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Peer-Reviewed Publication
Nurse Educ50(6):E363-E371.Journal Article

Extended Reality in Health Care Simulation: Current State, Challenges, and Future Directions.

Bethany Cieslowski1, Mindi Anderson, Kristen M Brown, Frank Guido-Sanz, Beth Fentress Hallmark, Elizabeth Wells-Beede, Jason Konzelmann, William B Belk, Samantha Smeltzer, Sindhu Mallala, Mary Lee Carter, Zaleha Abdullah Mahdy, Janine Doran, Deb Derner, Jennifer Polson, Kim Burtch, Tracy Chesney, Corbin Rickerby, Andrea M Landis, Amar P Patel
1Author Affiliations: CPH Chief Innovation Officer for Immersive Technologies, BSN Division Director School of Nursing (Dr Cieslowski), CHSE Adjunct Faculty (Doran), and CHSE Clinical Lab Assistant (Derner), College of Public Health, George Mason University, Fairfax, Virginia; Associate Dean for Simulation and Immersive Learning, Professor, and Program Director of the Nursing and Health Care Simulation Program and Certificate (Interdisciplinary) (Dr Anderson), and Simulation Specialist II (Mallala), College of Nursing, Academic Health Sciences Center, University of Central Florida, Orlando, Florida; Associate Dean for Simulation & Immersive Learning, Associate Professor (Dr Brown), Johns Hopkins School of Nursing, Baltimore, Maryland; Associate Professor & Simulation Coordinator (Dr Guido-Sanz), University of Miami School of Nursing and Health Studies; Full Professor, College of Nursing and Director of Education Center for Interprofessional Engagement and Simulation Belmont University (Dr Hallmark), Inman College of Nursing Belmont University, Belmont University Center for Interprofessional Engagement and Simulation; Senior Associate Dean & Professor (Dr Wells-Beede), College of Nursing, University of North Texas Health Sciences Center, Fort Worth, Texas; Director, Simulation and Training (Mr Konzelmann), University of Maryland Medical System, Baltimore, Maryland; Director of Medical Simulation and Innovative Education (Belk), Air Methods Corp., Greenwood Village, Colorado; Vice President, Simulation Orbis Education (Dr Smeltzer), Orbis Education, Indianapolis, Indiana; Assistant Director of Learning Innovation (Carter) Parker University, Dallas, Texas; Professor & Senior Consultant Obstetrician & Gynaecologist, Head of Health Technology Innovation Laboratory (HTIL) (Dr Mahdy), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia; Chief Scientific Officer (Dr Polson), Immersive Technology Specialist (Rickerby), Associate Professor (Dr Landis), SimX, Inc., San Francisco, California; Immersive Learning Coordinator, Graduate Programs (Dr Burtch) School of Nursing, Purdue University Global, West Lafayette, Indiana; Center for Clinical Education & Simulation Manager, Associate Professor (Dr Chesney), Alverno College, College of Nursing, Mesa, Arizona; Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina (Dr Patel); Co-Founder & Principal, Power of One Consulting (Dr Patel), Power of One Consulting, Myakka City, Florida.

Abstract

BACKGROUND: Extended reality (XR) technologies are increasingly integrated into health care simulations. XR enables immersive, interactive, and multisensory learning experiences that enhance skill acquisition, knowledge retention, and interprofessional collaboration. PROBLEM: Despite growing interest, educators should address challenges, such as cognitive load management, inconsistent standards,…

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