George �鶹��Ƶ-led study highlights how XR is reshaping health care training across the country

Mary Cunningham — Wed, 22 Oct 2025 20:48:17 +0000

George �鶹��Ƶ-led study highlights how XR is reshaping health care training across the country Mary Cunningham Wed, 10/22/2025 - 16:48

Extended reality (XR) can give students experiences they might otherwise miss, but its success depends on thoughtful design, accessibility, and support.

Immersive technologies like virtual and augmented reality are no longer experimental. They're redefining how future health professionals learn. A new national study led by �鶹��Ƶ's Bethany Cieslowski offers the first comprehensive look at what's working, what's not, and where the field needs to go next.

"The pace of advancement has been surprising," said Cieslowski. "XR technologies are evolving quickly, and aligning more closely with educational needs. What's most exciting is how ready educators are to embrace the tools and build the evidence to support what we're already seeing in practice."

Nursing students use virtual reality to learn hands-on skills in �鶹��Ƶ's Lab for Immersive Technologies and Simulation. Photo by Office of University Branding

Cieslowski, chief innovation officer for immersive technologies at the College of Public Health, co-authored the Nurse Educator paper with George �鶹��Ƶ colleagues Deb Derner, Janine Doran, Andrea Landis, and Corbin Rickerby, as well as collaborators from Johns Hopkins, the University of Central Florida, and other major institutions. The review synthesizes more than 100 studies to gauge how extended reality (XR)—an umbrella term for virtual, augmented, and mixed reality—is changing the ways health care professionals train and learn.

XR lets students step into realistic clinical scenarios: inserting IV lines, communicating with patients, observing changes in the skin, or practicing pediatric triage in a 3-D emergency room. It can also bring rare experiences, like mass-casualty training or interprofessional teamwork, into accessible virtual formats.

But the authors caution that integrating XR into the classroom is far from straightforward. Poorly designed programs can overwhelm students with sensory input, increasing cognitive load. Some learners experience motion sickness or can't comfortably use headsets. Privacy is another concern, as some XR platforms collect detailed user data. Successful use also demands trained faculty, strong technical support, and sustainable funding to keep pace with constant updates.

Beyond those logistical hurdles, the paper highlights a larger issue: the field still lacks long-term data. Early results are promising—showing strong engagement and skill transfer—but few studies have measured how immersive learning translates to real-world outcomes.

The study also maps out the next frontier. Artificial intelligence can tailor simulations on the fly, while new haptic technology lets users feel texture, weight, and resistance. And lighter, more ergonomic headsets will make immersive learning more adaptive, natural, and realistic.

"These technologies are quickly becoming fundamental to the field," said Landis, associate professor of Nursing and Certified Healthcare Simulation Educator. "When they're used with intention—not just for technology's sake—we're seeing them improve knowledge retention, skill development, and collaboration."

The full article, "Extended Reality in Health Care Simulation: Current State, Challenges, and Future Directions," appears in the October 2025 issue of Nurse Educator and is available for free online this month.

Extended Reality (XR)—an umbrella term for virtual, augmented, and mixed reality

'Not Just Entertainment—a Proven Teaching Tool': How Immersive Tech Is Changing Public Health Education

Learn more about how George �鶹��Ƶ's College of Public Health uses XR as a teaching tool.

Learn more about George �鶹��Ƶ's Lab for Immersive Technologies and Simulation

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GCI-Grand Challenge Initiative

Nurses trained via virtual reality performed better than those trained by inpatient clinical training

Mary Cunningham — Tue, 11 Apr 2023 20:37:23 +0000

Nurses trained via virtual reality performed better than those trained by inpatient clinical training Mary Cunningham Tue, 04/11/2023 - 16:37

Lab Coordinator Bethany Cieslowski helps nursing student Katherine Gugino adjust the virtual reality headset during a VR Simulation Lab training class. Photo by: Shelby Burgess, Office of University Branding

In search of novel tactics to accommodate a larger student body and fulfill workforce demands, nursing schools are developing new approaches to optimize learning, engage learners, and provide methods to ensure competency in future nursing graduates.

A recent study by Bethany Cieslowski, associate professor of Nursing, and colleagues found that immersive virtual reality (VR) training has been shown to be as effective as inpatient training for students learning to provide care for acute care pediatric patients. The performance of student nurses who underwent immersive virtual reality training was found to be better overall than that of their counterparts who received inpatient clinical training.

“The use of VR continues to grow in clinical nursing practice; however, the existing body of evidence on VR, especially immersive virtual reality, is limited. These preliminary results offer promise and demonstrate the potential of immersive virtual reality in the future of nursing education and preparing the workforce of the future,” said Cieslowski.

Nursing student Elianna Puerto uses a virtual reality set for a new simulation platform, SimX, during a VR Simulation Lab training class. Photo by: Shelby Burgess, Office of University Branding

The average (mean) scores for students in the immersive VR training group were higher for all performance domains, with particularly notable improvements in the subdomains of infection control, initial assessment, and oxygen therapy compared to the clinic trained group. There were no significant differences between the groups in focused assessment, medication administration, and evaluation. Total performance scores were significantly higher for the VR group.

The mixed-methods without randomization pilot study examined the effectiveness of an immersive VR simulation training program to replace pediatric clinical practice for a convenience sample of junior-level prelicensure nursing students.

“The Development and Pilot Testing of Immersive Virtual Reality Simulation Training for Prelicensure Nursing Students: A Quasi-Experimental Study” was published in Clinical Simulation in Nursing in February 2023. Tanya Haas, assistant professor of nursing; Kyeung Mi Oh, associate professor of nursing; Kathleen Chang, assistant professor of Nursing; and Cheryl Oetjen, interim director of the School of Nursing were also part of the research team.

The Medical Team, Inc. Endowment for Innovations in Nursing Education Fund funded part of the research.

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George �鶹��Ƶ-led study highlights how XR is reshaping health care training across the country

'Not Just Entertainment—a Proven Teaching Tool': How Immersive Tech Is Changing Public Health Education

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Nurses trained via virtual reality performed better than those trained by inpatient clinical training

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