Effectiveness of virtual reality in nursing education: a systematic review and meta-analysis
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Abstract
OBJECTIVE: This study aims to assess the transformative potential of Virtual Reality (VR) has shown significant potential in transforming nursing education by providing immersive and interactive learning experiences. Our objective is to systematically evaluate and conduct a meta-analysizes on the impact effect of virtual reality technology in teaching nursing students. METHODS: To achieve this, we conducted comprehensive computer searches on platforms including of PubMed, Web of Science, Wiley Online Library, Zhiwang database, Wanfang database, and China Biomedical Literature Service (SinoMed), were conducted to collect randomized controlled trial studies on the use of virtual reality's technology for teaching nursing students built up to until March 2023., and the Cochrane Furthermore, the quality of the included literature was assessed evaluated using the quality evaluation criteria specified for randomized controlled trial studies within the Cochrane provided in the evaluation handbook manual. In addition, a meta-analysis was performed using Review Manager 5.3 software. RESULTS: The aggregate outcomes from a total of 12 randomized controlled trials, encompassing including 1167 students, indicate were included. Meta-analysis results showed that virtual reality technology significantly enhances could better improve nursing students'' theoretical knowledge [(SMD = 0.97, 95% CI [0.48, 1.46], p < 0.001)], practical skills (SMD = 0.52, 95% CI [0.33, 1.46], p < 0.001), skill retention, (SMD = 0.52, 95% CI [0.33, 0.71], p < 0.001), and satisfaction levels (SMD = 1.14, 95% CI [0.85, 1.43], p < 0.001), in comparison with traditional or alternative teaching methodologies. However, no statistically significant impact was observed on the enhancement of critical thinking skills (SMD = 0.79, 95% CI [-0.05, 1.64], p = 0.07) among nursing students. CONCLUSION: Our findings underscore that compared to conventional teaching methods, virtual reality offers superior potential in advancing nursing students' theoretical knowledge, practice proficiencies, and overall satisfaction, while not yielding a significant advantage in enhancing critical thinking skills. The incorporated literature consisted exclusively of randomized controlled trials, albeit a subset of these studies omitted descriptions of the allocation concealment strategy.
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Many studies on AI in education rely on observational designs or short-term interventions, lacking rigorous experimental evidence such as randomized controlled trials.
“First, many studies on AI in education rely on observational designs or short-term interventions, lacking rigorous experimental evidence such as randomized controlled trials [18].”
From Effectiveness of a generative AI-powered digital tutor integrated with a knowledge graph in anatomy education for nursing students: a randomized controlled trial (2026) · cites this paper as [18]
The Methods (Inclusion and exclusion criteria) concern virtual-reality instruction for nursing students and specify that the review included only randomized controlled trials. Searches for AI in education, observational designs, and short-term interventions found no passage assessing those claims. The paper therefore does not establish the cited statement about AI studies. (LLM, conf=0.78)
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Cites
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554 · see citing works
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817 · see citing works
Dermyshi, E., Wang, Y., Yan, C., Hong, W., Qiu, G., Gong, X., & Zhang, T. (2017) · Neonatology · doi:10.1159/000454668 · Cited by 24,577 · see citing works
Yung, R., & Khoo-Lattimore, C. S. C. (2017) · Current Issues in Tourism · doi:10.1080/13683500.2017.1417359 · Cited by 1,009 · see citing works
Kyaw, B. M., Saxena, N., Posadzki, P., Vseteckova, J., Nikolaou, C. K., George, P. P., Divakar, U., Masiello, I., Kononowicz, A. A., Zary, N., et al. (2019) · Journal of Medical Internet Research · doi:10.2196/12959 · Cited by 859 · see citing works
COVID-19 and medical education
Ahmed, H., Allaf, M., & Elghazaly, H. (2020) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(20)30226-7 · Cited by 687 · see citing works
Clinical virtual simulation in nursing education: randomized controlled trial
Padilha, J. M., Machado, P. P., Ribeiro, A., Ramos, J., & Costa, P. (2019) · Journal of Medical Internet Research · doi:10.2196/11529 · Cited by 550 · see citing works
Khor, W. S., Baker, B., Amin, K., Chan, A. D. C., Patel, K. M., & Wong, J. K. F. (2016) · Annals of Translational Medicine · doi:10.21037/atm.2016.12.23 · Cited by 398 · see citing works
Iwanaga, J., Loukas, M., Dumont, A. S., & Tubbs, R. S. (2020) · Clinical Anatomy · doi:10.1002/ca.23655 · Cited by 345 · see citing works
Jang, S., Vitale, J. M., Jyung, R. W., & Black, J. B. (2017) · Computers & Education · doi:10.1016/j.compedu.2016.12.009 · Cited by 320 · see citing works
Using Virtual Reality Simulation Environments to Assess Competence for Emergency Medicine Learners
McGrath, J. L., Taekman, J. M., Dev, P., Danforth, D. R., Mohan, D., Kman, N. E., Crichlow, A., & Bond, W. F. (2017) · Academic Emergency Medicine · doi:10.1111/acem.13308 · Cited by 249 · see citing works
Chang, S., Hsu, T., & Jong, M. S. (2019) · Computers & Education · doi:10.1016/j.compedu.2019.103758 · Cited by 212 · see citing works
Woon, A. P. N., Mok, W. Q., Chieng, Y. J. S., Zhang, H. M., Ramos, P., Mustadi, H. B., & Lau, Y. (2020) · Nurse Education Today · doi:10.1016/j.nedt.2020.104655 · Cited by 199 · see citing works
Systematic Review of Virtual Haptics in Surgical Simulation: A Valid Educational Tool?
Rangarajan, K., Davis, H., & Pucher, P. H. (2019) · Journal of surgical education · doi:10.1016/j.jsurg.2019.09.006 · Cited by 179 · see citing works
Development and evaluation of a trauma decision-making simulator in Oculus virtual reality
Harrington, C. M., Kavanagh, D. O., Quinlan, J. F., Ryan, D. M., Dicker, P., O’Keeffe, D., Traynor, O. J., & Tierney, S. (2017) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2017.02.011 · Cited by 150 · see citing works
Chan, C. K. Y. (2012) · European Journal of Engineering Education · doi:10.1080/03043797.2012.706596 · Cited by 134 · see citing works
Virtual Reality in the Learning Process
Chavez, B., & Bayona-Oré, S. (2018) · Advances in intelligent systems and computing · doi:10.1007/978-3-319-77712-2_129 · Cited by 128 · see citing works
Guerrero, J. G., Ali, S. A., & Attallah, D. M. A. (2022) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2021.11.008 · Cited by 108 · see citing works
Yu, M., Yang, M., Ku, B., & Mann, J. S. (2021) · Asian Nursing Research · doi:10.1016/j.anr.2021.03.002 · Cited by 106 · see citing works
Lange, A.-K., Koch, J., Beck, A., Neugebauer, T., Watzema, F., Wrona, K. J., & Dockweiler, C. (2020) · JMIR Nursing · doi:10.2196/20249 · Cited by 83 · see citing works
Virtual reality teaching in chemotherapy administration: Randomised controlled trial
Chan, H., Chang, H.-C., & Huang, T. (2021) · Journal of Clinical Nursing · doi:10.1111/jocn.15701 · Cited by 79 · see citing works
AL-Mugheed, K., Bayraktar, N., Al‐Bsheish, M., Alsyouf, A., Aldhmadi, B. K., Jarrar, M., & Alkhazali, M. N. (2022) · PLoS ONE · doi:10.1371/journal.pone.0275130 · Cited by 68 · see citing works
Kang, S. J., Hong, C. M., & Lee, H.-R. (2020) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2020.05.008 · Cited by 65 · see citing works
Lee, H., & Han, J.-W. (2022) · BMC Medical Education · doi:10.1186/s12909-022-03834-5 · Cited by 65 · see citing works
Kandi, V. R., Castronovo, F., Brittle, P., Ventura, S. M., & Nikolić, D. (2020) · Journal of Architectural Engineering · doi:10.1061/(asce)ae.1943-5568.0000434 · Cited by 56 · see citing works
Assessing progression of clinical reasoning through virtual patients: An exploratory study
Forsberg, E., Ziegert, K., Hult, H., & Fors, U. (2015) · Nurse Education in Practice · doi:10.1016/j.nepr.2015.09.006 · Cited by 55 · see citing works
Zhao, J., Lu, Y., Zhou, F., Mao, R., & Fei, F. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.906715 · Cited by 55 · see citing works
Jarvelainen, M., Cooper, S. J., & Jones, J. (2018) · Nurse Education in Practice · doi:10.1016/j.nepr.2018.06.007 · Cited by 46 · see citing works
Jung, A.-R., & Park, E.-A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19084823 · Cited by 41 · see citing works
Li, Y., Li, K., Wei, W., Dong, J., Wang, C., Fu, Y., Li, J., & Peng, X. (2021) · Thinking Skills and Creativity · doi:10.1016/j.tsc.2021.100799 · Cited by 38 · see citing works
Azher, S., Cervantes, A., Marchionni, C., Grewal, K., Marchand, H., & Harley, J. M. (2023) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2023.02.009 · Cited by 34 · see citing works
Virtual Reality in Nursing: Nasogastric Tube Placement Training Simulator
Choi, K. (2017) · Studies in health technology and informatics · doi:10.3233/978-1-61499-830-3-1298 · Cited by 14 · see citing works
Choi, J., & Thompson, C. E. (2022) · PubMed Central · Cited by 4 · see citing works
Virtual Reality in Neurosurgical Education
Atli, K., Selman, W. R., & Ray, A. (2020) · Neurosurgery · doi:10.1093/neuros/nyaa447_162 · Cited by 3 · see citing works
Azher, S., Grewal, K., Matin, N., Cervantes, A., Marchionni, C., Marchand, H., & Harley, J. M. (2025) · Simulation & Gaming · doi:10.1177/10468781251401059 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 8
- [2]Xiuyu YAO Hui ZHANG Xiaopeng HUO Analysis of the applicability of virtual reality technology applied to basic nursing skills teaching[J]. Research on Medical Teaching in Colleges and Universities (Electronic Edition) 2022 12 05 7 13
- [6]Yu MH, Yang WY. The application effect of virtual reality technology in the teaching of nursing students in rehabilitation department [J]. China High Med Educ, 2020(9): 103–4.
- [17]Sherman WR Craig AB Understanding virtual reality: interface, application, and design [M] 2002 San Mateo, CA Morgan Kaufmann Publishers Inc
- [26]Xiaoyan, Wang, Hu Rongfang,Yan Yilu. Application of virtual simulation technology in obstetric nursing experimental teaching[J]. China High Med Educ,2023(02):44–5.
- [28]Ping WangYan, Wenzhen WANG, Fang,WANG Liping CAI, Hongya. CHEN Weiping. Application of immersive virtual reality technology in the experimental teaching of intravenous injection method[J]. China Nurs Manage 2020,20(02):176–80.
- [29]Liping Li. The use of virtual reality technology in nursing laboratory teaching [J]. Electron J Clin Med Literature 2017,4(84):16622–3. 10.16281/j.cnki.jocml.2017.84.105 · DOI
- [30]Hongmei Zhao,Ma Di,Liu Hongchun. The application of virtual simulation experimental teaching mode in the teaching of acute and critical care nursing [J]. Mod Hosp 2022,22(10):1608–10.
- [31]Nan Cao. Application of simulation teaching mode of virtual reality technology in higher vocational surgical nursing [J]. Health Professions Education 2021,39(08):87–9.
Cited by
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Park, S., Shin, H. J., Kwak, H., & Lee, H. J. (2024) · Journal of Medical Internet Research · doi:10.2196/57566 · Cited by 75 · 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
Chance, E. A. (2025) · BMC Medical Education · doi:10.1186/s12909-025-07589-7 · Cited by 57 · see citing works
Ropponen, P., Tomietto, M., Pramila‐Savukoski, S., Kuivila, H., Koskenranta, M., Liaw, S. Y., & Mikkonen, K. (2025) · Nurse Education Today · doi:10.1016/j.nedt.2025.106756 · Cited by 47 · see citing works
Sun, R., Wang, Y., Wu, Q., Wang, S., Liu, X., Wang, P., He, Y., & Zheng, H. (2024) · BMC Medical Education · doi:10.1186/s12909-024-05720-8 · Cited by 49 · see citing works
Effectiveness of virtual clinical learning in nursing education: a systematic review
Alsharari, A. F., Salihu, D., & Alshammari, F. F. (2025) · BMC Nursing · doi:10.1186/s12912-025-03076-y · Cited by 37 · see citing works
Neyem, A., Cadile, M., Burgos‐Martínez, S. A., Farfán, E., Inzunza, Ó., Alvarado, M. S., Tubbs, R. S., & Ottone, N. E. (2024) · Clinical Anatomy · doi:10.1002/ca.24213 · Cited by 35 · see citing works
Li, T., Yan, J., Gao, X., Liu, H., Li, J., Shang, Y., & Tang, X. (2025) · Journal of Medical Internet Research · doi:10.2196/70266 · Cited by 31 · see citing works
The use of virtual reality in human training: trends and a research agenda
Leite, H., & Vieira, L. R. (2025) · Virtual Reality · doi:10.1007/s10055-024-01093-x · Cited by 30 · see citing works
Lin, M., Huang, M.-Z., & Lai, P.-C. (2024) · Nurse Education in Practice · doi:10.1016/j.nepr.2024.104182 · Cited by 28 · see citing works
Zhao, L., Dai, X., & Chen, S. (2023) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2023.12.009 · Cited by 37 · see citing works
Othman, S. Y., Ghallab, E., Eltaybani, S., & Mohamed, A. M. (2024) · Nurse Education Today · doi:10.1016/j.nedt.2024.106329 · Cited by 35 · see citing works
Alruwaili, A. N., Alshammari, A. M., Alhaiti, A., Elsharkawy, N. B., Ali, S. I., & Ramadan, O. M. E. (2025) · BMC Nursing · doi:10.1186/s12912-025-03038-4 · Cited by 33 · see citing works
Jiang, N., Zhang, Y., Liang, S., Lyu, X., Chen, S., Huang, X., & Pan, H. (2024) · Journal of Medical Internet Research · doi:10.2196/56195 · Cited by 28 · see citing works
“These results were inconsistent with previous meta-analyses comparing VSs with traditional education methods [21,22,57].”
Sinurat, S., Karo, M. B., Simbolon, R., Saragih, I. D., Tarihoran, D. E. T. A. U., Sharma, S. D., & Chou, F. (2025) · Nurse Education Today · doi:10.1016/j.nedt.2025.106661 · Cited by 30 · see citing works
Chen, P.-J., & Liou, W.-K. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104383 · Cited by 23 · see citing works
Cariati, I., Bonanni, R., Cifelli, P., D’Arcangelo, G., Padua, E., Annino, G., & Tancredi, V. (2025) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2025.1497161 · Cited by 22 · see citing works
Maghsoodi, E., Alikhah, H., Rezaiy, S. G., Partash, N., & Hosseinian, E. (2025) · Nurse Education Today · doi:10.1016/j.nedt.2025.106763 · Cited by 22 · see citing works
Cao, Y. Y., Yin, H., Hua, X., Bi, S., & Zhou, D. (2025) · Australian Journal on Ageing · doi:10.1111/ajag.70006 · Cited by 21 · see citing works
The Use of Artificial Intelligence in Nursing Education: A Scoping Review
Doston, T., Fontenot, J., Morris, D. L., & Hebert, M. (2025) · Journal of Nursing Education · doi:10.3928/01484834-20250313-03 · Cited by 23 · see citing works
Hariyati, R. T. S., Handiyani, H., Wildani, A. A., Afriani, T., Nuraini, T., & Amiruddin, M. (2024) · Journal of Healthcare Leadership · doi:10.2147/jhl.s470456 · Cited by 18 · see citing works
White, A., Maguire, M. B. R., & Brown, A. R. (2024) · Nursing Reports · doi:10.3390/nursrep14040279 · Cited by 19 · see citing works
Glarcher, M., Ferguson, C., Patch, M., Steven, A., & Vaismoradi, M. (2025) · Journal of Advanced Nursing · doi:10.1111/jan.16834 · Cited by 17 · see citing works
Virtual Reality in Medical Education, Healthcare Education, and Nursing Education: An Overview
Λαμπρόπουλος, Γ., del Bosque, A., Fernández‐Arias, P., & Vergara, D. (2025) · Multimodal Technologies and Interaction · doi:10.3390/mti9070075 · Cited by 19 · see citing works
Enhancing students’ science learning using virtual simulation technologies: a systematic review
Pang, S., Lv, G., Zhang, Y., & Yang, Y. (2025) · Asia Pacific Journal of Education · doi:10.1080/02188791.2024.2441676 · Cited by 17 · see citing works
Zhang, M., Liu, S., Xiong, X., Liu, M., Wang, Y., Yang, Y., & Xiang, Q. (2024) · Medicine · doi:10.1097/md.0000000000040812 · Cited by 17 · see citing works
Johnson, J. B., Hansen, S. S., Hopper, L., Brook, L., Watson, J., & Mills, B. (2024) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/j.colegn.2024.04.003 · Cited by 15 · see citing works
Ota, Y., Aikawa, G., Nishimura, A., Kawashima, T., Imanaka, R., & Sakuramoto, H. (2024) · Nurse Education Today · doi:10.1016/j.nedt.2024.106313 · Cited by 24 · see citing works
Zhu, J., Yuan, S., Pu, L., Martin-Payo, R., Wei, L., Qiu, M., & Zhang, F. (2025) · BMC Medical Education · doi:10.1186/s12909-025-06658-1 · Cited by 15 · see citing works
Virtual Reality in Medical Education
Buono, F. D., Marks, A. M., & Lee, D. (2024) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2024.27599.geditorial · Cited by 14 · see citing works
Yue, W.-Y., Chen, Y.-X., & Ma, X.-Q. (2025) · Nurse Education Today · doi:10.1016/j.nedt.2025.106748 · Cited by 16 · see citing works
Learning Satisfaction in Virtual Reality: The Role of Persuasive Design
Wiafe, I., Ekpezu, A. O., Gyamera, G. O., Winful, F. B. P., Atsakpo, E. D., Nutrokpor, C., & Gulliver, S. R. (2024) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2024.2440205 · Cited by 15 · see citing works
Kang, N., Liu, L., & Zhang, S. (2025) · Journal of Nursing Management · doi:10.1155/jonm/6689213 · Cited by 11 · see citing works
Medel, D., Álvarez, M. R., Cemeli, T., Herrera, M., Campoy, C., Bonet, A., Sanromà‐Ortíz, M., & Roca, J. (2024) · Nursing Reports · doi:10.3390/nursrep14020081 · Cited by 11 · see citing works
Ashraf, M. A., Tsegay, S. M., Gull, N., Saeed, M., & Dawood, H. (2024) · Frontiers in Medicine · doi:10.3389/fmed.2024.1425659 · Cited by 11 · see citing works
Bridging between hype and implementation in medical extended reality
Freyer, O., & Gilbert, S. (2023) · npj Digital Medicine · doi:10.1038/s41746-023-00972-y · Cited by 11 · see citing works
Zhou, T., Chen, Y., Li, X., Yang, L., & Zhao, Z. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1629174 · Cited by 10 · see citing works
Fu, T., Wang, X.-J., Xiao, S., & Fan, L. (2024) · Nurse Education Today · doi:10.1016/j.nedt.2024.106306 · Cited by 10 · see citing works
Johnson, J. B., Hansen, S. S., Hopper, L., Watson, J., Cashman, S., Souza, W. D., & Mills, B. (2024) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2024.101644 · Cited by 10 · see citing works
Extended reality for enhancing communication skills in nursing education: a scoping review
Li, X., Wei, R., Slatyer, S., & Rappa, N. A. (2025) · Teaching and learning in nursing · doi:10.1016/j.teln.2025.01.012 · Cited by 12 · see citing works
Odame-Amoabeng, S., Akalın, A., D’haenens, F., Tricas‐Sauras, S., & Chang, Y. (2025) · Nurse Education Today · doi:10.1016/j.nedt.2025.106679 · Cited by 10 · see citing works
Bodur, G., Turhan, Z., Altun, Y. E., Kilicaslan, K., Ali̇kan, B., Özer, F., & Can, G. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104486 · Cited by 10 · see citing works
The metaverse in nuclear medicine: transformative applications, challenges, and future directions
Tang, Y., Liang, H., Yang, X., Xue, X., & Zhan, J. (2024) · Frontiers in Medicine · doi:10.3389/fmed.2024.1459701 · Cited by 9 · see citing works
Motsaanaka, M. N., Makhene, A., & Ndawo, G. (2024) · International Journal of Africa Nursing Sciences · doi:10.1016/j.ijans.2024.100790 · Cited by 9 · see citing works
Mengying, L., Dongquan, F., Lin, L., Yining, C., Hui-juan, H., Siyu, Z., & Dan, Y. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1437699 · Cited by 9 · see citing works
Chen, Y., Chen, X., Li, L., Li, Y., Yan, Q., & Hu, X. (2024) · Cancer Nursing · doi:10.1097/ncc.0000000000001430 · Cited by 11 · see citing works
Jackson, D. I., Wongphothiphan, T., Luna, J., Maa, T., Fristad, M. A., Huang, Y., Schaffner, B. N., Reese, J. B., Wheeler, J., Abbott, B., et al. (2025) · JMIR Serious Games · doi:10.2196/70817 · Cited by 9 · see citing works
Nasirun, H., Mulyono, S., Hapsari, A. W. D., Wiradinata, H. H., & Ratu, M. (2026) · Nurse Education in Practice · doi:10.1016/j.nepr.2026.104847 · Cited by 16 · see citing works
Lee, H., & Yoo, H. J. (2024) · PLoS ONE · doi:10.1371/journal.pone.0296914 · Cited by 8 · see citing works
Virtual reality to aid in competency-based online nurse practitioner curriculum (VR-NP)
Casler, K., Gawlik, K. S., & Messinger, J. (2024) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2024.09.009 · Cited by 7 · see citing works
Ladden, M. D., Kelley, H. J., McBride, A. B., Fairman, J. A., & Hassmiller, S. B. (2024) · Nursing Outlook · doi:10.1016/j.outlook.2024.102314 · Cited by 7 · see citing works
Virtual reality training to enhance clinical competence and student engagement in Ghana
Baidoo, K., & Adu, C. (2024) · British Journal of Midwifery · doi:10.12968/bjom.2024.0037 · Cited by 6 · see citing works
He, H., Xu, X., Li, S. E., Bueno-Vesga, J. A., Duan, Y., & Gu, Y. (2026) · International Journal of Educational Technology in Higher Education · doi:10.1186/s41239-026-00587-9 · Cited by 8 · see citing works
Hsu, R., McCabe, C., Ellison, C., Howells, M., & Loetscher, T. (2024) · Multimodal Technologies and Interaction · doi:10.3390/mti8110100 · Cited by 7 · see citing works
Ramadan, O. M. E., Hafiz, A. H., Elsharkawy, N. B., Katooa, N. E., Abunar, A., Abdelaziz, E. M., Baraka, S. I. M., Shaban, M., & Baraka, N. I. M. (2024) · Children · doi:10.3390/children11121457 · Cited by 6 · see citing works
Faresta, R. A., Nicholas, T. Z. S. B., Chi, Y., Sinambela, I. A. N., & Mopoliu, A. Z. (2024) · International Journal of Essential Competencies in Education · doi:10.36312/ijece.v3i2.2407 · Cited by 11 · see citing works
Liu, J., Hu, T., Ke, X., Cheng, Z., Bu, W., & Lin, A. (2025) · BMC Surgery · doi:10.1186/s12893-025-03029-x · Cited by 6 · see citing works
Woo, J. E., Kim, J., Kim, K., Jarzembak, J. M., James, A., Biggs, J., Dunlosky, J. T., & Clements, R. J. (2025) · IEEE Transactions on Learning Technologies · doi:10.1109/tlt.2025.3592579 · Cited by 6 · see citing works
Improving Hand Hygiene Skills Using Virtual Reality: Quasi-Experimental Study
Mira, J. J., Delgado, M. G., Villalba, C., Guerra, L., Ramirez-Moya, Y., Hernández, J., Moya, O., Pineda, L. F. S., & Pérez-Esteve, C. (2025) · Journal of Medical Internet Research · doi:10.2196/78882 · Cited by 6 · see citing works
Saab, M. M., O’Donovan, M. R., Koç, İ., Kenny, J., Hrdlička, J., Wild, J., Zielina, M., Hrdličková, L., Rusínová, K., Loučka, M., et al. (2026) · Nurse Education Today · doi:10.1016/j.nedt.2026.106985 · Cited by 7 · see citing works
Wang, L., Lin, C., Chao, L.-F., Chang, C.-I., Goopy, S. E., & Han, C.-Y. S. (2024) · Nurse Education in Practice · doi:10.1016/j.nepr.2024.104161 · Cited by 7 · see citing works
A Critical Analysis of Universal Employability Skills for International Students in Higher Education
Koseda, E. M., Cohen, I. K., & McIntosh, B. (2024) · World studies in education · doi:10.7459/wse/240202 · Cited by 10 · see citing works
PreVISE: an efficient virtual reality system for SEEG surgical planning
Spiegler, P., Abdelsalam, H., Hellum, O., Hadjinicolaou, A., Weil, A. G., & Xiao, Y. (2024) · Virtual Reality · doi:10.1007/s10055-024-01088-8 · Cited by 6 · see citing works
Tak, S. H., Lee, D., Suh, I., Choi, H., & Lee, E. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104370 · Cited by 5 · see citing works
Wyssenbach, T., Kaufmann, K., & Schwaninger, A. (2025) · Virtual Reality · doi:10.1007/s10055-025-01186-1 · Cited by 8 · see citing works
Almagharbeh, W. T., Ahmed, W. R., Alfanash, H. A., Alnawafleh, K. A., & Tajoury, O. H. (2026) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2025.12.010 · Cited by 7 · see citing works
Li, S., Xu, J., Jia, X., Zhao, Y., Liu, X., & Wang, Y. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1354810 · Cited by 5 · see citing works
Innovaciones en la enseñanza de enfermería: uso de simulación clínica y realidad virtual
Ortiz, F. P. T., Lalaleo, D. P. A., Maya-Calva, F. P., Montesdeoca-Tello, A., & Lalaleo-Portero, T. J. (2025) · Innova Science Journal · doi:10.63618/omd/isj/v3/n2/59 · Cited by 6 · see citing works
Yoon, H. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104337 · Cited by 4 · see citing works
Çakır, B., Berk, A., Berşe, S., Göv, P., & Güngör, M. İ. (2025) · Global Nursing Insights · doi:10.31125/globnursinsights.1762516 · Cited by 4 · see citing works
Gao, J., Lu, X., Xu, R., Wu, C., Bai, D., Yang, J., Dong, X., & Hou, C. (2026) · Nurse Education Today · doi:10.1016/j.nedt.2026.107018 · Cited by 4 · see citing works
Shen, S., Qi, W., Zeng, J., Li, S., Liu, X., Yaping, F., & Cao, S. (2026) · Nurse Education in Practice · doi:10.1016/j.nepr.2026.104799 · Cited by 7 · see citing works
Enhancing difficult airway management training: the role of virtual reality and adaptive learning
Battegazzorre, E., Gino, B., Strada, F., Kapralos, B., Dubrowski, A., Lamberti, F., & Bottino, A. (2025) · Virtual Reality · doi:10.1007/s10055-025-01105-4 · Cited by 4 · see citing works
Park, S. (2025) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2025.101769 · Cited by 4 · see citing works
Stenseth, H. V., Reime, M. H., Sundfær, H., & Olaussen, C. (2025) · SAGE Open Nursing · doi:10.1177/23779608251356599 · Cited by 4 · see citing works
Novel Immersive Emergency Training Module to Enhance Clinical Competency in Nephrology
Russ, P. G., Morgenschweis, M. L., Einloft, J., Meyer, H. L., Bedenbender, S., Wenzel, L. T., Hirsch, M. C., Ganser, A., Bonventre, J. V., & Grgic, I. (2025) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.0000000794 · Cited by 4 · see citing works
Zeffiro, V., Tempesta, S., Morandini, R., Alvaro, R., Vellone, E., Pucciarelli, G., & D’Agostino, F. (2025) · International Journal of Nursing Knowledge · doi:10.1111/2047-3095.70001 · Cited by 4 · see citing works
Efficacy and Students' Perceptions of Virtual Reality in Clinical Education: A Narrative Review
Houser, C., Goodman, A., Mack, J., & Simon, B. T. (2025) · Cureus · doi:10.7759/cureus.82852 · Cited by 4 · see citing works
Hemşirelik eğitiminde psikomotor beceri öğretiminde sanal gerçekliğin kullanımı ve bilişsel gelişim
Şengül, T. (2024) · Sağlık ve Yaşam Bilimleri Dergisi · doi:10.33308/2687248x.202461326 · Cited by 4 · see citing works
Benfatah, M., Marfak, A., Saad, E., Hilali, A., Elazizi, I., Hui, W., & Youlyouz‐Marfak, I. (2025) · Teaching and learning in nursing · doi:10.1016/j.teln.2025.01.008 · Cited by 3 · see citing works
The Role of VR in Education: A Two-Phase Review of Umbrella Reviews and Recent Primary Studies
Varjosalo, J., Räty, P., Heilala, V., Hämäläinen, R., & Kärkkäinen, T. (2025) · IEEE Access · doi:10.1109/access.2025.3598952 · Cited by 4 · see citing works
Beyond technique: The ethics of simulation in care education
Arcadi, P., & Filippini, A. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104578 · Cited by 3 · see citing works
Jans, C., Lucas, C., & Levett-Jones, T. (2025) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2025.101807 · Cited by 4 · see citing works
Adams, J., Klein, C., Ludwig, S., Stosch, C., Vogel, K., Bauer, N. H., Bruns, C. J., & Datta, R. R. (2025) · Frontiers in Medicine · doi:10.3389/fmed.2025.1715561 · Cited by 3 · see citing works
Wright, M. A. (2025) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2025.101868 · Cited by 3 · see citing works
Chen, Y., Liu, Y.-K., Cheng, C.-H., & Liu, T.-H. (2026) · BMC Nursing · doi:10.1186/s12912-025-04287-z · Cited by 3 · see citing works
Lin, C., Chen, L. A., Chen, Y., Lin, J.-C., Wang, D., & Tung, H. (2026) · Nurse Education in Practice · doi:10.1016/j.nepr.2026.104712 · Cited by 3 · see citing works
Innovative strategies in oncology education for undergraduate students: A rapid systematic review
Miguel, S., Martins, H. T., & Moreira, J. (2026) · Nurse Education in Practice · doi:10.1016/j.nepr.2026.104723 · Cited by 3 · see citing works
Virtual clinical simulation as a pedagogical strategy in healthcare learning: Evidence and gap map
Lino, M. M., Engler, J. C., Guesser, J. C., Castro, L. S. E. P. W., Flôr, J. D. S., Amadigi, F. R., Oriá, M. O. B., Silva, A., & Díaz, D. A. (2026) · Nurse Education in Practice · doi:10.1016/j.nepr.2026.104713 · Cited by 3 · see citing works
ОСОБЛИВОСТІ ІНТЕГРАЦІЇ ВІРТУАЛЬНИХ СИМУЛЯТОРІВ У НАВЧАЛЬНИЙ ПРОЦЕС
Дуганець, В. І., Федірко, П. П., & Olenyuk, A. (2023) · Професійно-прикладні дидактики · doi:10.37406/2521-6449/2023-1-4 · Cited by 6 · see citing works
Empathy and Compassion as Fundamental Elements of Social Cognition
Singha, R. (2024) · Advances in medical technologies and clinical practice book series · doi:10.4018/979-8-3693-1265-0.ch003 · Cited by 3 · see citing works
From traditional to immersive: The impact of 3D technologies on medical student learning
Walecki, P. K., Dąbrowa, J., Więcławek, P., Gogól, K., & Proniewska, K. K. (2024) · Bio-Algorithms and Med-Systems · doi:10.5604/01.3001.0054.9632 · Cited by 3 · 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
Heldring, S., Jirwe, M., Wihlborg, J., & Lindström, V. (2025) · BMC Medical Education · doi:10.1186/s12909-025-07319-z · Cited by 5 · see citing works
Wong, W. C., & So, G. L. H. (2024) · SN Computer Science · doi:10.1007/s42979-024-02818-0 · Cited by 3 · see citing works
Diniz, J. L., Oliveira, N. M. C., Coutinho, J. F. V., Marques, M. B., Pillon, C. B., & de Araújo, Í. L. (2024) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.7419.4389 · Cited by 3 · see citing works
Bazaliński, D., Wójcik, A. M., Pytlak, K., Bryła, J., Kąkol, E., Majka, D., & Dzień, J. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14124229 · Cited by 13 · see citing works
Jeong, S., & Lim, S.-I. (2025) · BMC Nursing · doi:10.1186/s12912-025-03675-9 · Cited by 4 · see citing works
Aikawa, G., Kawashima, T., Ota, Y., Watanabe, M., Nishimura, A., & Sakuramoto, H. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104343 · Cited by 2 · see citing works
Effectiveness of virtual reality-based training in clinical skills for newly graduated nurses
Lee, Y., Chen, S., Huang, W., Ku, H., Chang, A., & Lin, C. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104587 · Cited by 2 · see citing works
- Authors
- Liu, K., Zhang, W., Li, W., Wang, T., & Zheng, Y.
- Affiliations
- Affiliated Hospital of Jining Medical University (CN)
- Corresponding author
- Zheng, Yanxue
- Venue
- BMC Medical Education
- Published
- 2023-09-28
- Volume
- 23
- Issue
- 1
- Pages
- 710-710
- ISSN
- 1472-6920 (ISSN-L)
- PMC
- PMC10540340
- OpenAlex
- W4387134077
- Cited by
- 284
- References
- 35
- Citations by year
- 2026: 130 · 2025: 104 · 2024: 47 · 2023: 3
- FWCI
- 10.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Medical Education (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Jining Medical University
- Topics
- Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Keywords
- virtual reality, nursing education, nursing students, theoretical knowledge, practical skills, skill retention, student satisfaction, critical thinking skills, immersive learning
- MeSH terms
- Simulation Training, Virtual Reality, Education, Nursing, Humans, Students, Students, Nursing, Thinking, Randomized Controlled Trials as Topic
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