Highlights
- •Virtual reality simulation could close a gap in cultural competence education.
- •The content of a new virtual simulation was designed based on theoretical models.
- •The immersive virtual simulation had high levels of usability and satisfaction.
Abstract
Educational approaches proven to produce cultural competence among nurses, consistently
and cost-effectively, are not yet widely available. This study describes the development
and feasibility of an immersive virtual reality simulation to improve cross-cultural
communication skills. We used a multi-methods approach, recruiting 15 nursing students
from a nursing college in South Korea to assess the simulation's feasibility according
to sense of presence, usability, simulation design, task difficulty, and satisfaction.
This theory-based immersive virtual reality simulation was developed through content
and face validity testing by expert panels. We identified high levels of usability,
simulation design, and satisfaction, a low level of task difficulty, and a good level
of sense of presence. Participants were satisfied with the simulation “feeling real
and immersive,” “improved cultural competence,” “useful for repetitive learning,”
“appropriate difficulty for learning,” and “easy to control.” Reports of “insufficient
prior information,” “insufficient cognitive fidelity,” “limited to dialogue selection,”
and “discomfort for wearers of glasses” indicate needed improvements. Virtual reality
simulation could contribute to filling a critical gap in cultural competence in nursing
education.
KEYWORDS
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Article info
Publication history
Published online: February 25, 2023
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© 2023 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.
