{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:22:14Z","timestamp":1791379334888,"version":"4.3.2"},"reference-count":21,"publisher":"AACN Publishing","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Children often experience respiratory illnesses requiring bedside nurses skilled in recognizing respiratory decompensation. Historically, recognizing respiratory distress has relied on teaching during direct patient care. Virtual reality simulation may accelerate such recognition among novice nurses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine whether a virtual reality curriculum improved new nurses\u2019 recognition of respiratory distress and impending respiratory failure in pediatric patients based on assessment of physical examination findings and appropriate escalation of care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>New nurses (n = 168) were randomly assigned to complete either an immersive virtual reality curriculum on recognition of respiratory distress (intervention) or the usual orientation curriculum (control). Group differences and changes from 3 months to 6 months after the intervention were examined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Nurses in the intervention group were significantly more likely to correctly recognize impending respiratory failure at both 3 months (23.4% vs 3.0%, P &amp;lt; .001) and 6 months (31.9% vs 2.6%, P &amp;lt; .001), identify respiratory distress without impending respiratory failure at 3 months (57.8% vs 29.6%, P = .002) and 6 months (57.9% vs 17.8%, P &amp;lt; .001), and recognize patients\u2019 altered mental status at 3 months (51.4% vs 18.2%, P &amp;lt; .001) and 6 months (46.8% vs 18.4%, P = .006).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Implementation of a virtual reality\u2013based training curriculum was associated with improved recognition of pediatric respiratory distress, impending respiratory failure, and altered mental status at 3 and 6 months compared with standard training approaches. Virtual reality may offer a new approach to nurse orientation to enhance training in pediatrics-specific assessment skills.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ajcc2024878","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T03:39:16Z","timestamp":1709264356000},"page":"115-124","source":"Crossref","is-referenced-by-count":8,"title":["Impact of Virtual Reality Simulation on New Nurses\u2019 Assessment of Pediatric Respiratory Distress"],"prefix":"10.4037","volume":"33","author":[{"given":"Dana L.","family":"Raab","sequence":"first","affiliation":[{"name":"Dana L. Raab is Clinical Director for Patient Services Research and the Research Foundation, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Ely","sequence":"additional","affiliation":[{"name":"Kelly Ely is a nurse specialist for the Center of Simulation and Research, Pediatric Intensive Care Unit, Cincinnati Children\u2019s Hospital Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Israel","sequence":"additional","affiliation":[{"name":"Keith Israel is an education consultant, Patient Services, Cincinnati Children\u2019s Hospital Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Lin","sequence":"additional","affiliation":[{"name":"Li Lin is an epidemiologist\/biostatistician in the Division of Research in Patient Services, Cincinnati Children\u2019s Hospital Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Donnellan","sequence":"additional","affiliation":[{"name":"Amy Donnellan is a nurse practitioner for the Heart Institute, Cincinnati Children\u2019s Hospital Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Saupe","sequence":"additional","affiliation":[{"name":"Jennifer Saupe is a director for the Center for Professional Excellence, Patient Services, Cincinnati Children\u2019s Hospital Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Klein","sequence":"additional","affiliation":[{"name":"Melissa Klein is a professor in the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children\u2019s Hospital Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew W.","family":"Zackoff","sequence":"additional","affiliation":[{"name":"Matthew W. 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