Virtual reality in undergraduate operating theatre nursing education: a scoping review protocol
DOI:
https://doi.org/10.62741/ahrj.v3iSuppl.134Keywords:
Clinical simulation; Nursing; Operating theatre; Undergraduate education; Virtual realityAbstract
Introduction: Virtual reality has emerged as an innovative tool in nursing education, enabling immersive and interactive learning experiences that may support the development of technical and non-technical skills. In undergraduate training, access to real surgical environments is often restricted due to safety, ethical and logistical concerns, which limits experiential learning in the operating theatre. Virtual reality may represent a valuable complement; however, current evidence is dispersed and has not yet been systematically summarized, justifying the need to map existing knowledge.
Objectives: To map the published evidence on the use of virtual reality in undergraduate nursing education within the operating theatre context, identifying modalities, educational purposes, learning outcomes, and existing research gaps.
Methodology: Following Joanna Briggs Institute methodology and PRISMA-ScR reporting guidelines, this scoping review will comprehensively map the existing evidence on the use of virtual reality (Concept) in undergraduate nursing education (Population) within the operating theatre setting (Context). Searches will be conducted in MEDLINE (via PubMed), Scopus, Web of Science, CINAHL Complete, SciELO and the Cochrane Library. Grey literature will also be systematically explored through multiple sources, including Repositório Científico de Acesso Aberto de Portugal, international dissertation and thesis repositories such as ProQuest Dissertations & Theses Global, and websites of relevant professional organizations and academic institutions. Study selection and data extraction will be carried out independently by two reviewers using a pre-designed tool, and the findings will be synthesized descriptively, supported using charts and tables to map key concepts, evidence types, and research gaps.
Results: The review is expected to map virtual reality technologies, educational approaches, competencies targeted, and measured outcomes in undergraduate perioperative nursing education, as well as research gaps and methodological limitations.
Conclusion: This protocol supports the transparent and rigorous development of a scoping review on virtual reality in undergraduate operating theatre nursing education. The expected findings may inform educational planning, guide simulation design and support future research in perioperative nursing education.
References
Foronda, C. L., Fernandez-Burgos, M., Nadeau, C., Kelley, C. N., & Henry, M. N. (2020). Virtual Simulation in Nursing Education. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 15(1), 46–54. https://doi.org/10.1097/sih.0000000000000411
Kiegaldie, D., & Shaw, L. (2023). Virtual reality simulation for nursing education: effectiveness and feasibility. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01639-5
Cant, R. P., & Cooper, S. J. (2017). The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis. Nurse Education in Practice, 27(27), 45–62. https://doi.org/10.1016/j.nepr.2017.08.012
Hu, Q., Chen, H., Wang, C., Li, S., Cao, H., & Jiang, Y. (2025). Factors Influencing the Quality of Virtual Reality in Nursing Education. CIN: Computers, Informatics, Nursing, 43(8). https://doi.org/10.1097/cin.0000000000001287
Kyaw, B. M., Saxena, N., Posadzki, P., Vseteckova, J., Nikolaou, C. K., George, P. P., Divakar, U., Masiello, I., Kononowicz, A. A., Zary, N., & Tudor Car, L. (2019). Virtual reality for health professions education: Systematic review and meta-analysis by the digital health education collaboration. Journal of Medical Internet Research, 21(1). https://doi.org/10.2196/12959
Hong, S. J., Bang, H. L., & Ferencsik, L. (2025). Effects of a Nursing Education Program Using Virtual Reality for Childbirth Nursing Care on Knowledge, Problem-Solving Ability and Nursing Performance in Nursing Students. Journal of Korean Academy of Fundamentals of Nursing, 32(1), 35–44. https://doi.org/10.7739/jkafn.2025.32.1.35
Parlak, E. A., Ayhan, H., Erer, İ., & Iyigun, E. (2025). The effect of virtual reality-based operating room tour on nursing students’ anxiety, stress and self-confidence levels in an operating room setting: A randomized controlled trial. Nurse Education in Practice, 85,104380.https://doi.org/10.1016/j.nepr.2025.104380
Freina, L., & Ott, M. (2015). A LITERATURE REVIEW ON IMMERSIVE VIRTUAL REALITY IN EDUCATION: STATE OF THE ART AND PERSPECTIVES. The 11th International Scientific Conference ELearning and Software for Education. https://doi.org/10.12753/2066-026X-15-020
AORN. (2024). Guidelines for Perioperative Practice, 2024 Edition. Association of periOperative Registered Nurses.
Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis, JBI; 2020. https://doi.org/10.46658/JBIMES-20-12
Rayyan (Mourad Ouzzani, Hossam Hammady, Zbys Fedorowicz, and Ahmed Elmagarmid. Rayyan — a web and mobile app for systematic reviews. Systematic Reviews (2016) 5:210, DOI: 10.1186/s13643-016-0384-4
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Internl Med. [Internet]. 2018; 169:467–73. https://doi.org/10.7326/M18-0850
Pollock, D., Peters, M. D. J., Khalil, H., McInerney, P., Alexander, L., Tricco, A. C., Evans, C., de Moraes, É. B., Godfrey, C. M., Pieper, D., Saran, A., Stern, C., & Munn, Z. (2023). Recommendations for the extraction, analysis, and Presentation of Results in Scoping Reviews. JBI Evidence Synthesis, 21(3), 520–532. https://doi.org/10.11124/jbies-22-00123
Peters M, Marnie C, Tricco AC, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119-2126. doi:10.11124/JBIES-20-0016747.
Peters MDJ, Godfrey C, McInerney P, et al. Best practice guid-ance and reporting items for the development of scoping review protocols. JBI Evid Synth. 2022;20(4):953. doi:10.11124/JBIES-21-0024248.
Pollock D, Peters MDJ, Khalil H, et al. Recommendations for the extraction, analysis, and presentation of results in scoping re-views. JBI Evid Synth. 2023;21(3):520. doi:10.11124/JBIES-22-00123
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Athena Health & Research Journal

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright of published papers is assigned to the Journal, but all content is licensed under the terms of Creative Commons Non-comercial 4.0 International License. Thus users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.







