The Effects of Simulation-Based Learning Using Virtual Reality in Nursing Student:A Meta-Analysis

摘要

Purpose:This study is a meta-analysis to assess the effect of simulation-based learning using virtual reality(VR)on knowledge,affective,and performance domain outcomes of learning in nursing students.Methods:A literature search was conducted using Cochrane library,PubMed,EMBASE,Web of Science,ProQuest,ScienceDirect,Springer and Ovid eight electronic English databases,independently by 2 of the authors from January 2008 to December 2018.The RevMan 5.3 program of the Cochrane library was used to analyze the data with mean and standardized differences.Results:A total of 10 studies(5 randomized control trials(RCTs)and 5 non-RCTs)involved 630 nursing students.As a whole,simulation-based learning using VR appeared to have beneficial effects on the knowledge(I2=50%,95%CI 0.35[0.09,0.62],P=0.009),have no significant difference on the performance(I2=97%,95%CI 1.05[-0.54,2.63],P=0.19)and have a negative impact on the affective field(I2=0%,95%CI-0.43[-0.71,-0.15],P=0.003).Conclusion:The existing evidences imply that simulation-based learning using VR might have a positive trend that is beneficial to knowledge and clinical skill acquisition.However,the best way of integration still needs further research to be identified.