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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Alruwaili, Abeer Nuwayfi Alshammari, Afrah Madyan Alhaiti, Ali Elsharkawy, Nadia Bassuoni Ali, Sayed Ibrahim Ramadan, Osama Mohamed Elsayed |
| Abstract | Background Nurses in neonatal intensive care units face critical challenges in managing emergencies where timely, accurate interventions are essential for survival. Traditional nursing education often lacks the hands-on, immersive training required to build complex emergency skills, contributing to persistent neonatal mortality globally. Virtual reality (VR) simulation, grounded in Kolb’s Experiential Learning Theory, offers a promising solution by replicating realistic and repeatable clinical scenarios. While VR has shown potential in nursing education, its specific impact on high-risk neonatal emergencies remains underexplored. Aim To evaluate the effectiveness of a VR simulation program in enhancing nurse competency and improving neonatal outcomes during emergency care, grounded in Kolb’s Experiential Learning Theory. Methods A concurrent triangulation mixed-methods design was implemented over two weeks across four pediatric hospitals. Through stratified random sampling, 128 NICU nurses were allocated to VR simulation (n = 64) or traditional training (n = 64) groups. Quantitative data were collected using validated instruments (OSCE: CVI = 0.92, MCQ: α = 0.86) measuring clinical skills, knowledge retention, and decision-making accuracy. Qualitative data were gathered through semi-structured interviews (n = 24) exploring experiential aspects. Results The VR group showed significant improvements in clinical skills (OSCE: +16.1 points, p < 0.001, d = 1.58), decision-making accuracy (+ 16.7%, p < 0.001), and reduced stabilization times (-6.2 min, p < 0.001). Patient safety events decreased by 52% (p < 0.001). Thematic analysis revealed enhanced professional competence (83%), reduced clinical anxiety (75%), and positive learning experiences (88%), despite minor technical challenges. Conclusion VR simulation demonstrates superior effectiveness for neonatal emergency training, significantly improving both nurse competency and patient outcomes. While geographic specificity and brief follow-up duration limit generalizability, findings support VR’s potential for enhancing emergency preparedness. Future research should address longitudinal outcomes and implementation across diverse healthcare settings. Clinical trial number Not applicable. |
| Related Links | https://bmcnurs.biomedcentral.com/counter/pdf/10.1186/s12912-025-03038-4.pdf |
| Ending Page | 18 |
| Page Count | 18 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14726955 |
| DOI | 10.1186/s12912-025-03038-4 |
| Journal | BMC Nursing |
| Issue Number | 1 |
| Volume Number | 24 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2025-04-03 |
| Access Restriction | Open |
| Subject Keyword | Nursing Nursing Management Nursing Research Virtual reality simulation Neonatal emergency care Nursing education Mixed-methods research Clinical competency Patient outcomes |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nursing |
| Journal Impact Factor | 3.1/2023 |
| 5-Year Journal Impact Factor | 3.5/2023 |
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