虚拟现实情景通关法在新入职护士骨科急症培训中的应用OA

Objective To explore the application effect of Virtual Reality(VR)scenario-based level-passing training in orthopedic emergency training for newly recruited nurses,and to provide practical references for improving the nursing emergency training system.Methods A total of 80 newly recruited nurses who joined Nantong First People's Hospital in July 2025 were selected as study subjects by convenience sampling.They were randomly divided into the control group(n=40)and the test group(n=40)based on whether their enrollment number was odd or even.The control group received traditional theoretical and practical training(totaling 16 class hours).The test group received VR-based scenario progression training combined with traditional simulation operation training,with three difficulty levels,centered on a typical case of femoral fracture with hemorrhagic shock(Level 1:shock recognition and management;Level 2:team resuscitation for cardiac arrest;Level 3:multidisciplinary collaboration and safe transfer).The total training duration was kept identical between the two groups.The training effects were evaluated based on a bedside comprehensive capability assessment and the Nurse Emergency Response Capacity Self-rating Scale at 1 month after training;the bedside comprehensive capability assessment was repeated at 3 and 6 months after training.Adverse events occurring in the test group during VR training were recorded.After training,the test group completed the System Usability Scale(SUS),and 12 nurses were selected from the test group for semi-structured interviews by purposive sampling.Results At 1,3,and 6 months after training,the bedside comprehensive ability scores of the test group were higher than those of the control group(all P<0.001).Repeated measures ANOVA showed that the main effect of time,the main effect of group,and the time-group interaction effect were all statistically significant(all P<0.001).At 1 month after training,the total score of the Nurse Emergency Response Ability Self-rating Scale in the test group was higher than that in the control group(P<0.001),and the differences in all dimension scores were statistically significant(all P<0.001).The SUS score in the test group was 78.36±6.84 points,indicating good system usability.Mild vertigo occurred in 3(7.50%)subjects in the test group during initial use of the VR equipment,which resolved after rest.The qualitative study identified 4 themes:① Immersive experience enhanced the sense of presence;② Progressive tasks facilitated skill transfer;③ A trial-and-error approach alleviated psychological stress;④ Technical details required further refinement.Conclusion The VR-based scenario level-passing training can effectively enhance the emergency response capabilities and comprehensive clinical skills of newly recruited nurses.The training system demonstrates good usability,providing an innovative pathway for nursing emergency training.