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Effects of Nursing Education Using Virtual Reality: A Systematic Review

가상현실을 활용한 간호교육의 효과: 체계적 문헌 고찰

  • 김선경 (국립목포대학교 간호학과) ;
  • 엄미란 (국립목포대학교 간호학과) ;
  • 박미현 (포항대학교 간호학과)
  • Received : 2018.12.11
  • Accepted : 2019.02.11
  • Published : 2019.02.28

Abstract

The purpose of the study was to review the evidence of effects of virtual reality (VR) technology in nursing education. Four databases were searched for articles publised until November 2018 that databases include PubMed, Proquest (nursing and allied health), CINAHL, & RISS. Key word used for search include 'education, nursing', 'simulation', 'skill training', 'virtual reality' and 'VR'. Of 695 papers searched, Seven studies were selected for data analysis. Of seven studies, five studies used quasi-experimental design and two used one group design. There were two studies used VR technology for skill training and five were scenario based VR simulation program. Studies evaluated outcomes including students performance, time spent on practice, self-efficacy and communication ability that most studies reported positive effects while some figures were not statistically significant. The findings of this study provides evidence of nursing education program using VR, however, additional research with rigorously designed studies using systematized measurements for study outcomes are required. In addition, comparison with existing skill training and simulation education should be considered in the future studies.

본 연구는 가상현실 기술을 간호교육에 활용한 연구에 대해 알아보기 위해 시행된 체계적 문헌고찰이다. 연구대상 논문은 2018년도 11월 까지 출간된 논문으로 전자 데이터베이스인 PubMed, Proquest (nursing and allied health), CINAHL, RISS를 활용한 문헌검색이 이루어졌다. 검색어로는 'nursing education', 'simulation', 'skill training', 'virtual reality', 'VR'을 사용하였다. 총 695개의 논문이 검색되었고, 최종 7편의 문헌이 포함되었다. 7편 중 5편은 비동등성 대조군 실험설계 연구였으며 2편은 단일군 설계 연구였다. 이중 2편은 수기술 교육에 가상현실 기술을 활용하였으며 5편은 시나리오를 활용한 가상현실 시뮬레이션 교육이었다. 측정된 결과 변수는 수기술 능력, 지식, 총 VR 활용 학습시간, 자기효능감, 의사소통 능력이었고, 대체로 긍정적인 결과가 확인되었으나 일부 연구에서는 통계적으로 유의미하지 않은 결과도 있었다. 본 연구 결과는 가상현실을 활용한 간호교육의 효과에 대한 근거를 제시하였으나 향후 체계적인 측정과정이 포함된 중재 연구가 추가적으로 필요하다. 또한 기존의 수기술 교육프로그램과 시뮬레이션 교육과의 체계적인 비교연구를 통해 비용 등의 효과에 대한 근거제시가 이루어져야 할 것이다.

Keywords

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그림 1. 문헌선별과정

표 1. 문헌고찰에 포함된 7편의 문헌

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표 2. 포함된 문헌의 질평가 결과

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