposition, satisfaction, and self-confidence were analyzed.

Results

The experimental group had significantly higher scores in positive attitudes toward wearable displays, perceived importance, prudence as a critical thinking subscale, and satisfaction.

Conclusion

The integrative-fidelity nursing simulation program using extended-reality smart glasses facilitated nursing education with effective, in-depth, integrated learning.