{"title":"虚拟现实培训对护理专业学生临床技能的影响：随机对照试验的系统回顾和荟萃分析。","authors":"Mei-Yu Lin , Mei-Zen Huang , Pao-Chin Lai","doi":"10.1016/j.nepr.2024.104182","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><div>To assess the effects of virtual reality training on the cognitive, affective and psychomotor domains in nursing education among nursing students.</div></div><div><h3>Background</h3><div>The use of virtual reality in nursing education immerses students in realistic and interactive environments, greatly enhancing their learning experiences. However, research on its effectiveness in nursing education has shown inconsistent results, particularly regarding its impact on learner emotions related to clinical skills.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Method</h3><div>Related studies were sourced from PubMed, Cochrane, Web of Science and Embase databases from their inception until October 3, 2024. Comprehensive Meta-Analysis software was used for data analysis and the risk of bias was assessed using the Risk of Bias Tools.</div></div><div><h3>Results</h3><div>Eight randomized controlled trials met our inclusion criteria. The results revealed that virtual reality training significantly enhanced the development of clinical skills, having a positive impact on the cognitive, affective and psychomotor learning domains in nursing students. The following effect sizes were obtained: (1) knowledge: 0.237 (95 % CI: 0.054–0.421, p = 0.011); (2) skill: 0.682 (95 % CI: 0.299–1.064, p < 0.001); (3) self-confidence: 0.287 (95 % CI: 0.008–0.567, p = 0.044); and (4) learning satisfaction: 0.458 (95 % CI: 0.256–0.661, p < 0.001).</div></div><div><h3>Conclusion</h3><div>Virtual reality nursing training enriches students’ cognitive, emotional and psychomotor skills; provides a secure setting for honing critical skills, thus boosting student confidence; and increases students' overall learning satisfaction, but shows limited impact on improving self-efficacy. Integrating virtual reality into pre-departure nursing technology education and training can enhance students' understanding of the nursing process, improve the accuracy of technical operations and promote overall learning effectiveness.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"81 ","pages":"Article 104182"},"PeriodicalIF":3.3000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of virtual reality training on clinical skills of nursing students: A systematic review and meta-analysis of randomized controlled trials\",\"authors\":\"Mei-Yu Lin , Mei-Zen Huang , Pao-Chin Lai\",\"doi\":\"10.1016/j.nepr.2024.104182\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aim</h3><div>To assess the effects of virtual reality training on the cognitive, affective and psychomotor domains in nursing education among nursing students.</div></div><div><h3>Background</h3><div>The use of virtual reality in nursing education immerses students in realistic and interactive environments, greatly enhancing their learning experiences. However, research on its effectiveness in nursing education has shown inconsistent results, particularly regarding its impact on learner emotions related to clinical skills.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Method</h3><div>Related studies were sourced from PubMed, Cochrane, Web of Science and Embase databases from their inception until October 3, 2024. Comprehensive Meta-Analysis software was used for data analysis and the risk of bias was assessed using the Risk of Bias Tools.</div></div><div><h3>Results</h3><div>Eight randomized controlled trials met our inclusion criteria. The results revealed that virtual reality training significantly enhanced the development of clinical skills, having a positive impact on the cognitive, affective and psychomotor learning domains in nursing students. The following effect sizes were obtained: (1) knowledge: 0.237 (95 % CI: 0.054–0.421, p = 0.011); (2) skill: 0.682 (95 % CI: 0.299–1.064, p < 0.001); (3) self-confidence: 0.287 (95 % CI: 0.008–0.567, p = 0.044); and (4) learning satisfaction: 0.458 (95 % CI: 0.256–0.661, p < 0.001).</div></div><div><h3>Conclusion</h3><div>Virtual reality nursing training enriches students’ cognitive, emotional and psychomotor skills; provides a secure setting for honing critical skills, thus boosting student confidence; and increases students' overall learning satisfaction, but shows limited impact on improving self-efficacy. Integrating virtual reality into pre-departure nursing technology education and training can enhance students' understanding of the nursing process, improve the accuracy of technical operations and promote overall learning effectiveness.</div></div>\",\"PeriodicalId\":48715,\"journal\":{\"name\":\"Nurse Education in Practice\",\"volume\":\"81 \",\"pages\":\"Article 104182\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nurse Education in Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1471595324003111\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nurse Education in Practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1471595324003111","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的：评估虚拟现实训练对护理专业学生护理教育中认知、情感和心理运动领域的影响：背景：在护理教育中使用虚拟现实技术可使学生沉浸在逼真的互动环境中，从而大大增强他们的学习体验。然而，有关虚拟现实技术在护理教育中有效性的研究结果并不一致，尤其是在对学习者与临床技能相关的情绪的影响方面：设计：系统回顾和荟萃分析：相关研究来自 PubMed、Cochrane、Web of Science 和 Embase 数据库，研究时间从开始到 2024 年 10 月 3 日。使用综合元分析软件进行数据分析，并使用偏倚风险工具评估偏倚风险：八项随机对照试验符合我们的纳入标准。结果显示，虚拟现实培训能显著促进临床技能的发展，对护理专业学生的认知、情感和心理运动学习领域都有积极影响。0.287 (95 % CI: 0.008-0.567, p = 0.044)；(4) 学习满意度：0.458 (95 % CI: 0.256-0.661, p < 0.001)：虚拟现实护理培训丰富了学生的认知、情感和心理运动技能；为磨练关键技能提供了安全环境，从而增强了学生的自信心；提高了学生的整体学习满意度，但对提高自我效能感的影响有限。在出国前护理技术教育和培训中融入虚拟现实技术，可以增强学生对护理过程的理解，提高技术操作的准确性，促进整体学习效果的提高。
Effect of virtual reality training on clinical skills of nursing students: A systematic review and meta-analysis of randomized controlled trials
Aim
To assess the effects of virtual reality training on the cognitive, affective and psychomotor domains in nursing education among nursing students.
Background
The use of virtual reality in nursing education immerses students in realistic and interactive environments, greatly enhancing their learning experiences. However, research on its effectiveness in nursing education has shown inconsistent results, particularly regarding its impact on learner emotions related to clinical skills.
Design
Systematic review and meta-analysis.
Method
Related studies were sourced from PubMed, Cochrane, Web of Science and Embase databases from their inception until October 3, 2024. Comprehensive Meta-Analysis software was used for data analysis and the risk of bias was assessed using the Risk of Bias Tools.
Results
Eight randomized controlled trials met our inclusion criteria. The results revealed that virtual reality training significantly enhanced the development of clinical skills, having a positive impact on the cognitive, affective and psychomotor learning domains in nursing students. The following effect sizes were obtained: (1) knowledge: 0.237 (95 % CI: 0.054–0.421, p = 0.011); (2) skill: 0.682 (95 % CI: 0.299–1.064, p < 0.001); (3) self-confidence: 0.287 (95 % CI: 0.008–0.567, p = 0.044); and (4) learning satisfaction: 0.458 (95 % CI: 0.256–0.661, p < 0.001).
Conclusion
Virtual reality nursing training enriches students’ cognitive, emotional and psychomotor skills; provides a secure setting for honing critical skills, thus boosting student confidence; and increases students' overall learning satisfaction, but shows limited impact on improving self-efficacy. Integrating virtual reality into pre-departure nursing technology education and training can enhance students' understanding of the nursing process, improve the accuracy of technical operations and promote overall learning effectiveness.
期刊介绍：
Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.
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