Enhancing nursing students' self-reported self-efficacy and professional competence in basic life support: the role of virtual simulation prior to high-fidelity training

Abstract

Background: In-hospital cardiac arrests often result in poor outcomes. Effective basic life support (BLS) relies on the competence of responders, yet nursing students often lack these skills. This study aimed to assess the impact of virtual reality (VR) BLS simulation on nursing students' self-reported self-efficacy and professional competence. Methods: An intervention study using a convergent mixed-methods approach was conducted, using questionnaires, interviews, and observations. Third-year nursing students (fifth term) were invited to participate. Qualitative and quantitative data were analysed separately and then integrated. Results: Fifty-nine students were randomised: 30 to the VR group and 29 to the control group. Interviews were conducted with 10 VR group students and eight control group students. VR simulation enhanced self-reported self-efficacy and professional competence in high fidelity (HF) simulation. Three themes emerged from the interviews: perception of time, awareness of competences, and use of professional language. Overall, VR simulation had a positive impact on self-efficacy in general, particularly for BLS. Conclusion: VR simulation is an effective supplement to BLS training for nursing students, enhancing self-reported self-efficacy and professional competence before HF simulation. © 2024 Organization for Associate Degree Nursing

Keywords

Author Keywords

education Virtual reality Simulation Nursing basic life support

Index Keywords

Author Affiliations

Department of Anesthesiology, Regionshospitalet Horsens, Horsens, Midtjylland, Denmark, Department of Clinical Medicine, Aarhus Universitet, Aarhus, Midtjylland, Denmark

Department of Anesthesiology, Regionshospitalet Horsens, Horsens, Midtjylland, Denmark

Danmarks Institut for Pædagogik og Uddannelse, Copenhagen, Hovedstaden, Denmark

Funding & Acknowledgements

Region Midtjylland, RM

Funding text 1: The study was approved by the Data Protection Agency (1-16-02-421-21). Furthermore, the study was submitted for approval at the Central Denmark Region Committees on Health Ethics; however, approval was unnecessary as the Central Denmark Region Committees on Health Ethics\u2019 Biomedical Research Ethics Committees System Act did not apply to this study. Written and informed consent were obtained from all participants. Not applicable. The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request. The study was partly funded by Regional Development, Central Denmark Region, Denmark. The funders had no role in the study design, data collection and analysis or preparation of the manuscript. Undertaking this study would not have been possible without the support from many people. The authors gratefully acknowledge the contributions from: associate professor Nis Kaasby, VIA University College, Horsens, Denmark; simulation-centre coordinator Charlotte Hansen, Department of Medicine, Horsens Regional Hospital, and CEO Ege Jespersen, AATE VR for great collaboration in the development of the VR simulation scenario used in this study and during the study. Thank you to Research Secretary Line Jensen, Department of Research, Horsens Hospital, Denmark for proofreading and all the great students for their willingness to contribute personally to our study to attain new knowledge. The project group has been a part of the development of the VR scenario used in the study (user experience design) in collaboration with AATE VR. AATE has not been a part of any of the steps in this study including design, analysis and writing the manuscript.; Funding text 2: The study was partly funded by Regional Development, Central Denmark Region, Denmark. The funders had no role in the study design, data collection and analysis or preparation of the manuscript.; Funding text 3: Conflict of Interest: the authors state no conflict of interest: Financial Disclosure statement: This work was supported by Regional Development, Central Denmark Region, Denmark

Grant: 1-16-02-421-21

Funding text 1: The study was approved by the Data Protection Agency (1-16-02-421-21). Furthermore, the study was submitted for approval at the Central Denmark Region Committees on Health Ethics; however, approval was unnecessary as the Central Denmark Region Committees on Health Ethics\u2019 Biomedical Research Ethics Committees System Act did not apply to this study. Written and informed consent were obtained from all participants. Not applicable. The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request. The study was partly funded by Regional Development, Central Denmark Region, Denmark. The funders had no role in the study design, data collection and analysis or preparation of the manuscript. Undertaking this study would not have been possible without the support from many people. The authors gratefully acknowledge the contributions from: associate professor Nis Kaasby, VIA University College, Horsens, Denmark; simulation-centre coordinator Charlotte Hansen, Department of Medicine, Horsens Regional Hospital, and CEO Ege Jespersen, AATE VR for great collaboration in the development of the VR simulation scenario used in this study and during the study. Thank you to Research Secretary Line Jensen, Department of Research, Horsens Hospital, Denmark for proofreading and all the great students for their willingness to contribute personally to our study to attain new knowledge. The project group has been a part of the development of the VR scenario used in the study (user experience design) in collaboration with AATE VR. AATE has not been a part of any of the steps in this study including design, analysis and writing the manuscript.; Funding text 2: The study was partly funded by Regional Development, Central Denmark Region, Denmark. The funders had no role in the study design, data collection and analysis or preparation of the manuscript.; Funding text 3: Conflict of Interest: the authors state no conflict of interest: Financial Disclosure statement: This work was supported by Regional Development, Central Denmark Region, Denmark

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Enhancing nursing students' self-reported self-efficacy and professional competence in basic life support: the role of virtual simulation prior to high-fidelity training

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