Safety-centered simulation education using the 360-degree video room of errors: A mixed-methods study

초록

Background: Recognizing situations that threaten patient safety and predicting potential risks are essential in nursing practice. This study aimed to evaluate the error detection rates and effects of safetycentered simulation education using a 360-degree video Room of Errors (ROE) on attitudes toward patient safety, confidence in performance, immersion, and learning satisfaction. Educational experiences were also explored qualitatively. Methods: A concurrent mixed-methods design was employed. A total of 34 third- and fourth-year nursing students participated in Korea. A 360-degree video ROE simulation of perioperative patient safety management was developed and implemented. Attitudes toward patient safety, performance confidence, immersion, and learning satisfaction were measured and analyzed using SPSS/WIN 29.0. Experience was examined using qualitative content analysis. Results: Students detected errors more frequently in the physical environment and patient identification but less often in medication administration. Scores for attitudes toward patient safety and performance confidence significantly improved postintervention ( p < .001). Qualitative findings highlighted positive themes such as "emotional responses to the learning experience", "structural and pedagogical benefits", and "transformative outcomes of learning", alongside a theme of "perceived weaknesses and suggestions". Conclusions: Safety-centered simulation education using 360-degree video can improve nursing students' attitudes toward patient safety and confidence in performance, thus supporting the transfer of learning to clinical practice. (c) 2025 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

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