Evaluating the effectiveness of virtual reality simulation in CPR training for nursing students: a randomized controlled trial.
Abstract
Aim To compare the effectiveness of VR based training and traditional simulation in improving the knowledge, psychomotor skills, attitudes, learning styles and self-directed learning skills of nursing students participating in CPR training. Design Randomized controlled trial with a pre-test/post-test control group design. Method Study was conducted with 144 s-year nursing students at an accredited state university in Turkey. Participants were randomly assigned to either a VR group or a traditional simulation group. Both groups received theoretical instruction in CPR followed by VR-based training using Oculus Quest 2 headsets or a traditional simulation-based exercise. Data were collected using the CPR Knowledge Test, the Self-Directed Learning Skills Scale, the Kolb Learning Style Inventory, the Simulation Design Scale and an Objective Structured Clinical Examination (OSCE) for CPR skills. Results Both groups showed significant improvements in CPR skills after the intervention, with no significant difference between groups. The traditional simulation group showed a significant increase in self-directed learning skills, while no significant change was observed in the VR group. The VR group showed a supportive effect on abstract conceptualization in learning styles, but had no significant effect on learning preferences. Students in the VR group outperformed the control group on several critical psychomotor CPR skills measured by OSCE. Both groups rated their simulation experien…
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Extended reality provides immersive environments supporting psychomotor skill acquisition.
“extended reality provides immersive environments supporting psychomotor skill acquisition (13, 14)”
From Application effect of Miller’s pyramid teaching method based on HeartCode BLS in basic life support training for nursing students (2026) · cites this paper as [13]
Comparative evidence on technology-enhanced BLS instruction is inconsistent.
“Comparative evidence, however, is inconsistent: self-directed learning has yielded skill performance comparable to traditional instruction (16); virtual reality has shown no clear superiority over conventional simulation, despite greater cognitive engagement (13); and blended learning integrating online and in-person components may deliver superior overall CPR quality (17).”
From Application effect of Miller’s pyramid teaching method based on HeartCode BLS in basic life support training for nursing students (2026) · cites this paper as [13]
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- Authors
- Bodur, G., Turhan, Z., Altun, Y. E., Kilicaslan, K., Ali̇kan, B., Özer, F., & Can, G.
- Affiliations
- Koç University (TR)
- Istanbul University-Cerrahpaşa (TR)
- Venue
- Nurse Education in Practice
- Publisher
- Elsevier BV
- Published
- 2025-08
- Volume
- 87
- Pages
- 104486
- ISSN
- 1471-5953 (ISSN-L)
- OpenAlex
- W4412855609
- Cited by
- 10
- References
- 23
- Citations by year
- 2026: 8 · 2025: 2
- FWCI
- 6.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nurse Education in Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Türkiye Sağlık Enstitüleri Başkanlığı (32716, 2023-A4\u201302)
- Topics
- Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Keywords
- virtual reality simulation, CPR training, nursing students, simulation-based education, psychomotor skills, self-directed learning, Kolb learning styles, CPR knowledge, nursing education
- MeSH terms
- Simulation Training, Virtual Reality, Adult, Clinical Competence, Education, Nursing, Baccalaureate, Educational Measurement, Female, Humans, Male, Students, Nursing, Turkey, Cardiopulmonary Resuscitation
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