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KMID : 1812520200040020042
Journal of Healthcare Simulation
2020 Volume.4 No. 2 p.42 ~ p.51
Clinical competence, confidence, presence, and learning immersion: analyzing nursing students¡¯ learning experiences in virtual reality simulation transfusion education
Hyun Soo-Jin

Lee Yu-Jin
Abstract
Background: Virtual reality simulation-based education creates opportunities for nursing students to develop competency as a selfdirected learning strategy to complement existing didactic learning and simulation-based strategies. This study aimed to investigate the relationships among nursing students¡¯ clinical competence, confidence, presence, and learning immersion, and to analyze the students¡¯ experiences with a virtual reality simulation of blood transfusion.

Methods: The participants were 32 third-year undergraduate nursing students. The quantitative data were analyzed using IBM¡¯s SPSS software, Version 22.0. The qualitative data were analyzed by content analysis.

Results: The learning immersion was positively correlated with confidence (r=.401, p=.023) and presence (r=.672, p<.001). The experiences were classified into two major categories: ¡°advantages¡± and ¡°disadvantages.¡± From the ¡°advantages¡± category, six themes were derived: ¡°easy immersion in the situation,¡± ¡°improvement of memory for procedures,¡± ¡°immediate interaction with performance,¡± ¡°motivation for learning,¡± ¡°freedom of use time,¡± and ¡°repetitive learning.¡± From the ¡°disadvantages¡± category, four themes were derived: ¡°difficulty in operating machines,¡± ¡°sometimes dizziness when used twice in a row for 10 minutes,¡± ¡°lack of detailed expression,¡± and ¡°difficulty learning about complex situations.¡±

Conclusion: The study provided valuable feedback on the virtual reality simulation-based education, suggesting further refinements to improve nursing students¡¯ clinical competence, confidence, presence, and learning immersion in blood transfusion practice.
KEYWORD
Virtual reality, Blood transfusion education, Clinical competence, Confidence, Presence, Learning immersion
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