Abstract

Background: Nursing programs have embraced the use of simulation-based learning to help students develop hands-on clinical skills, enhance critical-thinking, and improve student confidence within a controlled and safe environment. The purpose of this reflection was to (1) identify differences and challenges for nursing students between the web-based and low-fidelity simulation groups, (2) compare student satisfaction, and (3) evaluate resources and accessibility.

Methods: A retrospective analysis of a research study utilizing two simulation modalities was performed to reveal key lessons learned in order to improve future offerings of simulation-based learning.

Results: Several key themes emerged; the themes were (1) technology challenges and solutions, (2) enhancing learner engagement, and (3) workforce capacity and resources.

Conclusion: Insights gained emphasize the value of integrating simulation into nursing education but underscore the importance for nurse educators to consider simulation resources and modalities, student skill and developmental level, learning outcomes, and student engagement when planning simulation-based learning experiences.

Notes

References: Ching-Yi, Chang., Han-Yu, Sung., Jong-Long, Guo., Bieng-Yi, Chang., & Fan-Ray, Kuo. (2022). Effects of spherical video-based virtual reality on nursing students’ learning performance in childbirth education training. Interactive Learning Environments, 30 (3), 400-416. https://doi.org/10.1080/10494820.2019.1661854

Choi, J., Thompson, C., Choi, J., Waddill, C., & Choi, S. (2022). Effectiveness of immersive virtual reality in nursing education. Nurse Educator, 47 (3), E57-E61. https://doi.org/10.1097/NNE.0000000000001117

Cobbett, S., & Snelgrove-Clarke, E. (2016). Virtual versus face-to-face clinical simulation in relation to student knowledge, anxiety, and self-confidence in maternal-newborn nursing: A randomized controlled trial. Nurse Education Today, 45, 179-184. https://doi.org/10.1016/j.nedt.2016.08.004

Erlinger, L. R. (2019). High-fidelity mannequin simulation versus virtual simulation for recognition of critical events by student registered nurse anesthetists. American Association of Nurse Anesthesiology Journal, 87 (2), 105-109.

International Nursing Association for Clinical Simulation and Learning (INACSL) Standards Committee. (2016). INACSL standards of best practice: Simulation SM simulation design. Clinical Simulation in Nursing, 12, S5-S12.

Jeffries, P. (2021). The NLN Jeffries simulation theory. Lippincott Williams & Wilkins.

Kim, Y. J., & Ahn, S. Y. (2021). Factors influencing nursing students' immersive virtual reality media technology-based learning. Sensors (Basel, Switzerland), 21 (23), Article 8088. https://doi.org/10.3390/s21238088

Saab, M. M., Landers, M., Murphy, D., O’Mahony, B., Cooke, E., O’Driscoll, M., & Hegarty, J. (2022). Nursing students’ views of using virtual reality in healthcare: A qualitative study. Journal of Clinical Nursing, 31, 1228–1242. https://doi-org.ezproxy.emich.edu/10.1111/jocn.15978

Vogelsang, L., Wright, S., Risling, T., de Padua, A., Leidl, D., Wilson, J., & Thompson, D. (2024). Exploring the use of immersive virtual reality in nursing education: A scoping review. Clinical Simulation in Nursing , 97, 101648. https://doi.org/10.1016/j.ecns.2024.101648

William, A., Vidal, V. L., & John, P. (2016). Traditional instruction versus virtual reality simulation: A comparative study of phlebotomy training among nursing students in Kuwait. Journal of Education and Practice, 7 (9), 18-25.

Woon, A. P. N., Mok, W. Q., Chieng, Y. J. S., Zhang, H. M., Ramos, P., Mustadi, H. B., & Lau,Y. (2021). Effectiveness of virtual reality training in improving knowledge among nursing students: A systematic review, meta-analysis, and meta-regression. Nurse Education Today, 98, Article 104655. https://doi.org/10.1016/j.nedt.2020.104655

Description

In this session, the author will describe insights gained from using two different simulation modalities with first-year nursing students. Participants of this session should be able to have increased knowledge and understanding in relation to: (1) technical and procedural similarities and differences between web-based virtual reality simulation and low- fidelity simulation, and (2) student satisfaction, cost effectiveness, and resource demands between two simulation modalities.

Author Details

Valerie Pauli EdD, MSN, ACNS-BC, CNE

Sigma Membership

Eta Rho

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Randomized Controlled Trial

Research Approach

Quantitative Research

Keywords:

Simulation, Teaching and Learning Strategies, Curriculum Development, Advances in Education, Nursing Education

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-11-18

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Insights Gained from a Randomized Controlled Trial in Simulation Modalities for Nursing Students

Indianapolis, Indiana, USA

Background: Nursing programs have embraced the use of simulation-based learning to help students develop hands-on clinical skills, enhance critical-thinking, and improve student confidence within a controlled and safe environment. The purpose of this reflection was to (1) identify differences and challenges for nursing students between the web-based and low-fidelity simulation groups, (2) compare student satisfaction, and (3) evaluate resources and accessibility.

Methods: A retrospective analysis of a research study utilizing two simulation modalities was performed to reveal key lessons learned in order to improve future offerings of simulation-based learning.

Results: Several key themes emerged; the themes were (1) technology challenges and solutions, (2) enhancing learner engagement, and (3) workforce capacity and resources.

Conclusion: Insights gained emphasize the value of integrating simulation into nursing education but underscore the importance for nurse educators to consider simulation resources and modalities, student skill and developmental level, learning outcomes, and student engagement when planning simulation-based learning experiences.