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ERIC Number: EJ1394419
Record Type: Journal
Publication Date: 2023
Pages: 29
Abstractor: As Provided
ISSN: ISSN-1537-2456
EISSN: EISSN-1943-5932
Nursing Education through the Lens of Immersive Simulation: A Comparison of Student Knowledge, Skill, and Motivation to Learn via Two-Dimensional Video versus eXtended Reality
Hoyt, Helina; Hauze, Sean
International Journal on E-Learning, v22 n2 p129-157 2023
Nursing education relies on simulation to provide standardized, safe clinical experiences to prepare nurses for complex patient scenarios. Traditional simulation requires cost-prohibitive equipment and facilities, which are incompatible with complex scenarios and distance learning. Early studies indicate eXtended Reality technology is an effective modality to deliver educational simulation. However, the existing research is not yet conclusive. This study explored the use of a holographic video virtual standardized patient simulation to assess student knowledge, skill, and motivation to learn for a low-frequency, high-risk patient scenario surrounding anaphylaxis. Participating students (n=161) across three levels of nursing courses were stratified and randomly assigned to an anaphylaxis simulation research group delivered by three different modalities. Analysis of covariance showed differences in student knowledge, skill, and motivation to learn between modalities of a written case study, two-dimensional video, and eXtended Reality. These results indicated two-dimensional video provided the highest degree of knowledge and skill, while eXtended Reality simulation resulted in increased student motivation to learn. Stepwise regression indicated that conscious placement of the simulation across the learning continuum should be considered. These results have implications for affordable simulation to motivate learning and provide experiences with low-frequency, high-risk scenarios.
Association for the Advancement of Computing in Education. P.O. Box 719, Waynesville, NC 28786. Tel: 828-246-9558; Fax: 828-246-9557; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: Higher Education; Postsecondary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A