Utilization, application and effectiveness of metaverse in simulation-based nursing education: A systematic review

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-10-03 DOI:10.1016/j.ecns.2025.101807

Carley Jans RN, MTeach, PhD Candidate , Cherie Lucas PhD, BPharm , Tracy Levett-Jones RN, PhD

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引用次数: 0

Abstract

Background

The Metaverse is an emerging technological innovation with potential applications for healthcare education.

Aim

The objective of this systematic review was to evaluate the utilization, application, and effectiveness of the Metaverse in simulation-based nursing education.

Methods

A comprehensive search was conducted across eight electronic databases, yielding 32 studies that met the inclusion criteria. The studies, conducted between 2016 and 2023, were predominantly quantitative, with some employing mixed methods and qualitative approaches.

Findings

The review identified two main themes: learning outcomes and learner experiences. Learning outcomes included knowledge acquisition, clinical skill development, self-efficacy, confidence, and motivation. Use of Metaverse components, particularly virtual reality (VR), generally improved knowledge and technical skill acquisition, especially in areas such as infection control and neonatal resuscitation. Gains in nontechnical skills, including problem-solving and critical thinking, were also observed. However, evidence on motivation and confidence was mixed, with some studies reporting significant improvements and others finding no difference compared to traditional teaching methods. Learner experiences encompassed satisfaction, presence and immersion, usability, acceptability, and anxiety reduction. Learner satisfaction was consistently high, with VR perceived as visually appealing, interactive, and conducive to engaging learning environments. VR also enhanced presence and immersion, creating realistic and interactive simulations. Usability was typically rated as good, though challenges such as cybersickness were noted. Overall, participants viewed Metaverse technologies positively for their ability to create immersive, enjoyable, and effective learning experiences.

Conclusions

This review highlights the potential of the Metaverse in nursing education, particularly for enhancing learning outcomes and learner experiences. However, the lack of studies on the full application of the Metaverse, including social connectedness, suggests the need for further research to explore its comprehensive role in simulation-based learning.

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meta - verse在模拟护理教育中的运用、应用及效果综述

Metaverse是一项新兴的技术创新，在医疗保健教育方面具有潜在的应用前景。目的本系统综述的目的是评价虚拟世界在基于模拟的护理教育中的使用、应用和效果。方法对8个电子数据库进行综合检索，得到32篇符合纳入标准的研究。这些研究在2016年至2023年间进行，主要是定量研究，其中一些研究采用了混合方法和定性方法。调查结果该审查确定了两个主要主题：学习成果和学习者体验。学习结果包括知识获取、临床技能发展、自我效能、信心和动机。使用虚拟现实组件，特别是虚拟现实（VR），通常可以改善知识和技术技能的获取，特别是在感染控制和新生儿复苏等领域。非技术技能的提高，包括解决问题和批判性思维，也被观察到。然而，关于动机和信心的证据好坏参半，一些研究报告显着改善，而另一些研究发现与传统教学方法相比没有区别。学习者体验包括满意度、存在感和沉浸感、可用性、可接受性和焦虑减少。学习者的满意度一直很高，VR被认为具有视觉吸引力、互动性，有利于吸引人的学习环境。VR还增强了存在感和沉浸感，创造了逼真的交互式模拟。可用性通常被评为良好，但也有人指出了晕屏等问题。总的来说，参与者对Metaverse技术的评价是积极的，因为它们能够创造身临其境、愉快和有效的学习体验。本综述强调了虚拟世界在护理教育中的潜力，特别是在提高学习成果和学习者体验方面。然而，由于缺乏对虚拟世界全面应用的研究，包括社会联系，这表明需要进一步研究以探索其在基于模拟的学习中的综合作用。

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

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.