Effect of Augmented Reality-Based Training on Nursing Students’ Accuracy in Performing Clinical Procedures in Private and Public Nursing Colleges

Authors

  • Noor Ul Eman Nishtar Hospital Multan, Pakistan
  • Muqddas Munir Mayo Hospital Lahore, Pakistan
  • Ayeza Lodhi Siddiq Institute of Nursing and Allied Health Sciences Multan, Pakistan
  • Saima Ghafoor Punjab Social Security Hospital Muzaffargarh, Pakistan

DOI:

https://doi.org/10.65761/pjcr.2026.300

Keywords:

Augmented reality, nursing education, clinical procedures, accuracy, quasi-experimental study, Pakistan

Abstract

Background: Traditional nursing education may provide limited opportunities for repetitive, self-paced clinical practice. Augmented reality (AR) offers immersive, interactive training with real-time guidance, but evidence from Pakistan remains limited.

Objective: To evaluate AR-based training effectiveness in improving clinical procedure accuracy among nursing students.

Methods: A quasi-experimental single-group pre-test post-test design was employed. A total of 250 nursing students were recruited from two nursing colleges (Siddiq Institute of Nursing and Allied Health Sciences Multan and Nishtar Nursing College Multan) using purposive sampling. Data were collected using a structured knowledge questionnaire and a clinical procedure accuracy checklist before and four weeks after the AR-based training intervention. The intervention comprised comprehensive AR-based training sessions covering five core clinical procedures: wound dressing, intramuscular injection, urinary catheterization, endotracheal suctioning, and medication administration. Data were analyzed using SPSS version 26.0, employing descriptive statistics and paired t-test.

Results: The mean pre-test knowledge score was 13.28 ± 4.12, which significantly increased to 26.94 ± 3.87 at post-test (t = 28.46, p < 0.001). Similarly, the mean clinical procedure accuracy score improved from 16.42 ± 5.23 pre-intervention to 33.58 ± 4.14 post-intervention (t = 26.73, p < 0.001). The AR-based training intervention demonstrated a highly statistically significant improvement in both knowledge and clinical procedure accuracy among the study participants.

Conclusion: Augmented reality-based training significantly enhances nursing students' knowledge and accuracy in performing clinical procedures. Integrating structured AR-based training programs into nursing curricula is recommended to bridge the gap between theoretical knowledge and clinical competence, particularly in resource-constrained settings like Pakistan.

References

1. Ali SM, Ali M, Abdelati IH, Abd Allah IM, Abou Shabana KR. Impact of preoperative education on relieving postoperative discomforts and improving quality of life after hysterectomy. Egypt J Hosp Med. 2026;102:652-663. doi:10.21608/ejhm.2026.483369.

2. Chahartangi F, Zarifsanaiey N, Mehrabi M, Ghoochani BZ, Sharifzadeh N. Investigating the effect of augmented reality-based virtual patient training on occupational therapy students' clinical decision-making: a quasi-experimental study. PLoS One. 2026;21(2). doi:10.1371/journal.pone.0340759.

3. Cho MK, Kim MY. Enhancing nursing competency through virtual reality simulation among nursing students: a systematic review and meta-analysis. Front Med (Lausanne). 2024;11:1351300. doi:10.3389/fmed.2024.1351300.

4. Daling LM, Schlittmeier SJ. Effects of augmented reality-, virtual reality-, and mixed reality-based training on objective performance measures and subjective evaluations in manual assembly tasks: a scoping review. Hum Factors. 2024;66(2):589-626. doi:10.1177/00187208221105135.

5. Deverell L, Bhowmik J, Lau BT, Al Mahmud A, Sukunesan S, Islam FMA, et al. Use of technology by orientation and mobility professionals in Australia and Malaysia before COVID-19. Disabil Rehabil Assist Technol. 2022;17(3):260-267. doi:10.1080/17483107.2020.1785565.

6. Guan M, Feng X. Correlation between quality of discharge teaching, readiness for hospital discharge and health outcomes of hysterectomy patients: a structural equation model analysis. Nurs Open. 2023;10(6):3817-3827. doi:10.1002/nop2.1640.

7. Guillen-Aguinaga L, Rayón-Valpuesta E, Guillen-Aguinaga S, Rodriguez-Diaz B, Montejo R, Alas-Brun R, et al. Mixed reality in undergraduate nursing education: a systematic review and meta-analysis of benefits and challenges. Nurs Rep. 2025;15(5):137. doi:10.3390/nursrep15050137.

8. Jallad ST, Natsheh I, Helo LA, Ibdah DM, Salah A, Muhsen R, et al. Nursing student's perceptions, satisfaction, and knowledge toward utilizing immersive virtual reality application in human anatomy course: quasi-experimental. BMC Nurs. 2024;23:601. doi:10.1186/s12912-024-02254-8.

9. Jang W, Chai W, Kim Y, Moon Y, Yoo S, Na SG, et al. Augmented reality-based training for a rapid blood transfusion device among emergency nurses: randomized controlled trial. JMIR Med Educ. 2026;12. doi:10.2196/98073.

10. Jin S, Choi SY, Kim JH. Learning from the learners: evaluation of augmented reality-based medication administration program for nursing skills. Clin Simul Nurs. 2025;101:101706. doi:10.1016/j.ecns.2025.101706.

11. Kakoutopoulos K, Drakakis E, Papadopoulou A, Goumopoulos C. Feasibility of augmented reality-based cognitive training for older adults: the MarketMind AR approach. Sensors (Basel). 2025;25(7):2081. doi:10.3390/s25072081.

12. Kang R, Zhang B, Fu S, Tong L, Jin S, Wang Y, et al. Application of head-mounted display-based augmented and mixed reality in nursing education: a scoping review. BMC Nurs. 2025;24:1150. doi:10.1186/s12912-025-03413-1.

13. Kim SK, Lee Y, Hwang HR, Park SY. 3D human anatomy augmentation over a mannequin for the training of nursing skills. Technol Health Care. 2024;32(3):1523-1533. doi:10.3233/THC-230586.

14. Lampropoulos G, Fernández-Arias P, del Bosque A, Vergara D. Augmented reality in health education: transforming nursing, healthcare, and medical education and training. Nurs Rep. 2025;15(8):289. doi:10.3390/nursrep15080289.

15. Lee D, Bathish MA, Nelson J. Transforming nursing education: developing augmented reality procedural training. Cyberpsychol Behav Soc Netw. 2024;27(6):372-378. doi:10.1089/cyber.2023.0403.

16. Martín-Valero R, Vega-Morales Sr A, Martín-Vega FJ, Rodriguez-Huguet M, Rodríguez-Martínez MC, Vinolo-Gil MJ. Effectiveness of augmented reality in the teaching of health university students: quasi-experimental study. JMIR Serious Games. 2025;13. doi:10.2196/54312.

17. Mohamed Elghareeb Allam S, Ali Elsaadany SA, Khalifa Garas Girgis T, Gamal Abd Elnaser Ahmed Elnabawy M, Saad Shaker Soliman M. Efficacy of educational sessions on venous thromboembolism prevention and emotional status among women having major abdomino-pelvic surgery. Egypt J Health Care. 2024;15(4):530-547. doi:10.21608/ejhc.2024.388888.

18. Nagamata S. Comparison of augmented reality-based and conventional training methods for radiographic positioning in second-year radiologic technology students in Japan. J Med Radiat Sci. 2025;72(4):512-518. doi:10.1002/jmrs.70019.

19. Nakazawa A, Iwamoto M, Kurazume R, Nunoi M, Kobayashi M, Honda M. Augmented reality-based affective training for improving care communication skill and empathy. PLoS One. 2023;18(7). doi:10.1371/journal.pone.0288175.

20. Obeid MF, Ewais A, Asia MR. NursingXR: advancing nursing education through virtual reality-based training. Appl Sci. 2025;15(6):2949. doi:10.3390/app15062949.

21. Oyekunle D, Claude BEA, Waliu AO, Adekunle TS, Matthew UO. Cloud based adaptive learning system: virtual reality and augmented reality assisted educational pedagogy development on clinical simulation. J Digit Health. 2024;3(1):49-62. doi:10.55976/jdh.32024126849-62.

22. Popov V, Mateju N, Jeske C, Lewis KO. Metaverse-based simulation: a scoping review of charting medical education over the last two decades in the lens of the "marvelous medical education machine". Ann Med. 2024;56(1):2424450. doi:10.1080/07853890.2024.2424450.

23. Ribeiro N, Tavares P, Ferreira C, Coelho A. Melanoma prevention using an augmented reality-based serious game. Patient Educ Couns. 2024;123:108226. doi:10.1016/j.pec.2024.108226.

24. Su Z, Zhang L, Lian X, Guan M. Virtual reality-based exercise rehabilitation in cancer-related dysfunctions: scoping review. J Med Internet Res. 2024;26. doi:10.2196/49312.

25. Ueyama Y, Harada M. Basketball free-throw training with augmented reality-based optimal shot trajectory for novice shooters. Sci Rep. 2024;14(1):891. doi:10.1038/s41598-024-51190-9.

26. Uymaz P, Uymaz AO. Assessing acceptance of augmented reality in nursing education. PLoS One. 2022;17(2). doi:10.1371/journal.pone.0263937.

27. Vogel K, Bernloehr A, Willmeroth T, Blattgerste J, Hellmers C, Bauer NH. Augmented reality simulation-based training for midwifery students and its impact on perceived knowledge, confidence and skills for managing critical incidents. Midwifery. 2024;136:104064. doi:10.1016/j.midw.2024.104064.

28. Wei L, Jin L, Gong R, Yang Y, Zhang X. Design of audio-augmented-reality-based O&M orientation training for visually impaired children. Sensors (Basel). 2022;22(23):9487. doi:10.3390/s22239487.

29. Yoo S, Heo S, Song S, Park A, Cho H, Kim Y, et al. Adoption of augmented reality in educational programs for nurses in intensive care units of tertiary academic hospitals: mixed methods study. JMIR Serious Games. 2024;12. doi:10.2196/54188.

Downloads

Published

2026-07-30

How to Cite

1.
Noor Ul Eman, Munir M, Lodhi A, Ghafoor S. Effect of Augmented Reality-Based Training on Nursing Students’ Accuracy in Performing Clinical Procedures in Private and Public Nursing Colleges. Pak J Clin Res [Internet]. 2026 Jul. 30 [cited 2026 Sep. 19];3(7):22-8. Available from: https://www.pjcr.org/index.php/PJCR/article/view/300

Similar Articles

11-20 of 34

You may also start an advanced similarity search for this article.