J Korean Acad Soc Nurs Educ.  2025 Feb;31(1):39-52. 10.5977/jkasne.2025.31.1.39.

The development and effects of a fall prevention educational program using virtual reality for nurses in integrated nursing care units

• Jeong JH
• Lee Hk

• KMID: 2567051
• DOI: http://doi.org/10.5977/jkasne.2025.31.1.39

Abstract

Purpose
This study was conducted to develop and examine the effects of a fall prevention educational program using virtual reality for nurses in integrated nursing care units to enhance their knowledge of fall prevention, attitude toward fall prevention, self-efficacy for preventing falls, fall prevention behavior, learning satisfaction, and simulation design evaluations.
Methods
This study was developed based on the ADDIE (analysis, design, development, implementation, and evaluation) model. The educational contents and methods were determined based on a needs analysis conducted through a literature review, surveys on educational needs, and interviews, and content validity was verified by a group of experts. The participants were 40 nurses. The experimental group (n=20) received the virtual reality program, while the control group (n=20) received an on-the-job training video. Data were collected from March 3 to April 14, 2023, and analyzed using the IBM SPSS/WIN 27.0 program with a chi-squared test, Fisher’s exact test, independent t-test, Mann–Whitney U-test, generalized estimating equations, and a repeated measures ANOVA.
Results
Statistically significant differences were found between the experimental group and the control group post-intervention in knowledge of fall prevention (x²=6.06, p=.048), self-efficacy for preventing falls (x²=22.89, p<.001), fall prevention behavior (F=3.29, p=.043), and learning satisfaction (Z=-3.03, p=.004).
Conclusion
The fall prevention educational program using virtual reality for nurses enhanced nursing expertise through improved knowledge of fall prevention, self-efficacy for preventing falls, and fall prevention behavior and is expected to be utilized as basic data for patient safety nursing education in integrated nursing care unit environments.

Keyword

Nurses; Patient safety; Virtual reality; Program development; 간호사; 환자안전; 가상현실; 프로그램 개발