Evidence map›Paper›PMID 41284338›Full record

ArticleJournal of medical Internet research2025

Use of a Nonimmersive Virtual Reality System for Clinical Thinking in Obstetric Nursing Education: Mixed Methods Study.

Sixing Liu, Jiaxun Yang, Caihong Zhang, Jing Zhang, Qin Wang, Rong Zhou, Ziran Zhao, Shan Ren, Huanying Yi, Honghua Guo and 1 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sixing Liu *School of Nursing, Hainan Medical University, Haikou, Hainan, China.ORCID https://orcid.org/0009-0001-4285-1669
Jiaxun Yang *School of Nursing, Hangzhou Normal University, Hangzhou, China.ORCID https://orcid.org/0009-0001-9066-1122
Caihong ZhangSchool of Nursing, Hainan Medical University, Haikou, Hainan, China.ORCID https://orcid.org/0000-0002-5717-1746
Jing ZhangSchool of Nursing, Hangzhou Normal University, Hangzhou, China.ORCID https://orcid.org/0000-0002-0718-4266
Qin WangSchool of Biomedical Information and Engineering, Hainan Medical University, Haikou, China.ORCID https://orcid.org/0000-0002-8384-7703
Rong ZhouSchool of Nursing, Hainan Medical University, Haikou, Hainan, China.ORCID https://orcid.org/0000-0002-8686-0292
Ziran ZhaoDepartment of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID https://orcid.org/0009-0003-3523-8449
Shan RenSchool of Nursing, Hainan Medical University, Haikou, Hainan, China.ORCID https://orcid.org/0009-0004-7713-9315
Huanying YiSchool of Nursing, Hainan Medical University, Haikou, Hainan, China.ORCID https://orcid.org/0009-0002-3948-720X
Honghua Guo *School of Nursing, Hainan Medical University, Haikou, Hainan, China.ORCID https://orcid.org/0000-0001-7126-5100
Jieqiong Xia *School of Nursing, Hainan Medical University, Haikou, Hainan, China.ORCID https://orcid.org/0009-0001-5139-5722

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraditional obstetric nursing training faces limitations in inadequate interactivity and nonrepeatable demonstrations, limiting students' development of clinical thinking. Virtual reality (VR) offers a solution for complex health care education, enhancing nursing students' clinical thinking.

objectiveThis study applied the Nonimmersive Virtual Reality System for Clinical Thinking in Obstetric Nursing (NIVRSCTON), grounded in salutogenesis theory, to examine its effects on nursing students.

methodsThe NIVRSCTON was applied under the auspices of the Nursing Virtual Teaching Hub in the Coastal Area (NVTHCA). In September 2023, a convenience sample of 88 undergraduate nursing students from 4 partner institutions participated in the study. A single-group pre-post design and an explanatory sequential mixed methods design were used to measure changes in clinical thinking ability following the training and to assess the system's performance. The quantitative assessment tools included the general information questionnaire, the Clinical Thinking Ability Evaluation Scale (CTAES), and the Evaluation Instrument for Virtual Reality System (EIVRS). Each student was required to submit one reflective journal developed in accordance with the Bass model. Quantitative data were analyzed using IBM SPSS (version 22.0), and qualitative data were thematically coded using NVivo (version 12; QSR International Pty Ltd).

resultsAfter the NIVRSCTON training was completed, the students' overall clinical thinking score increased from 49.08 (SD 11.30) to 80.50 (SD 11.01), indicating a significant improvement (t

conclusionsNIVRSCTON training enhances students' clinical thinking and professionalism. It was well received, confirming its effectiveness. As an obstetric nursing teaching tool, it enhances clinical thinking and professional competence. It may also promote equity and access in nursing education, offering an innovative model for digital nursing education.

Indexed as

Obstetric NursingThinkingVirtual RealityAdultFemaleHumansMaleStudents, NursingSurveys and QuestionnairesYoung Adultclinical thinkingNIVRSCTONNonimmersive Virtual Reality System for Clinical Thinking in Obstetric Nursingnursingobstetric nursing trainingobstetricssalutogenesisvirtual reality

Identifiers

PMID41284338
PMCPMC12686860

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.