Gen Aikawa , Tetsuharu Kawashima , Yuma Ota , Mayumi Watanabe , Ayako Nishimura , Hideaki Sakuramoto
{"title":"扩展现实教育对护理和助产学学生解剖学、生理学和病理学知识的有效性:一项系统回顾和荟萃分析","authors":"Gen Aikawa , Tetsuharu Kawashima , Yuma Ota , Mayumi Watanabe , Ayako Nishimura , Hideaki Sakuramoto","doi":"10.1016/j.nepr.2025.104343","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><div>This review determined the effectiveness of education based on extended reality (XR) for nursing and midwifery students’ anatomy, physiology and pathology education.</div></div><div><h3>Background</h3><div>Understanding anatomy, physiology and pathology is essential for nursing and midwifery students. XR improves health science students’ anatomical knowledge more than traditional education; however, consistent findings regarding nursing and midwifery students remain lacking.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>We searched MEDLINE, CINAHL, Web of Science, ERIC, CENTRAL and Igaku Chuo Zasshi databases. All randomized controlled trials (RCTs) on XR’s effectiveness for nursing and midwifery students’ anatomy, physiology and pathology education were identified. Pooled effect estimates related to knowledge and learning load were calculated. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation approach.</div></div><div><h3>Results</h3><div>We searched 619 references and identified 6 RCTs. Compared with traditional education, XR moderately positively affected post-education knowledge, but there was no significant difference (five trials; SMD = 1.04 [95 % CI: −0.25–2.33]). Regarding differences in knowledge pre- and post-education, XR showed a large positive effect (four trials; SMD = 5.86 [95 % CI: 2.48–9.25]) and exhibited a moderately significant negative effect on learning load (three trials; SMD = −0.45 [95 % CI: −0.75 to −0.14]). The certainty of evidence was “very low” and “low” for knowledge and learning load, respectively.</div></div><div><h3>Conclusion</h3><div>XR use in nursing and midwifery students’ anatomy, physiology and pathology education yielded a low learning load and effectively improved knowledge. Nevertheless, few studies were included in the meta-analysis, necessitating large RCTs</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"84 ","pages":"Article 104343"},"PeriodicalIF":3.3000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of extended reality-based education on nursing and midwifery students’ knowledge of anatomy, physiology and pathology: A systematic review and meta-analysis\",\"authors\":\"Gen Aikawa , Tetsuharu Kawashima , Yuma Ota , Mayumi Watanabe , Ayako Nishimura , Hideaki Sakuramoto\",\"doi\":\"10.1016/j.nepr.2025.104343\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aim</h3><div>This review determined the effectiveness of education based on extended reality (XR) for nursing and midwifery students’ anatomy, physiology and pathology education.</div></div><div><h3>Background</h3><div>Understanding anatomy, physiology and pathology is essential for nursing and midwifery students. XR improves health science students’ anatomical knowledge more than traditional education; however, consistent findings regarding nursing and midwifery students remain lacking.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>We searched MEDLINE, CINAHL, Web of Science, ERIC, CENTRAL and Igaku Chuo Zasshi databases. All randomized controlled trials (RCTs) on XR’s effectiveness for nursing and midwifery students’ anatomy, physiology and pathology education were identified. Pooled effect estimates related to knowledge and learning load were calculated. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation approach.</div></div><div><h3>Results</h3><div>We searched 619 references and identified 6 RCTs. Compared with traditional education, XR moderately positively affected post-education knowledge, but there was no significant difference (five trials; SMD = 1.04 [95 % CI: −0.25–2.33]). Regarding differences in knowledge pre- and post-education, XR showed a large positive effect (four trials; SMD = 5.86 [95 % CI: 2.48–9.25]) and exhibited a moderately significant negative effect on learning load (three trials; SMD = −0.45 [95 % CI: −0.75 to −0.14]). The certainty of evidence was “very low” and “low” for knowledge and learning load, respectively.</div></div><div><h3>Conclusion</h3><div>XR use in nursing and midwifery students’ anatomy, physiology and pathology education yielded a low learning load and effectively improved knowledge. Nevertheless, few studies were included in the meta-analysis, necessitating large RCTs</div></div>\",\"PeriodicalId\":48715,\"journal\":{\"name\":\"Nurse Education in Practice\",\"volume\":\"84 \",\"pages\":\"Article 104343\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nurse Education in Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S147159532500099X\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nurse Education in Practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S147159532500099X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Effectiveness of extended reality-based education on nursing and midwifery students’ knowledge of anatomy, physiology and pathology: A systematic review and meta-analysis
Aim
This review determined the effectiveness of education based on extended reality (XR) for nursing and midwifery students’ anatomy, physiology and pathology education.
Background
Understanding anatomy, physiology and pathology is essential for nursing and midwifery students. XR improves health science students’ anatomical knowledge more than traditional education; however, consistent findings regarding nursing and midwifery students remain lacking.
Design
Systematic review and meta-analysis.
Methods
We searched MEDLINE, CINAHL, Web of Science, ERIC, CENTRAL and Igaku Chuo Zasshi databases. All randomized controlled trials (RCTs) on XR’s effectiveness for nursing and midwifery students’ anatomy, physiology and pathology education were identified. Pooled effect estimates related to knowledge and learning load were calculated. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation approach.
Results
We searched 619 references and identified 6 RCTs. Compared with traditional education, XR moderately positively affected post-education knowledge, but there was no significant difference (five trials; SMD = 1.04 [95 % CI: −0.25–2.33]). Regarding differences in knowledge pre- and post-education, XR showed a large positive effect (four trials; SMD = 5.86 [95 % CI: 2.48–9.25]) and exhibited a moderately significant negative effect on learning load (three trials; SMD = −0.45 [95 % CI: −0.75 to −0.14]). The certainty of evidence was “very low” and “low” for knowledge and learning load, respectively.
Conclusion
XR use in nursing and midwifery students’ anatomy, physiology and pathology education yielded a low learning load and effectively improved knowledge. Nevertheless, few studies were included in the meta-analysis, necessitating large RCTs
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.