Interactive Virtual Simulation Case: A Learning Environment for the Development of Decision-Making in Nursing Students
Daniel Medel, Aïda Bonet, María Herrera, Francesc Sevilla, Jordi Vilaplana, Tània Cemeli, Judith Roca
Abstract
• Interactive virtual simulation (IVS) offers a safe and realistic clinical practice environment. • IVS combines theoretical knowledge, data interpretation and clinical management. • IVS is adaptable to a variety of teaching and professional contexts. Interactive virtual clinical simulation allows students to actively engage in a learning experience by interacting with digital content. To analyze the decision-making processes undertaken by nursing students using an interactive virtual simulation case. Employing a cross-sectional design, this study involved 119 nursing students tasked with resolving a clinical case presented on a web platform. The case featured 11 decision points categorized into theoretical knowledge, data interpretation, and clinical management, offering multiple resolution options. Individual checklists were generated to document chosen actions and decision-making time upon completion. Additionally, students received feedback through learning capsules. Analysis of 119 checklists revealed that students achieved higher success rates in data interpretation (81.7%) and lower success rates in clinical management (58.7%). No significant differences were observed in resolution time across categories or among students with prior professional experience. The interactive virtual simulation case (SAVI project) provides a conducive learning environment where students can demonstrate applied knowledge individually and within a lifelike context.