Effect of the Preparation of Immersive Technology on Knowledge, Learning Outcome, Satisfaction, Practical Skills, and Self-Confidence in Practising Delivery among Student Nurses and Satisfaction with Maternity
Main Article Content
Abstract
This study aims to compare the knowledge, learning outcomes, satisfaction, practical skills, and self-confidence in practising delivery among students who have prepared for delivery practice with immersive technology. Additionally, the study aims to assess the satisfaction of maternity. This study employed a mixed-method research design (convergent design). The quantitative analysis included 128 students divided into three groups: group 1 used 360-degree clips, group 2 used a Google Cardboard camera, and group 3 used a VR camera. Qualitative data were collected on 16 mothers who received care during childbirth from students. The quantitative research utilized three questionnaires and one evaluation. The reliability of the knowledge was at 0.78, while Cronbach's alpha coefficients for learning outcomes and satisfaction were at 0.95 and 0.92, respectively. Statistics were used to find the average difference and content analysis for qualitative data. The results showed that 1) After being trained with immersive technology, there was a noteworthy difference in the level of knowledge at a significant level of 0.001 (F = 5.99, p < .001). The group that used 360-degree clips exhibited distinct differences from those that used the Google Cardboard and VR cameras. 2) There was no significant difference in the average learning outcome. 3) The level of student satisfaction, on average, is high. 4) The skill level in practical, on average, is good. 5) Students feel self-confidence in their ability to give birth after preparation. 6) The maternity is satisfied and can follow the students' teachings during the birth. The recommendation is to incorporate immersive technology in nursing education as a novel approach to bridging the gap between theoretical knowledge and practical application. This study can significantly help nursing students develop their practical skills, especially in high-risk practices or specific areas of expertise, while reducing the chances of errors in patients.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Adhikari, R., Kydonaki, C., Lawrie, J., O'Reilly, M., Ballantyne, B., Whitehorn, J., & Paterson, R. (2021). A mixed-methods feasibility study to assess the acceptability and applicability of immersive virtual reality sepsis game as an adjunct to nursing education. Nurse Education Today, 103, 104944. Retrieved 19 May 2021 from https://doi.org/10.1016/j.nedt.2021.104944
Bayram, S.B., & Caliskan, N. (2020). The use of virtual reality simulations in nursing education, and
patient safety. Contemporary Topics in Patient Safety, from doi: 10.5772/intechopen.94108. Retrieved 19 May 2021 from http://www.bpp.mua.go.th/main/download/plan/%pdf
Berg, H., & Steinsbekk, A. (2020). Is individual practice in an immersive and interactive virtual reality application non-inferior to practicing with traditional equipment in learning systematic clinical observation? A randomized controlled trial. BMC Med Educ, 20(1),123. Retrieved 19 May 2021 from https://doi.org/10.1186/s12909-020-02030-7. PMID: 32326948; PMCID: PMC7181571
Botha, B. S., De Wet, L., & Botma, Y. (2021). Undergraduate nursing student experiences in using immersive virtual reality to manage a patient with a foreign object in the right lung. Clinical Simulation in Nursing, 56, 76–83. Retrieved 19 May 2021 from https://doi.org/10.1016/j.ecns.2020.10.008
Breitkreuz, K.R., Kardong-Edgren, S., Gilbert, G. E., DeBlieck, C., Maske, M., Hallock, C., …, Noe, S. R. (2021). A multi-site study examining the usability of a virtual reality game designed to improve retention of sterile catheterization skills in nursing students. Simulation and Gaming, 52(2), 169–184. Retrieved 19 May 2021 from https://doi.org/10.1177/1046878120954891
Bucher, S.L., Cardellichio, P., Muinga, N., Patterson, J.K., Thukral, A., Deorari, A.K., …, Purkayastha, S. (2020). Digital health innovations, tools, and resources to support helping babies survive programs. Pediatrics, 146(Suppl 2): S165-S182. Retrieved 19 May 2021 from https://doi.org/10.1542/peds.2020-016915I
Chao, Y., Hu, S. H., Chiu, H., Huang, P., Tsai, H., & Chuang, Y. (2021). The effects of an immersive 3d interactive video program on improving student nurses' nursing skill competence: A randomized controlled trial study. Nurse Education Today, 103, 104979. Retrieved 19 May 2021 from https://doi.org/10.1016/j.nedt.2021.104979
Chen, F., Leng, Y., Ge, J., Wang, D., Li, C., Chen, B., & Sun, Z. (2020). Effectiveness of virtual reality in nursing education: Meta-analysis. Journal of medical internet research, 22(9), e18290. Retrieved 19 May 2021 from https://www.jmir.org/
Creswell, J.W., & Creswell, J. (2018). Research design qualitative, quantitative, and mixed methods approachs (5th ed.). California: Sage Publications, Inc.
Cristina Yuri, N.H., Fernanda dos Santos, N.G., Rosangela Andrade, A.C., Luciana Mara, M.F., &Natalia Del, A.A. (2021). Design and evaluation of a 3D serious game for communication learning in nursing education. Nurse Education Today, 100, e104846. Retrieved 19 May 2021 from doi: 10.1016/j.nedt.2021.104846.
Deeying, C., Kunudom, C., Siriwat, W., Potchana, R., Thongpaiboon, P., & Khongsang, M. (2021). Development of a pain management model for women during the first stage of labor. Journal of Nursing Science & Health, 44(2), 24-36. [In Thai]
Dubovi, I., Levy, S. T., & Dagan, E. (2017). Now I know how! The learning process of medication administration among nursing students with non-immersive desktop virtual reality simulation. Computers & Education, 113, 16-27. Retrieved 19 May 2021 from https://doi.org/10.1016/j.compedu.2017.05.009
Jeon, J., & Park, S. (2021) An exploratory study to develop a virtual reality based simulation training program for hypovolemic shock nursing care: A qualitative study using focus group interview. Healthcare (Basel), 9(4), 417. Retrieved 19 May 2021 from https://doi.org/10.3390/healthcare9040417. PMID: 33916578; PMCID: PMC8065942
Kampan, S., Saetan, C., & Damchuti, I. (2019). Caring behaviors as perceived by both nursing students and pregnant women during the stage of labor: A comparison study. Princess of Naradhiwas University journal, 12(1), 15-24. [In Thai]
Krippendorff, K. (2018). Content analysis an interdiction to its methodology (4th ed.). Pennsylvania: Sage Publications. Muangkaew, R., & Winalaivanakoon, C. (2019). Development of teaching and learning management on transfer learning to promote students' ability into practical practice. Journal of Nursing and Health Sciences, 13(1), 23-34. [In Thai]
Neamsakul, W. (2017). The First time experiences to assist in childbirth of the third year nursing students. Boromarajonani college of nursing, uttaradit journal, 9(2), 1-17. [In Thai]
Nugraha, A.S., Faza, A.N., Indayani, W., Haryanto, H., & Setiawan, A. (2018). A natural childbirth training simulation in virtual environment for prospective midwife. 5th International Conference on Information Technology, Computer, and Electrical Engineering (ICITACEE), Semarang, Indonesia, 2018, 142-146, Retrieved 20 May 2021 from https://doi.org/10.3390/healthcare9040417
Office of Higher Education Policy and Planning. (2018). Long-term higher education strategy for the next 20 years (2018-2037). Piyawang Graphics Co., Ltd. Retrieved 12 May 2021 from http://www.mua.go.th/users/bpp/main/download/plan/plan20yrs.pdf
Pereira, A.L.M., Leon, C.G.R.M.P., Ribeiro, L.M., Brasil, G.D.C., Carneiro, K.K.G., Vieira, G.B., …, Funghetto, S.S. (2020). Web-based virtual learning environment for medicine administration in pediatrics and neonatology: Content evaluation. JMIR Serious Games, 8(4). Retrieved 19 May 2021 from https://doi.org/10.2196/18258
Shea, R. (2021). School of nursing introduces a new,cost-effective form of training: Virtual reality,both on-screen and via headset, VR prepares students for high-risk emergency room situations.Johns Hopkins university. Retrieved 19 May 2023 from https://hub.jhu.edu/2021/03/12/school-ofnursing-virtual-reality
Thailand nursing and midwifery council. (2021). Patient eights. Retrieved 12/05/2021 from https://www.tnmc.or.th/
Yeamsai, T., Poowang, N., & Upacha, O. (2020). The development model to support the competencies of nursing during childbirth among staff nurses in the delivery room Phonphisai hospital, Nong Khai province. Journal of Health Science and Community Public Health, 3(3), 112-126. [In Thai]