TY  - JOUR
AU  - Jung, Soo Youn
AU  - Moon, Kyoung Ja
PY  - 2024
DA  - 2024/6/24
TI  - Pressure Ulcer Management Virtual Reality Simulation (PU-VRSim) for Novice Nurses: Mixed Methods Study
JO  - JMIR Serious Games
SP  - e53165
VL  - 12
KW  - virtual reality
KW  - nursing
KW  - simulation
KW  - virtual training
KW  - pressure ulcer
KW  - simulation training
KW  - nurse
KW  - clinician
KW  - health care worker
KW  - ulcer
KW  - hospital
KW  - health care center
KW  - PU-VRSim
KW  - mixed methods study
KW  - health professional
KW  - medical education
KW  - training
KW  - games
KW  - gamification
KW  - learning
KW  - decubitus ulcer
AB  - Background: Pressure ulcers (PUs) are a common and serious complication in patients who are immobile in health care settings. Nurses play a fundamental role in the prevention of PUs; however, novice nurses lack experience in clinical situations. Virtual reality (VR) is highly conducive to clinical- and procedure-focused training because it facilitates simulations. Objective: We aimed to explore the feasibility of a novel PU management VR simulation (PU-VRSim) program using a head-mounted display for novice nurses and to investigate how different types of learning materials (ie, VR or a video-based lecture) impact learning outcomes and experiences. Methods: PU-VRSim was created in the Unity 3D platform. This mixed methods pilot quasi-experimental study included 35 novice nurses categorized into the experimental (n=18) and control (n=17) groups. The PU-VRSim program was applied using VR in the experimental group, whereas the control group received a video-based lecture. The PU knowledge test, critical thinking disposition measurement tool, and Korean version of the General Self-Efficacy Scale were assessed before and after the intervention in both groups. After the intervention, the experimental group was further assessed using the Clinical Judgment Rubric and interviewed to evaluate their experience with PU-VRSim. Results: The results compared before and after the intervention showed significant improvements in PU knowledge in both the experimental group (P=.001) and control group (P=.005). There were no significant differences in self-efficacy and critical thinking in either group. The experimental group scored a mean of 3.23 (SD 0.44) points (accomplished) on clinical judgment, assessed using a 4-point scale. The experimental group interviews revealed that the VR simulation was realistic and helpful for learning about PU management. Conclusions: The results revealed that PU-VRSim could improve novice nurses’ learning of PU management in realistic environments. Further studies using VR for clinical training are recommended for novice nurses. 
SN  - 2291-9279
UR  - https://games.jmir.org/2024/1/e53165
UR  - https://doi.org/10.2196/53165
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38913417
DO  - 10.2196/53165
ID  - info:doi/10.2196/53165
ER  -