Virtual Simulation Education Using Multiuser Virtual Environments and Standardized Patients for Child Healthcare in the Community Setting: A Multisite Pilot Study

Background: To improve child health promotion in the community, pediatric nursing education should provide appropriate learning environments and resources. Methods: A multisite, pretest-posttest design with a mixed-methods approach was used to evaluate the effects of simulation in a multiuser virtual environment. Results: Nursing competencies scores significantly increased. The major themes of participants’ experience were identified: Performing and thinking like a nurse, Experiencing realistic nursing encounters, Interesting learning experiences, Helpful learning processes, and Difficulties and adaptation. Conclusions: Virtual simulations using multiuser virtual environments and standardized patients can effectively prepare nursing students for primary healthcare and children's health promotion in the community.