Effects of a hybrid delirium nursing competency enhancement program using the metaverse and standardized patients for intensive care unit nurses: a quasi-experimental study

초록

Purpose: This study evaluated the effects of a hybrid simulation program using the metaverse andstandardized patients to enhance delirium nursing competency among intensive care unit (ICU) nurses. Outcomes included delirium nursing knowledge, attitudes, and performance confidence. Methods: A quasi-experimental study with cluster allocation was conducted among 52 ICU nurses, including 28 in the experimental group and 24 in the control group. Data were collected from July 8 to August 28, 2024. The experimental group participated in a hybrid delirium nursing competency simulationprogram comprising two metaverse-based sessions (lectures, quizzes, discussions, and practice) followedby a face-to-face standardized patient simulation session. The control group received a conventionalface-to-face lecture on delirium nursing. Data were analyzed using the chi-square test, the Fisher exacttest, the independent t-test, and the paired t-test with IBM SPSS Statistics ver. 27.0. Results: After the intervention, the experimental group demonstrated significantly greater improvementin delirium nursing attitude (t=2.05, p=.046) and performance confidence (t=3.35, p=.002) comparedwith the control group. However, the change in delirium nursing knowledge did not differ significantlybetween groups (t=0.71, p=.483). Conclusion: The hybrid delirium nursing competency program using the metaverse and standardizedpatients was associated with greater positive changes in ICU nurses’ delirium nursing attitudes and performance confidence than conventional lecture-based education. This immersive and interactive hybridsimulation approach may be a sustainable continuing education strategy for strengthening deliriumnursing competency among ICU nurses.

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