Effects of fully immersive virtual reality on nurses’ knowledge, decision-making, self-efficacy and engagement

These findings suggest that while FIVR enhances engagement, it does not significantly improve knowledge, decision-making, or self-efficacy compared with traditional methods in onboarding for DKA management. FIVR represents a promising and engaging tool for onboarding newly graduated nurses, particularly in fostering active participation. However, its effectiveness in advancing clinical knowledge and decision-making remains inconclusive.