Novel Technologies in Nurse Practitioner Education: An Integrative Review

Authors

DOI:

https://doi.org/10.19173/irrodl.v27i3.9095

Keywords:

nurse practitioner education, technology, simulation, virtual reality, augmented reality, high fidelity simulation, change management

Abstract

The use of technology in healthcare education is rapidly expanding. Undergraduate nursing programs have integrated advanced technologies such as high-fidelity simulation, immersive virtual reality, augmented reality, and holographic simulations to support learning and improve retention in both in-person and distance learning. Meanwhile, little is known about the use of these clinical learning technologies in nurse practitioner education. This integrative review involved a systematic search of five databases: CINAHL, ERIC (ProQuest), MedLine (OVID), Google Scholar, and PubMed. Eleven studies met the inclusion and exclusion criteria and were analyzed for major themes. Five primary themes emerged, including (a) student uptake, (b) student learning, (c) change management, (d) accessibility, and (e) confidence. Findings suggested that integrating advanced clinical learning technologies into nurse practitioner programs should be prioritized. Going forward, focus should turn to establishing nurse practitioner program best practices for integrating clinical learning technologies, budgetary considerations, ongoing evaluation of learning outcomes, and theory development. Work in these areas may support the enhanced use of clinical learning technologies while providing educational institutions, nurse practitioner programs and public funders with the necessary data to inform future planning and further implementation of new technologies.

Author Biographies

Chelsie Girard, School of Nursing, Laurentian University, Sudbury, Ontario, Canada

Chelsie is a graduate of Laurentian University's MScN program in the Advanced Practice Nursing Stream. 

Misha Balciunas, School of Nursing, Laurentian University, Sudbury, Ontario, Canada

Misha is a graduate of Laurentian University's MScN program.

Kelly Robertson, School of Nursing, Laurentian University, Sudbury, Ontario, Canada

Kelly is a graduate of Laurentian University's MScN program.

Hannah Ballantyne, School of Nursing, Laurentian University, Sudbury, Ontario, Canada

Hannah is a graduate of Laurentian University's MScN program in the Advanced Practice Nursing Stream.

Jennifer-Lynn Fournier, School of Nursing, Laurentian University, Sudbury, Ontario, Canada

Dr. Fournier is an Associate Professor in the School of Nursing at Laurentian University in Sudbury, Ontario. 

Robyn Gorham, School of Nursing, Laurentian University, Sudbury, Ontario, Canada

Dr. Gorham is an Associate Professor in the School of Nursing at Laurentian University in Sudbury, Ontario. 

References

Ainslie, M., & Bragdon, C. (2018). Telemedicine simulation in online family nurse practitioner education: Clinical competency and technology integration. Journal of the American Association of Nurse Practitioners, 30(8). https://doi.org/10.1097/JXX.0000000000000071

Al-hatem, A.I., Masood, M., & Al-Samarraie, H. (2018). Fostering student nurses’ self-regulated learning with the second life environment: An empirical study. Journal of Information Technology Education: Research, 17, 285–307. https://doi.org/10.28945/4110

Anderson, M., Guido-Sanz, F., Díaz, D. A., Lok, B., Stuart, J., Akinnola, I., & Welch, G. (2021). Augmented reality in nurse practitioner education: Using a triage scenario to pilot technology usability and effectiveness. Clinical Simulation in Nursing, 54, 105–112. https://doi.org/10.1016/j.ecns.2021.01.006

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Brown, K. M., Perretta, J., Miller, G., Gilbert, G., Anderson, M., Horvath, C., Sullivan, N., Jeffers, J., Swoboda, S., Shilkofski, N., Green, D., & Mudd, S. (2023). Deconstructing healthcare silos: Multiplayer virtual reality for interprofessional & intraprofessional education. Journal of Interactive Learning Research, 34(3), 495–517. https://doi.org/10.70725/193236wczyhb

Canadian Association of Schools of Nursing. (2022). Accreditation nurse practitioner program standards and framework. CASN-Accreditation-NP-Standards-and-Framework_EN_FD.pdf

Carley, A. (2015). Using technology to enhance nurse practitioner student engagement. The Nurse Practitioner, 40(7), 47–54. https://doi.org/10.1097/01.NPR.0000465119.04536.0e

Casler, K., Gawlik, K. S., & Messinger, J. (2024). Virtual reality to aid in competency-based online nurse practitioner curriculum (VR-NP). Journal of Professional Nursing, 55, 125–132. https://doi.org/10.1016/j.profnurs.2024.09.009

Chang, C.-Y., Sung, H.-Y., Guo, J.-L., Chang, B.-Y., & Kuo, F.-R. (2022). Effects of spherical video-based virtual reality on nursing students’ learning performance in childbirth education training. Interactive Learning Environments, 30(3), 400–416. https://doi.org/10.1080/10494820.2019.1661854

Cronin, M., & George, E. (2020). The why and how of the integrative review. Organizational Research Methods, 26(1). https://doi.org/10.1177/1094428120935507

D’Aiello, A., Cabitza, F., Natali, C., Vigano, S., Ferrero, P., Bognoni, L., Pasqualin, G., Giamberti, A., & Chessa, M. (2018). The effect of holographic heart models and mixed reality for anatomy learning in congenital heart disease: An exploratory study. Journal of Medical Systems, 47(64). https://doi.org/10.1007/s10916-023-01959-8

Driscoll, M., & Burner, K. (2022). Psychology of learning of instruction (4th ed.). Pearson.

Elliott, L., DeCristofaro, C., & Carpenter, A. (2012). Blending technology in teaching advanced health assessment in a family nurse practitioner program: Using personal digital assistants in a simulation laboratory. Journal of the American Academy of Nurse Practitioners, 24(9), 536–543. https://doi.org/10.1111/j.1745-7599.2012.00728.x

Ficarra, B. (2021). Virtual reality, augmented reality and mixed reality. In W. Carroll (Ed.), Emerging technologies for nurses: Implications for practice (pp. 87–120). Springer.

Graves, L., Dalgarno, N., Hoorn, R. V., Hastings-Truelove, A., Mulder, J., Kolomitro, K., Kirby, F., & van Wylick, R. (2023). Creating change: Kotter’s change management model in action. Canadian Medical Education Journal, 14(3), 136–139. https://doi.org/10.36834/cmej.76680

Hoyt, H., & Hauze, S. (2023). Nursing education through the lens of immersive simulation: A comparison of student knowledge, skill, and motivation to learn via two-dimensional video versus extended reality. International Journal on E-Learning, 22(2), 129–157. https://doi.org/10.70725/463377yvompo

Jallad, S. T. (2024). The effectiveness of immersive virtual reality applications (human anatomy) on self-directed learning competencies among undergraduate nursing students: A cross-sectional study. Anatomical Sciences Education, 17(9), 1764–1775. https://doi.org/10.1002/ase.2534

Kyaw, B., Saxena, N., Posadzki, P., Vseteckova, J., Nikolaou, C., George, P., Divakar, U., Masiello, I., Kononowicz, A., Zary, N., & 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

Lamarche, K., Park, C., Fraser, S., Rich, M., & MacKenzie, S. (2016). In the palm of your hand: Normalizing the use of mobile technology for nurse practitioner education and clinical practice. Nursing Leadership, 29(3), 120–132. https://doi.org/10.12927/cjnl.2016.24898

Lee, D., Bathish, M. A., & Nelson, J. (2024). Transforming nursing education: Developing augmented reality procedural training. CyberPsychology, Behavior & Social Networking, 27(6), 372–378. https://doi.org/10.1089/cyber.2023.0403

Liu, Y., & Butzlaff, A. (2021). Where’s the germs? The effects of using virtual reality on nursing students’ hospital infection prevention during the COVID-19 pandemic. Journal of Computer Assisted Learning, 37(6), 1622–1628. https://doi.org/10.1111/jcal.12601

May, S. C. (2019). A comparative analysis of student success and perceptions of engagement between face-to-face and online college courses (Publication No. 13811251) [Doctoral dissertation, Lindenwood University]. ProQuest Dissertations & Theses Global. https://www.proquest.com/docview/2202321237?pq-origsite=primo&sourcetype=Dissertations%20&%20Theses

Marrocco, G., Ginzburg, E. & Feder, S. (2019). Seeing from the eyes of the beholder: A pilot program for learning through reflection in graduate nursing education. Nursing Education Perspectives, 40(2), 113–115. https://doi.org/10.1097/01.NEP.0000000000000317

Medvec, B. R., Knight, S. W., & McLaughlin-Grayson, T. (2023). Cultivating leadership competency using virtual reality: DEI and anti-racism. Journal of Interactive Learning Research, 34(3), 475–494. https://doi.org/10.70725/372356fpywxa

Nelson, B., Ridgway, J., Brown, A., Anthamatten, A., Hall, E., & McClure, N. (2025). Interactive simulation for addressing vaccine hesitancy in nurse practitioner education. Clinical Simulation in Nursing, 102. https://doi.org/10.1016/j.ecns.2025.101719

Rogers, J. L., Reyes, A., & Yang, X. (2024). Development of an interactive 3D visualization tutorial for pathophysiology in graduate nursing education. Nurse Educator, 49(2), E68–E73. https://doi.org/10.1097/NNE.0000000000001496

Rudolph, A., Vaughn, J., Crego, N., Hueckel, R., Kuszajewski, M., Molloy, M., Brisson, R., & Shaw, R. J. (2017). Integrating telepresence robots into nursing simulation. Nurse Educator, 42(2), E1–E4. https://doi.org/10.1097/NNE.0000000000000329

Russell, S. L. (2023). Evaluating a virtual reality simulation-based tool in undergraduate nursing students for impact on accuracy, clinical judgment, fear, and self-confidence when donning, doffing, and disposing of personal protective equipment (Publication No. 30561029) [Graduate dissertation, West Virginia University]. ProQuest Dissertations & Theses Global. https://doi.org/10.33915/etd.11960

Shelton, A., & Reimer, N. (2018). Telehealth wound applications: Barriers, solutions, and future use by nurse practitioners. Online Journal of Nursing Informatics, 22(2). https://www.himss.org/resources/telehealth-wound-applications-barriers-solutions-and-future-use-nurse-practitioners/

Smith, T. S., Jordan, J., & Li, P. (2022). Video-based interactive clinical simulation: Preparing nurse practitioner students for clinical. Journal for Nurse Practitioners, 18(9), 995–998. https://doi.org/10.1016/j.nurpra.2022.07.014

Stoll, C. R. T., Izadi, S., Fowler, S., Green, P., Suls, J., & Colditz, G. A. (2019). The value of a second reviewer for study selection in systematic reviews. Research Synthesis Methods, 10(4), 539–545. https://doi.org/10.1002/jrsm.1369

Wang, C.-Y., Yin, T., Ma, K.-H., Shyu, J.-F., Cheng, C.-P., Wang, Y.-C., Huang, Y.-L., & Chiang, M.-H. (2023). Enhancing anatomy education through cooperative learning: Harnessing virtual reality for effective gross anatomy learning. Journal of Microbiology & Biology Education, 24(3). https://doi.org/10.1128/jmbe.00100-23

Whited, T. M., DeClerk, L., Berber, A., & Phelan, K. D. (2019). An innovative technique to promote understanding of anatomy for nurse practitioner students. Journal of the American Association of Nurse Practitioners, 33(5), 348–352. https://doi.org/10.1097/JXX.0000000000000328

Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x

Published

2026-08-07

How to Cite

Girard, C., Balciunas, M., Robertson, K., Ballantyne, H., Fournier, J.-L., & Gorham, R. (2026). Novel Technologies in Nurse Practitioner Education: An Integrative Review . The International Review of Research in Open and Distributed Learning, 27(3), 325–339. https://doi.org/10.19173/irrodl.v27i3.9095

Issue

Section

Literature Reviews