Chandler H Moser, Changhwan Kim, Bindu Charles, Renilda Tijones, Elsa Sanchez, Jedry G Davila, Hemilla R Matta, Michael J Brenner, Vinciya Pandian
{"title":"护理实践中的混合现实：混合方法系统综述。","authors":"Chandler H Moser, Changhwan Kim, Bindu Charles, Renilda Tijones, Elsa Sanchez, Jedry G Davila, Hemilla R Matta, Michael J Brenner, Vinciya Pandian","doi":"10.1111/jocn.17722","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim(s): </strong>To review the current evidence on mixed reality (MR) applications in nursing practice, focusing on efficiency, ergonomics, satisfaction, competency, and team effectiveness.</p><p><strong>Design: </strong>Mixed methods systematic review of empirical studies evaluating MR interventions in nursing practice.</p><p><strong>Methods: </strong>The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered with PROSPERO. Studies were included if they assessed nursing outcomes related to MR interventions. Exclusion criteria encompassed reviews, studies focusing solely on virtual reality, and those involving only nursing students. The Cochrane ROBINS-I, RoB 2, and CASP tools assessed the risk of bias and methodological quality.</p><p><strong>Data sources: </strong>A comprehensive search of 12 databases (MEDLINE, Embase, CINAHL, Cochrane Library, Web of Science, and others) covered literature published between January 2013 and January 2023.</p><p><strong>Results: </strong>Eight studies met inclusion criteria, exploring diverse MR implementations, including smart glasses and mobile applications, across various nursing specialisations. MR demonstrated potential benefits in efficiency, such as faster task completion and improved accuracy. Satisfaction outcomes were limited but indicated promise. Ergonomic challenges were identified, including discomfort and technical issues. Studies on competency showed mixed results, with some evidence of improved skill acquisition. Team effectiveness and health equity outcomes were underexplored.</p><p><strong>Conclusion: </strong>While MR shows potential in enhancing nursing practice, evidence is heterogeneous and clinical relevance remains unclear. Further rigorous comparative studies are necessary to establish its utility and address barriers to adoption.</p><p><strong>Implications for the profession and/or patient care: </strong>MR technology may enhance nursing efficiency, competency and satisfaction. Addressing ergonomic and technical challenges could optimise adoption and benefit patient care.</p><p><strong>Reporting method: </strong>This review adheres to PRISMA guidelines.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p><p><strong>Trial and protocol registration: </strong>PROSPERO registration: #CRD42022324066.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mixed Reality in Nursing Practice: A Mixed Methods Systematic Review.\",\"authors\":\"Chandler H Moser, Changhwan Kim, Bindu Charles, Renilda Tijones, Elsa Sanchez, Jedry G Davila, Hemilla R Matta, Michael J Brenner, Vinciya Pandian\",\"doi\":\"10.1111/jocn.17722\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim(s): </strong>To review the current evidence on mixed reality (MR) applications in nursing practice, focusing on efficiency, ergonomics, satisfaction, competency, and team effectiveness.</p><p><strong>Design: </strong>Mixed methods systematic review of empirical studies evaluating MR interventions in nursing practice.</p><p><strong>Methods: </strong>The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered with PROSPERO. Studies were included if they assessed nursing outcomes related to MR interventions. Exclusion criteria encompassed reviews, studies focusing solely on virtual reality, and those involving only nursing students. The Cochrane ROBINS-I, RoB 2, and CASP tools assessed the risk of bias and methodological quality.</p><p><strong>Data sources: </strong>A comprehensive search of 12 databases (MEDLINE, Embase, CINAHL, Cochrane Library, Web of Science, and others) covered literature published between January 2013 and January 2023.</p><p><strong>Results: </strong>Eight studies met inclusion criteria, exploring diverse MR implementations, including smart glasses and mobile applications, across various nursing specialisations. MR demonstrated potential benefits in efficiency, such as faster task completion and improved accuracy. Satisfaction outcomes were limited but indicated promise. Ergonomic challenges were identified, including discomfort and technical issues. Studies on competency showed mixed results, with some evidence of improved skill acquisition. Team effectiveness and health equity outcomes were underexplored.</p><p><strong>Conclusion: </strong>While MR shows potential in enhancing nursing practice, evidence is heterogeneous and clinical relevance remains unclear. Further rigorous comparative studies are necessary to establish its utility and address barriers to adoption.</p><p><strong>Implications for the profession and/or patient care: </strong>MR technology may enhance nursing efficiency, competency and satisfaction. 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Mixed Reality in Nursing Practice: A Mixed Methods Systematic Review.
Aim(s): To review the current evidence on mixed reality (MR) applications in nursing practice, focusing on efficiency, ergonomics, satisfaction, competency, and team effectiveness.
Design: Mixed methods systematic review of empirical studies evaluating MR interventions in nursing practice.
Methods: The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered with PROSPERO. Studies were included if they assessed nursing outcomes related to MR interventions. Exclusion criteria encompassed reviews, studies focusing solely on virtual reality, and those involving only nursing students. The Cochrane ROBINS-I, RoB 2, and CASP tools assessed the risk of bias and methodological quality.
Data sources: A comprehensive search of 12 databases (MEDLINE, Embase, CINAHL, Cochrane Library, Web of Science, and others) covered literature published between January 2013 and January 2023.
Results: Eight studies met inclusion criteria, exploring diverse MR implementations, including smart glasses and mobile applications, across various nursing specialisations. MR demonstrated potential benefits in efficiency, such as faster task completion and improved accuracy. Satisfaction outcomes were limited but indicated promise. Ergonomic challenges were identified, including discomfort and technical issues. Studies on competency showed mixed results, with some evidence of improved skill acquisition. Team effectiveness and health equity outcomes were underexplored.
Conclusion: While MR shows potential in enhancing nursing practice, evidence is heterogeneous and clinical relevance remains unclear. Further rigorous comparative studies are necessary to establish its utility and address barriers to adoption.
Implications for the profession and/or patient care: MR technology may enhance nursing efficiency, competency and satisfaction. Addressing ergonomic and technical challenges could optimise adoption and benefit patient care.
Reporting method: This review adheres to PRISMA guidelines.
Patient or public contribution: No Patient or Public Contribution.
Trial and protocol registration: PROSPERO registration: #CRD42022324066.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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