Development and Effects of a Virtual Reality Simulation Nursing Education Program Combined With Clinical Practice Based on an Information Processing Model
Open accessAbstract
The need to strengthen patient human rights and create a patient-centered healthcare environment is growing. Also as science and technology develop, new educational methods using virtual reality in nursing education are emerging. This study aimed to develop a virtual reality simulation nursing education program related to postoperative patient nursing based on an information processing model and to verify its effectiveness. Clinical practice–linked virtual reality simulation nursing education was conducted for a total of 4 weeks. Nursing students were divided into an experimental group (n = 22) experiencing virtual reality simulation combined with clinical practice and a control group (n = 22) having routine clinical practice. The analytical results of this study indicated that the information processing model–based virtual reality simulation nursing education program was effective in improving nursing students' performance confidence and clinical decision-making ability. Therefore, the virtual reality simulation program developed in this study can provide basic data for the development of a simulation curriculum in the future and can contribute to the development of clinical competency as a professional nurse by improving the performance confidence and clinical decision-making ability of nursing students.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Integrating 360° VR simulation with structured debriefing through LMS can enhance students' clinical competence and confidence in decision-making.
“pilot studies have demonstrated that integrating 360° VR simulation with structured debriefing through learning management systems (LMS) can enhance students’ clinical competence and confidence in decision-making [9, 10].”
Cites
Human Memory: A Proposed System and its Control Processes
Atkinson, R. C., & Shiffrin, R. M. (1968) · Psychology of Learning and Motivation · doi:10.1016/s0079-7421(08)60422-3 · Cited by 7,216 · see citing works
Flow, performance and moderators of challenge-skill balance
Engeser, S., & Rheinberg, F. (2008) · Motivation and Emotion · doi:10.1007/s11031-008-9102-4 · Cited by 860 · see citing works
Effectiveness of virtual reality in nursing education: meta-analysis
Chen, F.-Q., Leng, Y.-F., Ge, J.-F., Wang, D.-W., Li, C., Chen, B., & Sun, Z.-L. (2020) · Journal of Medical Internet Research · doi:10.2196/18290 · Cited by 535 · see citing works
Ramos‐Morcillo, A. J., Leal‐Costa, C., García, J. E. M., & Ruzafa‐Martínez, M. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17155519 · Cited by 391 · see citing works
Virtual reality simulations in nurse education: A systematic mapping review
Plotzky, C., Lindwedel, U., Sorber, M., Loessl, B., König, P., Kunze, C., Kugler, C., & Meng, M. L. (2021) · Nurse Education Today · doi:10.1016/j.nedt.2021.104868 · Cited by 377 · see citing works
Ulenaers, D., Grosemans, J., Schrooten, W., & Bergs, J. (2021) · Nurse Education Today · doi:10.1016/j.nedt.2021.104746 · Cited by 287 · see citing works
Simulation in Nursing Practice: The Impact on Patient Care
Aebersold, M., & Tschannen, D. J. (2013) · OJIN The Online Journal of Issues in Nursing · doi:10.3912/ojin.vol18no02man06 · Cited by 148 · see citing works
Evolution of the Pediatric Advanced Life Support course
Cheng, A., Rodgers, D. L., van der Jagt, É. W., Eppich, W., & O’Donnell, J. (2012) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0b013e3182417709 · Cited by 119 · see citing works
Lin, H., Hwang, G., Chang, S., & Hsu, Y. (2021) · Computers & Education · doi:10.1016/j.compedu.2021.104266 · Cited by 116 · see citing works
Effectiveness of Two Varying Levels of Virtual Reality Simulation
Smith, S. J., Farra, S. L., Ulrich, D. L., Hodgson, E., Nicely, S., & Mickle, A. (2018) · Nursing Education Perspectives · doi:10.1097/01.nep.0000000000000369 · Cited by 107 · see citing works
Improving Clinical Decision Making in Nursing
Jenkins, H. M. (1985) · Journal of Nursing Education · doi:10.3928/0148-4834-19850601-07 · Cited by 82 · see citing works
Farčić, N., Barać, I., Lovrić, R., Pačarić, S., Gvozdanović, Z., & Ilakovac, V. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17093059 · Cited by 63 · see citing works
Havola, S., Haavisto, E., Mäkinen, H., Engblom, J., & Koivisto, J. (2021) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000748 · Cited by 48 · see citing works
Hur, H.-K., & Park, S.-M. (2012) · The Journal of Korean Academic Society of Nursing Education · doi:10.5977/jkasne.2012.18.1.111 · Cited by 44 · see citing works
The Effectiveness of Simulation on Recognizing and Managing Clinical Deterioration: Meta-Analyses
Orique, S. B., & Phillips, L. J. (2017) · Western Journal of Nursing Research · doi:10.1177/0193945917697224 · Cited by 41 · see citing works
Kim, M., Kim, S., & Lee, W. S. (2019) · Child Health Nursing Research · doi:10.4094/chnr.2019.25.4.496 · Cited by 39 · see citing works
Effects of Nursing Education Using Virtual Reality: A Systematic Review
Kim, S. K., Eom, M. R., & Park, M.-H. (2019) · The Journal of the Korea Contents Association · doi:10.5392/jkca.2019.19.02.661 · Cited by 38 · see citing works
Offredy, M., & Meerabeau, E. (2004) · Primary Health Care Research & Development · doi:10.1191/1463423605pc228oa · Cited by 36 · see citing works
Simulated Nursing Practice Education in the Ontact Age: A Mixed Methods Case Study
Kang, J. (2020) · Korean Association For Learner-Centered Curriculum And Instruction · doi:10.22251/jlcci.2020.20.18.937 · Cited by 35 · see citing works
Human Memory: A Proposed System and Its Control Processes
Atkinson, R. C., & Shiffrin, R. M. (2016) · Cambridge University Press eBooks · doi:10.1017/cbo9781316422250.025 · Cited by 31 · see citing works
Lim, S. (2021) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2021.22.4.195 · Cited by 29 · see citing works
Erlinger, L. R., Bartlett, A., & Perez, A. (2019) · PubMed · Cited by 28 · see citing works
Effects of Web-based Simulation and High-fidelity Simulation of Acute Heart Disease Patient Care
Chu, M. S., & Hwang, Y. Y. (2017) · The Journal of Korean Academic Society of Nursing Education · doi:10.5977/jkasne.2017.23.1.95 · Cited by 23 · see citing works
Siah, C. J. R., Lim, F., Lim, A.-E., Lau, S., & Tam, W. (2019) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/j.colegn.2019.05.003 · Cited by 20 · see citing works
You, H., & Yang, B. (2021) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2021.22.9.116 · Cited by 18 · see citing works
The Effect of Virtual Reality Simulation Education on Nursing Process Competency
Lim, J.-H. (2021) · Journal of Digital Convergence · doi:10.14400/jdc.2021.19.9.401 · Cited by 11 · see citing works
Lee, E., & Ryu, M. J. (2021) · Journal of Korean Academy of Fundamentals of Nursing · doi:10.7739/jkafn.2021.28.4.458 · Cited by 10 · see citing works
Self-citation동의대학교 의료보건생활연구소, 간. 교., Suh, Y., & Han, E.-K. (2022) · Journal of Industrial Convergence · doi:10.22678/jic.2022.20.2.061 · Cited by 10 · see citing works
Structural Equation Modeling on Clinical Decision Making Ability of Nurses
Park, M. K., & Kim, S. (2019) · Journal of Korean Academy of Nursing · doi:10.4040/jkan.2019.49.5.601 · Cited by 9 · see citing works
Klenke-Borgmann, L. (2019) · Nursing Education Perspectives · doi:10.1097/01.nep.0000000000000457 · Cited by 8 · see citing works
Association Rules of Comorbidities in Patients Hospitalized for Lung Cancer
Kim, S.-S. (2021) · Journal of Health Informatics and Statistics · doi:10.21032/jhis.2021.46.1.100 · Cited by 6 · see citing works
A study for development of the course evaluation tool for college lecture types
Ko, E., Lee, H.-K., & 한은옥 (2013) · 인문학논총 · Cited by 5 · see citing works
Th Effect of Nursing Intervention on the Reduction of Pulmonary Complications after Thoracotomy
Mekdad, A. K. (2022) · Helwan International Journal of Nursing Research and Practice · doi:10.21608/hijnrp.2022.137619.1024 · Cited by 4 · see citing works
간호대학생들을 위한 시뮬레이션 교육프로그램 개발 및 적용효과
임경자, 양복순, & 김윤이 (2018) · Journal of Digital Convergence · doi:10.14400/jdc.2018.16.2.203 · Cited by 4 · see citing works
Han, S. Y., Kwak, S. J., Choi, B. G., Jeon, H. J., & Lee, M. K. (2020) · The Journal of Korean Academic Society of Nursing Education · doi:10.5977/jkasne.2020.26.4.337 · Cited by 4 · see citing works
Jung, Y., & Ko, Y. (2017) · Korean Association For Learner-Centered Curriculum And Instruction · doi:10.22251/jlcci.2017.17.9.149 · Cited by 2 · see citing works
Training Instructors’Effective Teaching Behaviors Perceived by the Military Cadets
정병삼 (2016) · Korean Journal of Military Art and Science · doi:10.31066/kjmas.2016.72.1.002 · Cited by 2 · see citing works
Interpretation of Social Studies Instructional Models based upon the Information Processing Metaphor
Seog, K. Y. (2014) · Korean Association For Learner-Centered Curriculum And Instruction · Cited by 1 · see citing works
Oh, D. (2021) · Korean Association For Learner-Centered Curriculum And Instruction · doi:10.22251/jlcci.2021.21.6.761 · Cited by 1 · see citing works
Kim, S. Y. (2022) · Korean Association For Learner-Centered Curriculum And Instruction · doi:10.22251/jlcci.2022.22.10.755 · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Cho, M., & Kim, M. Y. (2024) · Frontiers in Medicine · doi:10.3389/fmed.2024.1351300 · Cited by 80 · see citing works
Stenseth, H. V., Steindal, S. A., Solberg, M. T., Ølnes, M. A., Sørensen, A. L., Strandell‐Laine, C., Olaussen, C., Aure, C. F., Pedersen, I., Zlámal, J., et al. (2025) · Journal of Medical Internet Research · doi:10.2196/58744 · Cited by 76 · see citing works
Fung, T. C. J., Chan, S. L., Lam, C. F. M., Lam, C. Y., Cheng, C. C. W., Lai, M. H., Ho, C. C. J., Au, S. L., Mak, L. Y., Hu, S., et al. (2025) · BMC Nursing · doi:10.1186/s12912-025-03492-0 · Cited by 48 · see citing works
“Building on this foundation, pilot studies have demonstrated that integrating 360° VR simulation with structured debriefing through learning management systems (LMS) can enhance students’ clinical competence and confidence in decision-making [9, 10].”
Chatzea, V., Logothetis, I., Kalogiannakis, M., Rovithis, M., & Vidakis, N. (2024) · Information · doi:10.3390/info15070410 · Cited by 38 · see citing works
Hou, M., Lu, Y., Liu, Y., Luo, W. F., Xue, H., Yuan, H., & Zhang, X. (2024) · Nurse Education Today · doi:10.1016/j.nedt.2024.106553 · Cited by 23 · see citing works
Medel, D., Bonet, A., Herrera, M., Sevilla, F., Vilaplana, J., Cemeli, T., & Roca, J. (2024) · Teaching and learning in nursing · doi:10.1016/j.teln.2024.08.002 · Cited by 17 · see citing works
Zahran, H., Malak, M. Z., El-Qirem, F. A., & Asfour, B. Y. (2024) · Teaching and learning in nursing · doi:10.1016/j.teln.2024.07.023 · Cited by 8 · see citing works
Kim, J., & Seo, M. (2024) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2024.101563 · Cited by 6 · see citing works
Xu, T., Wang, Q., Liu, F., Li, Y., Wang, R., & Weng, H. (2025) · Digital Health · doi:10.1177/20552076251332834 · Cited by 4 · see citing works
Lee, J. L., & Park, S. J. (2024) · Journal of Management World · doi:10.53935/jomw.v2024i4.503 · Cited by 1 · see citing works
- Authors
- Lee, E., & Baek, G.
- Affiliations
- Keimyung College University (KR)
- Venue
- CIN: Computers, Informatics, Nursing
- Published
- 2023-08-31
- Volume
- 41
- Issue
- 12
- Pages
- 1016-1025
- ISSN
- 1538-2931 (ISSN-L)
- 1538-9774
- OpenAlex
- W4386279522
- Cited by
- 10
- References
- 40
- Citations by year
- 2025: 3 · 2024: 7
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- CIN Computers Informatics Nursing (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Keywords
- virtual reality simulation, nursing education, information processing model, postoperative nursing care, nursing students, clinical decision-making, performance confidence, clinical practice
- MeSH terms
- Virtual Reality, Clinical Competence, Cognition, Computer Simulation, Education, Nursing, Humans, Students, Nursing
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review