TY - JOUR A1 - Forbrig, Theresa A. A1 - Gellert, Paul A1 - Biniok, Maria A1 - Gräske, Johannes T1 - Facilitator competency rubric in nursing simulations: transcultural adaptation and validation of the German version JF - BMC Nursing N2 - Background Simulations are part of nursing education. To obtain good results, simulation facilitators need to be competent in simulation pedagogy. Part of this study was the transcultural adaptation and validation of the Facilitator Competency Rubric into German (FCRG) and the evaluation of the factors associated with higher competencies. Method A written-standardized cross-sectional survey was conducted. N = 100 facilitators (mean age: 41.0 (9.8), female: 75.3%) participated. Test–re-test, confirmatory factor analysis (CFA), and ANOVAs were conducted to evaluate the reliability and validity of, and the factors associated with, FCRG. Intraclass correlation coefficient (ICC) values > .9 indicate excellent reliability. Results The FCRG achieved good intra-rater reliability (all ICC > .934). A moderate correlation (Spearman-rho .335, p < .001) with motivation indicates convergent validity. The CFA showed sufficient to good model fits (CFI = .983 and SRMR = .016). Basic simulation pedagogy training is associated with higher competencies (p = .036, b = 17.766). Conclusion The FCRG is a suitable self-assessment tool for evaluating a facilitator’s competence in nursing simulation. KW - Facilitator Competency Rubric KW - Simulation pedagogy KW - Facilitator’s competence KW - Self-assessment tool KW - Nursing Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-5470 SN - 1472-6955 VL - 2023 IS - 139 SP - 1 EP - 9 PB - BMC ER - TY - JOUR A1 - Biniok, Maria A1 - Forbrig, Theresa A. A1 - Gellert, Paul A1 - Gräske, Johannes T1 - Analysis of cybersickness in virtual nursing simulation: a German longitudinal study JF - BMC Nursing N2 - Background Innovative educational approaches such as simulation-based nursing education using virtual reality (VR) technologies provide new opportunities for nursing education. However, there is a lack of information on side effects, especially health-related side effects, of head-mounted displays (HMDs) on the human body when using VR devices for nursing simulation. This study aims to validate the German version of the Virtual Reality Sickness Questionnaire (VRSQ) and to evaluate its associations with sex and age, as reflected in the VRSQG scores (total score oculomotor, and disorientation) over time. Methods A longitudinal-sectional study was conducted. In addition to the VRSQG (pre-, post-, and 20 min postintervention), participants (all nursing students) completed data on personal characteristics. Participants completed a VR simulation of a blood draw. Confirmatory factor analysis (CFA) was used to evaluate whether the measured construct was consistent with the original. In addition to the validity, internal consistency was analyzed and generalized linear models (GLMs) were used for data analysis. Results A total of 38 nursing students (mean age 26.8 years; SD = 7.1, 79.0% female) participated. The mean time spent in the VR simulation was 21 min. All participants completed the entire simulation. The CFA indicates (CFI = 0.981, SRMR = 0.040) VRSQG structure is given. Internal consistency showed low values for the subdomain Oculomotor (Cronbach alpha 0.670). For Disorientation and the Total score values showed a sufficient internal consistency. GLMs showed significant between subject associations with age over time with VRSQG total score, oculomotor, and disorientation. Older nursing students start with higher VRSQG-Scores. Over time, an approximation occurs, so that all participants reach a similar level by the final measurement point. No associations were found between sex (male/ female) and VRSQG scores. Conclusions The VRSQG is a reliable and valid self-assessment for measuring cybersickness in VR based nursing simulations, with cybersickness symptoms positively associated with age. However, in depth-evaluation regarding age-associations with cybersickness should be done. As well as studies to explore additional associations and emphasizes the importance of establishing cut-off values to assess the clinical relevance of the scores. KW - Longitudinal study KW - Virtual reality KW - Cybersickness KW - Nursing education KW - Skills training KW - Simulation Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-6356 SN - 1472-6955 VL - 2024 IS - 23 PB - BMC ER -