International Peer-Reviewed JournalOpen AccessISSN 2456-8880
irejournals@gmail.com+91-7433024337

Home / Current Issue / Paper 1709704

1709704 Vol 4 · Issue 2 Download Paper

Immersive Technology in Nursing Education: A Framework-Guided Review Using Experiential Learning Theory

Christiana Adeyemi Opeoluwa Oluwanifemi Ajayi Irene Sagay Sandra Oparah

Subject area: Science,Engineering and Technology  ·  Area of research: Immersive Technology

Abstract

The increasing complexity of healthcare delivery and evolving patient care needs have accelerated the adoption of innovative educational strategies in nursing education. Immersive technologies, particularly Virtual Reality (VR) and Augmented Reality (AR), are emerging as transformative tools that offer experiential, interactive, and learner-centered approaches to clinical education. This framework-guided review examines the use of VR and AR in nursing education, applying Kolb?s Experiential Learning Theory and Bloom?s Digital Taxonomy to analyze their educational value, practical applications, and pedagogical outcomes. Kolb?s Experiential Learning Theory emphasizes a cyclical process of learning through experience, consisting of four key stages: concrete experience, reflective observation, abstract conceptualization, and active experimentation. VR and AR simulations align well with this model by providing realistic clinical experiences where nursing students can practice critical skills, engage in reflective debriefings, apply theoretical concepts, and subsequently transfer their learning to real-world clinical settings. Additionally, Bloom?s Digital Taxonomy offers a structured framework for evaluating cognitive engagement in digital learning environments, mapping VR/AR learning activities to higher-order cognitive domains such as applying, analyzing, evaluating, and creating. The review explores how immersive technologies are being utilized for a range of educational purposes, including clinical skills development, complex patient scenario management, empathy training, and interprofessional collaboration. Evidence suggests that VR and AR enhance knowledge retention, improve psychomotor skills, foster clinical reasoning, and boost learner engagement. Despite these advantages, challenges such as high costs, technological barriers, limited faculty training, and integration difficulties persist. The review concludes by emphasizing the need for comprehensive faculty development, evidence-based curriculum design, and further research on long-term learning outcomes. It highlights the importance of leveraging experiential learning frameworks to maximize the educational benefits of VR/AR technologies, ensuring their effective integration into nursing education for building competent, adaptable, and technology-savvy nursing professionals.

Keywords

Immersive Technology, Nursing Education, Framework-Guided Review, Experiential Learning Theory

References

[1] Alexander, B., Becker, S.A., Cummins, M. and Giesinger, C.H., 2017. Digital literacy in higher education, Part II: An NMC Horizon project strategic brief (pp. 1-37). The New Media Consortium.

[2] Allen, J.A., Reiter-Palmon, R., Crowe, J. and Scott, C., 2018. Debriefs: Teams learning from doing in context. American Psychologist, 73(4), p.504.

[3] Angelopoulos, A., Michailidis, E.T., Nomikos, N., Trakadas, P., Hatziefremidis, A., Voliotis, S. and Zahariadis, T., 2019. Tackling faults in the industry 4.0 era—a survey of machine-learning solutions and key aspects. Sensors, 20(1), p.109.

[4] Asche, C.V., Kim, M., Brown, A., Golden, A., Laack, T.A., Rosario, J., Strother, C., Totten, V.Y. and Okuda, Y., 2018. Communicating value in simulation: cost–benefit analysis and return on investment. Academic Emergency Medicine, 25(2), pp.230-237.

[5] Ayad, A., Wilkinson, E. and Matthews, R., 2019. Systemic experiential learning model for the evaluation of technological learning: The case of small satellite capability-building in Algeria. International Journal of Technology Management & Sustainable Development, 18(1), pp.75-100.

[6] Babu, S.K., Krishna, S. and Bhavani, R.R., 2018, July. Virtual reality learning environments for vocational education: A comparison study with conventional instructional media on knowledge retention. In 2018 IEEE 18th international conference on advanced learning technologies (ICALT) (pp. 385-389). IEEE.

[7] Baikulova, M. and Suderevskaia, E., 2019. Futures Research: The Application of VR and AR Emerging Technologies in New Media: Future of Immersive Visuals Online.

[8] Berkhout, J.J., Helmich, E., Teunissen, P.W., van der Vleuten, C.P. and Jaarsma, A.D.C., 2018. Context matters when striving to promote active and lifelong learning in medical education. Medical education, 52(1), pp.34-44.

[9] Birt, J. and Cowling, M., 2017. Toward future'mixed reality'learning spaces for STEAM education. International Journal of Innovation in Science and Mathematics Education, 25(4).

[10] Broisin, J., Venant, R. and Vidal, P., 2017. Lab4CE: a remote laboratory for computer education. International Journal of Artificial Intelligence in Education, 27, pp.154-180.

[11] Bullard, M.J., Leuck, J.A. and Howley, L.D., 2017. Unifying interdisciplinary education: designing and implementing an intern simulation educational curriculum to increase confidence in critical care from PGY1 to PGY2. BMC Research Notes, 10, pp.1-6.

[12] Cantrell, M.L., Meyer, S.L. and Mosack, V., 2017. Effects of simulation on nursing student stress: An integrative review. Journal of nursing education, 56(3), pp.139-144.

[13] Dudding, C.C. and Nottingham, E.E., 2018. A national survey of simulation use in university programs in communication sciences and disorders. American Journal of Speech-Language Pathology, 27(1), pp.71-81.

[14] Eneogu, R.A., Mitchell, E.M., Ogbudebe, C., Aboki, D., Anyebe, V., Dimkpa, C.B., Egbule, D., Nsa, B., van der Grinten, E., Soyinka, F. and Abdur-Razzaq, H., 2020. Operationalizing Mobile Computer-assisted TB Screening and Diagnosis With Wellness on Wheels (WoW)) in Nigeria: Balancing Feasibility and Iterative Efficiency.

[15] Engelbrecht, H., Lindeman, R.W. and Hoermann, S., 2019. A SWOT analysis of the field of virtual reality for firefighter training. Frontiers in Robotics and AI, 6, p.101.

[16] Fealy, S., Jones, D., Hutton, A., Graham, K., McNeill, L., Sweet, L. and Hazelton, M., 2019. The integration of immersive virtual reality in tertiary nursing and midwifery education: A scoping review. Nurse education today, 79, pp.14-19.

[17] Fewster-Thuente, L. and Batteson, T.J., 2018. Kolb's experiential learning theory as a theoretical underpinning for interprofessional education. Journal of allied health, 47(1), pp.3-8.

[18] Flinter, M., Hsu, C., Cromp, D., Ladden, M.D. and Wagner, E.H., 2017. Registered nurses in primary care: emerging new roles and contributions to team-based care in high-performing practices. The Journal of ambulatory care management, 40(4), pp.287-296.

[19] Frerejean, J., Van Merriënboer, J.J., Kirschner, P.A., Roex, A., Aertgeerts, B. and Marcellis, M., 2019. Designing instruction for complex learning: 4C/ID in higher education. European Journal of Education, 54(4), pp.513-524.

[20] Gambo, J.M., Bahreman, N.T., Watties-Daniels, D., Neal, M. and Swoboda, S.M., 2017. Can mobile technology enhance learning and change educational practice?. CIN: Computers, Informatics, Nursing, 35(8), pp.375-380.

[21] González, A.V., Koh, S., Kapalo, K., Sottilare, R., Garrity, P., Billinghurst, M. and LaViola, J., 2019, October. A comparison of desktop and augmented reality scenario based training authoring tools. In 2019 IEEE International Symposium on Mixed and Augmented Reality (ISMAR) (pp. 339-350). IEEE.

[22] Han, S., 2019. An integrative review on augmented reality/virtual reality simulation programs in the mental health area for health professionals. International Journal of Contents, 15(4), pp.36-43.

[23] Harris, N. and Bacon, C.E.W., 2019. Developing cognitive skills through active learning: a systematic review of health care professions. Athletic Training Education Journal, 14(2), pp.135-148.

[24] Hauze, S.W., Hoyt, H.H., Frazee, J.P., Greiner, P.A. and Marshall, J.M., 2019. Enhancing nursing education through affordable and realistic holographic mixed reality: the virtual standardized patient for clinical simulation. Biomedical Visualisation: Volume 1, pp.1-13.

[25] Heitzmann, N., Seidel, T., Opitz, A., Hetmanek, A., Wecker, C., Fischer, M.R., Ufer, S., Schmidmaier, R., Neuhaus, B., Siebeck, M. and Stürmer, K., 2019. Facilitating diagnostic competences in simulations in higher education: a framework and a research agenda. Frontline Learning Research, 7(4), pp.1-24.

[26] Ho, L.H., Sun, H. and Tsai, T.H., 2019. Research on 3D painting in virtual reality to improve students’ motivation of 3D animation learning. Sustainability, 11(6), p.1605.

[27] Hsieh, M.C. and Lee, J.J., 2018. Preliminary study of VR and AR applications in medical and healthcare education. J Nurs Health Stud, 3(1), p.1.

[28] Joda, T., Gallucci, G.O., Wismeijer, D. and Zitzmann, N.U., 2019. Augmented and virtual reality in dental medicine: A systematic review. Computers in biology and medicine, 108, pp.93-100.

[29] Kavanagh, S., Luxton-Reilly, A., Wuensche, B. and Plimmer, B., 2017. A systematic review of virtual reality in education. Themes in science and technology education, 10(2), pp.85-119.

[30] Khoshnevisan, B. and Le, N., 2018. Augmented reality in language education: A systematic literature review. Adv. Glob. Educ. Res, 2, pp.57-71.

[31] Kingsley Ojeikere, Opeoluwa Oluwanifemi Akomolafe, Opeyemi Olamide Akintimehin. 2020 “A Community-Based Health and Nutrition Intervention Framework for Crisis-Affected Regions” Iconic Research and Engineering Journals 3(8):311-333

[32] Koivisto, J.M., Niemi, H., Multisilta, J. and Eriksson, E., 2017. Nursing students’ experiential learning processes using an online 3D simulation game. Education and Information Technologies, 22, pp.383-398.

[33] Kononowicz, A.A., Woodham, L.A., Edelbring, S., Stathakarou, N., Davies, D., Saxena, N., Car, L.T., Carlstedt-Duke, J., Car, J. and Zary, N., 2019. Virtual patient simulations in health professions education: systematic review and meta-analysis by the digital health education collaboration. Journal of medical Internet research, 21(7), p.e14676.

[34] Kuehn, M.B., Huehn, S. and Smalling, S., 2017. Improving collaboration among social work and nursing students through interprofessional simulation. Creative Nursing, 23(3), pp.179-183.

[35] Lamb, R.L., Annetta, L., Firestone, J. and Etopio, E., 2018. A meta-analysis with examination of moderators of student cognition, affect, and learning outcomes while using serious educational games, serious games, and simulations. Computers in Human Behavior, 80, pp.158-167.

[36] Latka, D., Waligora, M., Latka, K., Miekisiak, G., Adamski, M., Kozlowska, K., Latka, M., Fojcik, K., Man, D. and Olchawa, R., 2018. Virtual reality based simulators for neurosurgeons-What we have and what we hope to have in the nearest future. In Biomedical Engineering and Neuroscience: Proceedings of the 3rd International Scientific Conference on Brain-Computer Interfaces, BCI 2018, March 13-14, Opole, Poland (pp. 1-10). Springer International Publishing.

[37] Li, L., Yu, F., Shi, D., Shi, J., Tian, Z., Yang, J., Wang, X. and Jiang, Q., 2017. Application of virtual reality technology in clinical medicine. American journal of translational research, 9(9), p.3867.

[38] Li, X., Yi, W., Chi, H.L., Wang, X. and Chan, A.P., 2018. A critical review of virtual and augmented reality (VR/AR) applications in construction safety. Automation in construction, 86, pp.150-162.

[39] Liaw, S.Y., Soh, S.L.H., Tan, K.K., Wu, L.T., Yap, J., Chow, Y.L., Lau, T.C., Lim, W.S., Tan, S.C., Choo, H. and Wong, L.L., 2019. Design and evaluation of a 3D virtual environment for collaborative learning in interprofessional team care delivery. Nurse education today, 81, pp.64-71.

[40] Lubbers, J. and Rossman, C., 2017. Satisfaction and self-confidence with nursing clinical simulation: Novice learners, medium-fidelity, and community settings. Nurse Education Today, 48, pp.140-144.

[41] Maddison, C. and Strang, G., 2018. Do action learning sets facilitate collaborative, deliberative learning?: A focus group evaluation of Graduate Entry Pre-registration Nursing (GEN) students' experience. Nurse education in practice, 28, pp.285-291.

[42] McGaughey, J., O'Halloran, P., Porter, S., Trinder, J. and Blackwood, B., 2017. Early warning systems and rapid response to the deteriorating patient in hospital: a realist evaluation. Journal of advanced nursing, 73(12), pp.3119-3132.

[43] Menson, W.N.A., Olawepo, J.O., Bruno, T., Gbadamosi, S.O., Nalda, N.F., Anyebe, V., Ogidi, A., Onoka, C., Oko, J.O. and Ezeanolue, E.E., 2018. Reliability of self-reported Mobile phone ownership in rural north-Central Nigeria: cross-sectional study. JMIR mHealth and uHealth, 6(3), p.e8760.

[44] Merotiwon Damilola Oluyemi, Opeyemi Olamide Akintimehin, Opeoluwa Oluwanifemi Akomolafe. 2020 “Modeling Health Information Governance Practices for Improved Clinical Decision-Making in Urban Hospitals” Iconic Research and Engineering Journals 3(9):350-362

[45] Merotiwon Damilola Oluyemi, Opeyemi Olamide Akintimehin, Opeoluwa Oluwanifemi Akomolafe. 2020 “Developing a Framework for Data Quality Assurance in Electronic Health Record (EHR) Systems in Healthcare Institutions” Iconic Research and Engineering Journals 3(12):335-349

[46] Merotiwon Damilola Oluyemi, Opeyemi Olamide Akintimehin, Opeoluwa Oluwanifemi Akomolafe. 2020 “Framework for Leveraging Health Information Systems in Addressing Substance Abuse Among Underserved Populations” Iconic Research and Engineering Journals 4(2):212-226

[47] Merotiwon Damilola Oluyemi, Opeyemi Olamide Akintimehin, Opeoluwa Oluwanifemi Akomolafe. 2020 “Designing a Cross-Functional Framework for Compliance with Health Data Protection Laws in Multijurisdictional Healthcare Settings” Iconic Research and Engineering Journals 4(4):279-296

[48] Moro, C., Štromberga, Z., Raikos, A. and Stirling, A., 2017. The effectiveness of virtual and augmented reality in health sciences and medical anatomy. Anatomical sciences education, 10(6), pp.549-559.

[49] Mustapha, A.Y., Chianumba, E.C., Forkuo, A.Y., Osamika, D. and Komi, L.S., 2018. Systematic review of mobile health (mHealth) applications for infectious disease surveillance in developing countries. Methodology, 66.

[50] Nsa B V Anyebe, C Dimkpa, D Aboki, D Egbule, S Useni, R Eneogu. (2018). Impact of active case finding of tuberculosis among prisoners using the WOW truck in North central Nigeria. The international Union Against Tuberculosis and Lung Disease. 11(22), ppS444

[51] Papanastasiou, G., Drigas, A., Skianis, C., Lytras, M. and Papanastasiou, E., 2019. Virtual and augmented reality effects on K-12, higher and tertiary education students’ twenty-first century skills. Virtual Reality, 23(4), pp.425-436.

[52] Perry, A.G., Potter, P.A. and Ostendorf, W.R., 2019. Nursing Interventions & Clinical Skills E-Book: Nursing Interventions & Clinical Skills E-Book. Elsevier Health Sciences.

[53] Pilnick, A., Trusson, D., Beeke, S., O’Brien, R., Goldberg, S. and Harwood, R.H., 2018. Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review. BMC medical education, 18, pp.1-10.

[54] Posner, E.A. and Sunstein, C.R., 2017. Moral commitments in cost-benefit analysis. Va. L. Rev., 103, p.1809.

[55] Pottle, J., 2019. Virtual reality and the transformation of medical education. Future healthcare journal, 6(3), pp.181-185.

[56] Reshmad'sa, L. and Vijayakumari, S.N., 2017. Effect of Kolb's Experiential Learning Strategy on Enhancing Pedagogical Skills of Pre-Service Teachers of Secondary School Level. Journal on School Educational Technology, 13(2), pp.1-6.

[57] Scholten J, R Eneogu, C Ogbudebe, B Nsa, I Anozie, V Anyebe, A Lawanson, E Mitchell. (2018). Ending the TB epidemic: role of active TB case finding using mobile units for early diagnosis of tuberculosis in Nigeria. The international Union Against Tuberculosis and Lung Disease. 11(22), ppS392

[58] Scholten, H. and Granic, I., 2019. Use of the principles of design thinking to address limitations of digital mental health interventions for youth. Journal of Medical Internet Research, 21(1), p.e11528.

[59] Seam, N., Lee, A.J., Vennero, M. and Emlet, L., 2019. Simulation training in the ICU. Chest, 156(6), pp.1223-1233.

[60] Sihi, D., 2018. Home sweet virtual home: The use of virtual and augmented reality technologies in high involvement purchase decisions. Journal of Research in Interactive Marketing, 12(4), pp.398-417.

[61] Smallheer, B., Hunt, J. and Smith, J., 2018. Using critical care simulations to prepare nursing students for capstone clinical experiences. Dimensions of Critical Care Nursing, 37(2), pp.69-77.

[62] Southgate, E., 2019, March. Virtual reality for Deeper Learning: An exemplar from high school science. In 2019 IEEE conference on virtual reality and 3D user interfaces (VR) (pp. 1633-1639). IEEE.

[63] Steffen, J.H., Gaskin, J.E., Meservy, T.O., Jenkins, J.L. and Wolman, I., 2019. Framework of affordances for virtual reality and augmented reality. Journal of management information systems, 36(3), pp.683-729.

[64] Stevenson, M.E. and Hedberg, J.G., 2017. Mobilizing learning: a thematic review of apps in K-12 and higher education. Interactive Technology and Smart Education, 14(2), pp.126-137.

[65] Strada, F., Bottino, A., Lamberti, F., Mormando, G. and Ingrassia, P.L., 2019. Holo-BLSD–A holographic tool for self-training and self-evaluation of emergency response skills. IEEE Transactions on Emerging Topics in Computing, 9(3), pp.1581-1595.

[66] Sutherland, J., Belec, J., Sheikh, A., Chepelev, L., Althobaity, W., Chow, B.J., Mitsouras, D., Christensen, A., Rybicki, F.J. and La Russa, D.J., 2019. Applying modern virtual and augmented reality technologies to medical images and models. Journal of digital imaging, 32, pp.38-53.

[67] Sweeney Haney, T., Kott, K., Rutledge, C.M., Britton, B., Fowler, C.N. and Poston, R.D., 2018. How to prepare interprofessional teams in two weeks: an innovative education program nested in telehealth. International journal of nursing education scholarship, 15(1), p.20170040.

[68] Trahan, M.H., Smith, K.S., Traylor, A.C., Washburn, M., Moore, N. and Mancillas, A., 2019. Three-dimensional virtual reality: Applications to the 12 grand challenges of social work. Journal of technology in human services, 37(1), pp.13-31.

[69] Tutticci, N., Ryan, M., Coyer, F. and Lewis, P.A., 2018. Collaborative facilitation of debrief after high-fidelity simulation and its implications for reflective thinking: student experiences. Studies in Higher Education, 43(9), pp.1654-1667.

[70] Watts, P.I., Ivankova, N. and Moss, J.A., 2017. Faculty evaluation of undergraduate nursing simulation: A grounded theory model. Clinical Simulation in Nursing, 13(12), pp.616-623.

[71] Waxman, K.T., Bowler, F., Forneris, S.G., Kardong-Edgren, S. and Rizzolo, M.A., 2019. Simulation as a nursing education disrupter. Nursing Administration Quarterly, 43(4), pp.300-305.

[72] Wolz, K.M., 2019. Building Faculty Competence and Self-Efficacy for Using Z Space Virtual Reality (VR) Software in the Classroom.

[73] Wu, W., Hartless, J., Tesei, A., Gunji, V., Ayer, S. and London, J., 2019. Design assessment in virtual and mixed reality environments: Comparison of novices and experts. Journal of Construction Engineering and Management, 145(9), p.04019049.

[74] Younas, A. and Maddigan, J., 2019. Proposing a policy framework for nursing education for fostering compassion in nursing students: A critical review. Journal of advanced nursing, 75(8), pp.1621-1636.

[75] Zapko, K.A., Ferranto, M.L.G., Blasiman, R. and Shelestak, D., 2018. Evaluating best educational practices, student satisfaction, and self-confidence in simulation: A descriptive study. Nurse education today, 60, pp.28-34.

How to cite this paper

Christiana Adeyemi, Opeoluwa Oluwanifemi Ajayi, Irene Sagay, Sandra Oparah "Immersive Technology in Nursing Education: A Framework-Guided Review Using Experiential Learning Theory" Iconic Research And Engineering Journals Volume 4 Issue 2 2020 Page 299-317
Christiana Adeyemi, Opeoluwa Oluwanifemi Ajayi, Irene Sagay, Sandra Oparah "Immersive Technology in Nursing Education: A Framework-Guided Review Using Experiential Learning Theory" Iconic Research And Engineering Journals, vol. 4, no. 2, Aug. 2020
Christiana Adeyemi, Opeoluwa Oluwanifemi Ajayi, Irene Sagay, Sandra Oparah (2020). Immersive Technology in Nursing Education: A Framework-Guided Review Using Experiential Learning Theory. Iconic Research And Engineering Journals, 4(2).
Christiana Adeyemi, Opeoluwa Oluwanifemi Ajayi, Irene Sagay, Sandra Oparah "Immersive Technology in Nursing Education: A Framework-Guided Review Using Experiential Learning Theory" Iconic Research And Engineering Journals, vol. 4, no. 2, Aug. 2020.
@article{1709704,
      author = {Christiana Adeyemi, Opeoluwa Oluwanifemi Ajayi, Irene Sagay, Sandra Oparah},
      title = {Immersive Technology in Nursing Education: A Framework-Guided Review Using Experiential Learning Theory},
      journal = {Iconic Research And Engineering Journals},
      year = {2020},
      volume = {4},
      number = {2},
      pages = {299-317},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1709704.pdf},
      abstract = {The increasing complexity of healthcare delivery and evolving patient care needs have accelerated the adoption of innovative educational strategies in nursing education. Immersive technologies, particularly Virtual Reality (VR) and Augmented Reality (AR), are emerging as transformative tools that offer experiential, interactive, and learner-centered approaches to clinical education. This framework-guided review examines the use of VR and AR in nursing education, applying Kolb?s Experiential Learning Theory and Bloom?s Digital Taxonomy to analyze their educational value, practical applications, and pedagogical outcomes. Kolb?s Experiential Learning Theory emphasizes a cyclical process of learning through experience, consisting of four key stages: concrete experience, reflective observation, abstract conceptualization, and active experimentation. VR and AR simulations align well with this model by providing realistic clinical experiences where nursing students can practice critical skills, engage in reflective debriefings, apply theoretical concepts, and subsequently transfer their learning to real-world clinical settings. Additionally, Bloom?s Digital Taxonomy offers a structured framework for evaluating cognitive engagement in digital learning environments, mapping VR/AR learning activities to higher-order cognitive domains such as applying, analyzing, evaluating, and creating. The review explores how immersive technologies are being utilized for a range of educational purposes, including clinical skills development, complex patient scenario management, empathy training, and interprofessional collaboration. Evidence suggests that VR and AR enhance knowledge retention, improve psychomotor skills, foster clinical reasoning, and boost learner engagement. Despite these advantages, challenges such as high costs, technological barriers, limited faculty training, and integration difficulties persist. The review concludes by emphasizing the need for comprehensive faculty development, evidence-based curriculum design, and further research on long-term learning outcomes. It highlights the importance of leveraging experiential learning frameworks to maximize the educational benefits of VR/AR technologies, ensuring their effective integration into nursing education for building competent, adaptable, and technology-savvy nursing professionals.},
      keywords = {Immersive Technology, Nursing Education, Framework-Guided Review, Experiential Learning Theory},
      month = {August},
  }