In Situ Evaluation of Virtual Reality Simulation Usability and Learning in Nursing.

BACKGROUND

Virtual reality is increasingly applied in nursing education to enhance student readiness for patient care. This study evaluated the effects of a virtual reality patient simulation (VRPS) on nursing students' knowledge and preparedness for maternal care communication.

METHOD: A mixed-methods design was used with 107 prelicensure Bachelor of Science in Nursing students in fall 2024. Participants completed a maternal health scenario via Oculus Quest headsets, along with pre/post knowledge tests, surveys, and reflections.

RESULTS

Students reported high usability, intuitive navigation, and meaningful engagement, though challenges with hand controls and visual clarity were noted. Knowledge scores improved significantly (p < .001), with decreased anxiety and increased confidence, competence, and preparedness. Students endorsed VRPS as a supplemental tool, especially before clinical placements and laboratory experiences.

CONCLUSION

VRPS shows strong potential to bridge knowledge-practice gaps, supporting cognitive and affective outcomes. Future integration of artificial intelligence voice recognition may further enhance immersion.