Effects of Immersive Straight Catheterization Virtual Reality Simulation on Skills, Confidence, and Flow State in Nursing Students

Core nursing procedures are essential for nursing students to master because of their high frequency in nursing practice. However, the experience of performing procedures in actual hospital settings decreased during the coronavirus disease 2019 pandemic, necessitating the development of various contents to supplement procedural training. This study investigated the effects of a straight catheterization program utilizing an immersive virtual reality simulation on nursing students' procedural performance, self-confidence, and immersion. The study employed a nonequivalent control group pretest-posttest design with 29 participants in the experimental group and 25 in the control group. The experimental group received training through a computer-based immersive virtual reality program installed in a virtual reality hospital, with three weekly sessions over 3 weeks. The control group underwent straight catheterization using manikin models. The research findings validated that virtual reality–based straight catheterization education significantly improved students' procedural skills, self-confidence, and flow state. Therefore, limited practical training can be effectively supplemented by immersive virtual reality programs.