Evaluating the Impact of Semi-Immersive Virtual Reality on Urinary Catheterization Skills, Motivation, and Satisfaction in Nursing Students
DOI:
https://doi.org/10.33755/jkk.v10i5.741Keywords:
Catheterization, Motivation, Nursing Education, RCT, Satisfaction, Semi-Immersive Virtual Reality, Skill, Virtual SimulationAbstract
Aims: The basic core skill and competency nursing students need is urinary catheterization. Semi-immersive virtual reality (SIVR) based research innovations based on situational learning theory have not been widely used to improve student proficiency. This study aimed to analyze the skills, motivation, and satisfaction of nursing students with urinary catheterization learning before and after the implementation of SIVR.
Methods: The study was designed as a pre-test and post-test randomized controlled trial (RCT). The study population was undergraduate nursing students at the Bhakti Wiyata Health Sciences Institute, Kediri. The SIVR group (n=52) received catheterization skill practice through SIVR, whereas the control group (n=52) was given 2-dimensional video learning. The results obtained were catheterization skills, motivation, and satisfaction, which were evaluated before and after the intervention. In this study's statistical test analysis, the chi-square test and the independent t-test were used.
Results: Post-test results showed a significant improvement in catheterization skills in the SIVR group (M = 92.74, SD = 1.05, p = 0.032) compared to the control group (M = 79.95, SD = 1.51), a significant improvement in motivation in the SIVR group (M = 6.48, SD = 0.54, p = 0.010) compared to the control group (M = 5.23, SD = 0.49), and a significant improvement in satisfaction in the SIVR group (M = 3.49, SD = 0.83, p = 0.024) compared to the control group (M = 2.88, SD = 0.52).
Conclusion: SIVR simulation and video learning can improve nursing students' skills, motivation, and satisfaction. SIVR program learning can be recommended as an intervention for the effectiveness of the quality of practical learning following current technological advances and in the long term it is expected to improve graduates' practical skills.
References
Araujo AER de A e A, Aquino ADMC de A, Goulart IMB, Pereira SRF, Figueiredo IA, Serra HO, et al. Factors Associated with Neural Alterations and Physical Disabilities in Patients with Leprosy in São Luis, State of Maranhão, Brazil. Rev Soc Bras Med Trop. 2014;47(August):490–7.
Giles M, Graham L, Ball J, King J, Watts W, Harris A, et al. Implementation of a multifaceted nurse-led intervention to reduce indwelling urinary catheter use in four Australian hospitals: A pre- and postintervention study. J Clin Nurs. 2020;29(5–6):872–86. https://doi.org/10.1111/jocn.15142
Tomczyk S, Twyman A, de Kraker MEA, Coutinho Rehse AP, Tartari E, Toledo JP, et al. The first WHO global survey on infection prevention and control in health-care facilities. Lancet Infect Dis. 2022;22(6):845–56. https://doi.org/10.1016/S1473-3099(21)00809-4
Öztürk D, Dinç L. Effect of web-based education on nursing students’ urinary catheterization knowledge and skills. Nurse Educ Today [Internet]. 2014;34(5):802–8. Available from: http://dx.doi.org/10. 1016/j.nedt.2013.08.007
Gonzalez L, Sole M Lou. Urinary catheterization skills: One simulated checkoff is not enough. Clin Simul Nurs [Internet]. 2014;10(9):455–60. Available from: http://dx.doi.org/10. 1016/j.ecns.2014.07.002
Frost J, Delaney LJ. Nursing students’ experience in performing intimate clinical procedures via high fidelity Mask-Ed simulation. BMJ Simul Technol Enhanc Learn. 2019;5(2):73–7. https://doi.org/10.1136/bmjstel-2017-000293
Chang CL. Effect of Immersive Virtual Reality on Post-Baccalaureate Nursing Students’ In-Dwelling Urinary Catheter Skill and Learning Satisfaction. Healthc. 2022;10(8):1–12. https://doi.org/10.3390/ healthcare10081473
Aksoy B, Gurdogan EP. Examining Effects of The Flipped Classroom Aooroach on Motivation, Learning Strategies, Urinary System Knowledge, and Urinary Catheterization Skills of First-Year Nursing Students. Japan J Nurs Sci [Internet]. 2022;19(2). https://online library.wiley.com/doi/abs/10.1111/jjns.12469
Aldridge MD, Hummel F. Nursing Students’ Perceptions of Skills Learning A Phenomenologi Study. Nurse Educ. 2019;44(3):170–4. https://doi.org/10.1097/NNE.0000000000000569
Rias YA, Akasyah W, Apriyanto BS. The Effect of an Immersive Virtual Reality on Nasogastric Tube Feeding Skills and Self-efficacy Among Nursing Students. J Keperawatan Komprehensif [Internet]. 2023;9 (4):430–7. Available from: https://doi.org/10.33755/jkk
Chang YM, Lai CL. Exploring the experiences of nursing students in using immersive virtual reality to learn nursing skills. Nurse Educ Today [Internet]. 2021;97(September 2020):104670. https://doi.org/10. 1016/j.nedt.2020.104670
Huang W, Roscoe RD, Craig SD, Johnson-Glenberg MC. Extending the Cognitive-Affective Theory of Learning with Media in Virtual Reality Learning: A Structural Equation Modeling Approach. J Educ Comput Res. 2022;60(4):807–42. https://doi. org/10.1177/07356331211053630
Shorey S, Debby E. The Use of Virtual Reality Simulation Among Nursing Students and Registered Nurses: A Systematic Review. Nurse Educ Today [Internet]. 2021;98:104662–73. https://doi.org/10.1016/j.nedt.2020.104662
Vilar-Compte M, Pérez-Escamilla R, Moncada M, Flores D. How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis. Int Breastfeed J. 2020;15(1):1–9. https://doi.org/10. 1186/s13006-020-00297-6
Duff E, Miller L, Bruce J. Online Virtual Simulation and Diagnostic Reasoning: A Scoping Review. Clin Simul Nurs [Internet]. 2016;12(9):377–84. Available from: http://dx.doi.org/10. 1016/j.ecns.2016.04.001
Herling KA. Cost-Utility Analysis of Virtual and Mannequin Based Simulation. J Soc Simul Healthc. 2018;13(1):33–40. http://dx.doi.org/ 10.1097/SIH.0000000000000280
Shin S, Park JH, Kim JH. Effectiveness of patient simulation in nursing education: Meta-analysis. Nurse Educ Today [Internet]. 2015;35(1):176–82. Available from: http://dx.doi.org/10 .1016/j.nedt.2014.09.009
Avila EC, Genio AMGJ. Motivation and Learning Strategies of Education Students in Online Learning during Pandemic. Psychol Educ J [Internet]. 2020;57(9):1608–14. http://psychologyandeducation.net/pae/index.php/pae/article/view/506
Bin Dayel S, Al Diab A, Abdelaziz A, Farghaly A, Al Ansari A. Validity of the motivated strategies for learning questionnaire in Saudi Arabia. Int J Med Educ. 2018;9(309):309–15. http://dx.doi.org/10.5116/ijme.5bec.81cf
Hwang YS, Choi YK. Higher education service quality and student satisfaction, institutional image, and behavioral intention. Soc Behav Personal an Int J. 2019;47(2):1–12. http://dx.doi.org/10.2224/sbp.7622
Park S, Yoon HG. Effect of Virtual-Reality Simulation of Indwelling Catheterization on Nursing Students’ Skills, Confidence, and Satisfaction. Clin Simul Nurs. 2023;80:46–54. https://doi.org/10.1016/j.ecns.2023.05.001
Yoon H, Lee E, Kim CJ, Shin Y. Virtual Reality Simulation-Based Clinical Procedure Skills Training for Nursing College Students: A Quasi-Experimental Study. Healthc. 2024;12(11):1–12. https://doi.org/ 10.3390/healthcare12111109
Choi KS. Virtual reality simulation for learning wound dressing: Acceptance and usability. Clin Simul Nurs [Internet]. 2022;68:49–57. Available from: https://doi.org/10.1016/ j.ecns.2022.04.010
Lau ST, Liaw SY, Loh WL, Schmidt LT, Yap J, Lim FP, et al. Mid-career switch nursing students’ perceptions and experiences of using immersive virtual reality for clinical skills learning: A mixed methods study. Nurse Educ Today [Internet]. 2023;124(February):105760. https://doi.org/10.1016/j.nedt.2023.105760
Ryan G V., Callaghan S, Rafferty A, Higgins MF, Mangina E, McAuliffe F. Learning Outcomes of Immersive Technologies in Health Care Student Education: Systematic Review of the Literature. J Med Internet Res. 2022;24(2):1–13. https://doi.org/10.2196/30082
Chang CY, Sung HY, Guo JL, Chang BY, Kuo FR. Effects of spherical video-based virtual reality on nursing students’ learning performance in childbirth education training. Interact Learn Environ [Internet]. 2022;30 (3):400–16. Available from: https://doi.org/10.1080/10494820.2019.1661854
Akgün M, Atici B. The Effects of Immersive Virtual Reality Environments on Students’ Academic Achievement: A Meta-analytical and Meta-thematic Study. Particip Educ Res. 2022;9(3):111–31. http://dx.doi. org/10.17275/per.22.57.9.3
