Journal of Advances in Medical Education & Professionalism

Nursing Students’ Perspectives on the Relationship between Virtual Reality Simulation and Clinical Decision-Making, Confidence, and Anxiety: A Cross-Sectional Study

HAZEM ALFANASH; MAHMOUD AL-KALALDEH; KHALDOON ALNAWAFLEH; WESAM ALMAGHARBEH

Volume 13, Issue 3 , July 2025, , Pages 191-197

https://doi.org/10.30476/jamp.2025.105619.2115

Abstract

Introduction: This study addresses this gap by assessing the relationship of VR simulation with improving clinical decisionmaking, confidence, and anxiety reduction among nursing students. ... Read More Introduction: This study addresses this gap by assessing the relationship of VR simulation with improving clinical decisionmaking, confidence, and anxiety reduction among nursing students. The aim of this study is the relationship between virtual reality simulation and their clinical decision-making, confidence, and anxiety reduction using a cross-sectional study from the perspectives of nursing students.Methods: This cross-sectional study surveyed 200 nursing students enrolled in clinical courses utilizing virtual reality (VR) simulation for educational purposes. A structured questionnairewas used to assess their clinical decision-making, confidence, and anxiety reduction following the VR simulation course. The survey included scales validated through a panel of experts andquestionnaire validation methodologies, using a 5-point Likert scale. Descriptive statistics were used to summarize the data, and inferential statistical tests, including Pearson’s correlation and independent-sample t-tests, were conducted to examine the associations. Multiple linear regression analysis was performed to assess the predictive value of confidence and anxiety on clinical decision-making while controlling demographic variables.Results: A total of 200 nursing students participated in the study. The mean (SD) clinical decision-making score was 3.16 (1.23) out of 5, while confidence and anxiety reduction scores were 2.64 (1.34) and 2.49 (1.32), respectively. No significant correlation was found between decision-making and confidence (r=-0.079, p=0.264) or anxiety scores (r=0.121, p=0.088), but confidence and anxiety scores showed a weak direct correlation (r=0.180, p=0.011). Multiple linear regression analysis revealed that confidence and anxiety were not significant predictors of decision-making, but gender was a significant predictor, with males scoring higher (β=0.19, p=0.041).Conclusions: While VR directly influences decision-making, it has a limited association with changes in nursing students’ confidence and anxiety levels. These findings suggest that VRsimulation alone may not be sufficient for enhancing confidence and reducing anxiety and should be integrated with other instructional strategies to maximize its effectiveness in nursing education. Future studies should explore complementary training methods to improve clinical preparedness.

Transition to the Faculty Role: A Qualitative Study into the Experiences of Nursing Faculty

SEYYED ABOLFAZ VAGHARSEYYEDIN; HAKIMEH SABEGHI

Volume 13, Issue 1 , January 2025, , Pages 59-66

https://doi.org/10.30476/jamp.2024.103841.2028

Abstract

Introduction: The quality of nursing education depends on the availability of faculty members with great professional knowledge and clinical work experience. Thus, novice faculty may ... Read More

Investigating the Effect of Online Gamification on Electrocardiogram Interpretation and Self-Directed Learning in Nursing Students

HAMID TAGHINEJAD; MOSAYEB MOZAFARI; AMIRREZA BAZHDAN; ALIREZA VASIEE

Volume 12, Issue 3 , July 2024, , Pages 199-207

https://doi.org/10.30476/jamp.2024.101396.1925

Abstract

Introduction: Knowing and interpreting the Electrocardiogram correctly and taking care based on it is one of the most important ways to save the patient’s life. Therefore, this ... Read More Introduction: Knowing and interpreting the Electrocardiogram correctly and taking care based on it is one of the most important ways to save the patient’s life. Therefore, this study aimed toinvestigate the effect of online gamification on the ability to interpret Electrocardiograms and Self-Directed Learning in nursing students.Methods: The present study was carried out quasi-experimentally on 44 nursing students (22 participants for each group) in the fifth semester in Ilam city in 2023 using a convenience sampling method by four permutations balanced block randomization to control and intervention groups. During four sessions in four weeks, the participants in the intervention group receivedElectrocardiogram interpretation as training on the Storyline platform and playing games in the Socrative software. The control group received the same content in the form of education from the same lecturer. ECG Interpretation Learning Test, Self-Directed Learning, Mini-Mental Status Examination, and demographic questionnaires were filled out before the intervention (pre-test).Then, Electrocardiogram Interpretation Learning Test and Self-Directed Learning questionnaires were completed two weeks after the end of the intervention (post-test), and the data were analyzed in the standard error of 0.05 using Shapiro-Wilk, independent t-test, paired t-test, chi-square, and multiple linear regression tests in SPSS V.16.Results: The mean and standard deviation of the participants’age was 21.35±1.02, and 59% of the samples were male. Before the intervention, no significant difference was observed between the two groups, but after the intervention, the mean and standard deviation of the ECG interpretation scores in the intervention group increased significantly (14.1±2.94) compared to the control group (8.8±1.36) (P=0.007). Also, Self-Directed Learning in the intervention group (168±10.42) compared to the control group (125±4.3) showed a statistically significant difference (P=0.003).Conclusion: Using online gamification as a new educational method in nursing students improves the ability to interpret Electrocardiograms and Self-Directed Learning. It is suggested that this method should be used to teach lessons that are more useful and important at the hospital.

Psychometric Properties of Clinical Learning Environment Comparison Survey Questionnaire in Nursing Students

SHIRIN RIAHI; MINA ABOLFAZLIE; MOHSEN ARABI

Volume 10, Issue 4 , October 2022, , Pages 267-273

https://doi.org/10.30476/jamp.2022.95206.1630

Abstract

Introduction: Continuous evaluations of clinical education and learning in nursing require the use of valid and reliableinstruments. The present study aimed to evaluate the validity ... Read More

Education of nursing profession amid COVID-19 Pandemic: A qualitative study

MARYAM TOLYAT; SEYYED ABOLFAZL VAGHARSEYYEDIN; MARYAM NAKHAEI

Volume 10, Issue 1 , January 2022, , Pages 39-47

https://doi.org/10.30476/jamp.2021.90779.1422

Abstract

Introduction: COVID-19 pandemic is the main challenge with which the education systems in the world have ever faced. Furthermore, nursing students and nurse educators have ... Read More

Nursing educators’ perception of disruptive behaviors in the professional work environment: A qualitative study

MARYAM TOLYAT; SEYYED ABOLFAZL VAGHARSEYYEDIN; MARYAM NAKHAEI

Volume 9, Issue 3 , July 2021, , Pages 160-167

https://doi.org/10.30476/jamp.2021.89703.1383

Abstract

Introduction: Disruptive behaviors among nursing educators are a globally recognized problem. They have detrimental effects on nursing educators, the nursing profession, students ... Read More

Collaborative Mentoring: Perceptions of a sample of Iranian Nursing and Midwifery faculties

HAKIMEH SABEGHI; SEYYED ABOLFAZL VAGHARSEYYEDIN; MARYAM SALMANI MOOD

Volume 8, Issue 4 , October 2020, , Pages 189-195

https://doi.org/10.30476/jamp.2020.86604.1252

Abstract

Introduction: Mentoring programs have the potential to develop human interaction based on respect, perseverance, and trust. This study aimed to explore the perspectives of ... Read More

Journal of Advances in Medical Education & Professionalism

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Keywords = Nursing

Nursing Students’ Perspectives on the Relationship between Virtual Reality Simulation and Clinical Decision-Making, Confidence, and Anxiety: A Cross-Sectional Study

Abstract

Transition to the Faculty Role: A Qualitative Study into the Experiences of Nursing Faculty

Abstract

Investigating the Effect of Online Gamification on Electrocardiogram Interpretation and Self-Directed Learning in Nursing Students

Abstract

Psychometric Properties of Clinical Learning Environment Comparison Survey Questionnaire in Nursing Students

Abstract

Education of nursing profession amid COVID-19 Pandemic: A qualitative study

Abstract

Nursing educators’ perception of disruptive behaviors in the professional work environment: A qualitative study

Abstract

Collaborative Mentoring: Perceptions of a sample of Iranian Nursing and Midwifery faculties

Abstract