혼합현실(MR)학습 기반의 HoloPatient 시뮬레이션 실습 효과

Effects of Mixed Reality (MR)-based HoloPatient Simulation Practice

Purpose : This study investigated the effects of Mixed Reality (MR)-based HoloPatient simulation practice using HoloLens on nursing students’ clinical reasoning competence, problem-solving ability, and attitudes toward dementia. Methods : A quasi-experimental design with a non-equivalent control group pre-test-post-test approach was used. Forty nursing students participated in this study (experimental group＝20 students; control group＝20 students). Data were collected from October 25 to December 8, 2024. The experimental group completed two MR-based simulation scenarios for four hours per student using HoloPatient, whereas the control group performed traditional clinical practice for five days. Results : Both the experimental group, which practiced the HoloPatient simulation, and the control group, which participated in traditional clinical practice, showed significant improvements in clinical reasoning competence, problem-solving ability, and attitudes toward dementia after the intervention. However, the differences in pre-post change scores between the groups were not statistically significant, indicating that the MR-based HoloPatient simulation practice demonstrated an educational effectiveness comparable to that of traditional clinical practice. Conclusion : MR-based HoloPatient simulation practice showed positive effects on students’ learning outcomes and attitudes. Although the between-group differences were not significant, HoloPatient simulation practice may serve as a useful complementary method in limited clinical environments, expanding learning opportunities, and enhancing the quality of nursing education.