A Development of Virtual Reality Media on Drug Administration for Nursing Students


  • Matanee Radabutr Registered Nurse, Senior Professional Level of Boromarajonani College of Nursing, Changwat Nonthaburi, Praboromarajchanok Institute
  • Kamolrat Turner Dean of Faculty of Nursing, Praboromarajchanok Institute
  • Phawida Putthikhan Assistant Professor, Fundamental of Nursing and Nursing Administration Branch, Srisavarindhira Thai Red Cross Institute of Nursing
  • Narumol Laokosin Registered Nurse, Senior Professional Level of Boromarajonani College of Nursing, Changwat Nonthaburi, Praboromarajchanok Institute


virtual reality media, drug administration, nursing students


This study aimed to 1) develop virtual reality media on drug administration for nursing students and 2) compare the students’ knowledge before and after using this media. The processes included studying situations, developing virtual reality media, and comparing knowledge before and after use of the media between an experimental group and a control group. The sample consisted of 40 students selected via purposive sampling. The instrument consisted of virtual reality media on drug administration for nursing students and a drug administration knowledge questionnaire. Data were analyzed using the effectiveness index and paired t-tests.

The results showed: 1) virtual reality media on drug administration for nursing students included drug administration content according to the principle of 10 Rs in drug administration, a simple-to-use menu, concise content, questions with answers, and ubiquitous availability. The effectiveness index (E1/E2) was found to be 64.94/72.96. 2) The knowledge of the experimental group after using the virtual reality media was statistically higher than before (p < .05). In conclusion, virtual reality media on drug administration affected the knowledge of nursing students. As such, virtual reality media could be appropriate for the self-directed learning of nursing students. Future research should study and develop various virtual reality media for nursing students in all nursing areas.


World Health Organization. Rational use of medicines. Fact sheet no.38 [Internet]. 2010 [cited 2020 Mar 20]. Available from: https://www.who.int/activities/promoting-rational-use-of-medicines.

Thailand Nursing and Midwifery Council. Conclusion integrating the rational drug use curriculum into the Bachelor of Nursing Science Program [Internet]. 2018 [cited 2020 Mar 19]. Available from: https://www.tnmc.or.th/news/110. (in Thai)

Saneha C, Musikthong J, Sripasong S, Samai T. Relationships among personal factors, perception about safety methods in medication administration and safe medication practices of nursing students at a faculty of nursing in Bangkok metropolis. J Nurs Sci 2018;36(1):17-30. (in Thai)

Panich V. Classroom research is changing teachers. Bangkok: Siam Commercial Foundation; 2019. (in Thai)

Pantaewan P. Development of students in the 21st century with active learning in nursing profession. Journal of The Royal Thai Army Nurses 2016;17(3):17-24. (in Thai)

Radabutr M, Thanirat S, Pinyomit S. Perceptions and experiences of nursing students in Boromarajonani College of Nursing Changwat Nonthaburi regarding active learning. Journal of The Royal Thai Army Nurses 2019;20(3):144-53. (in Thai)

Chawakirtipoon N. The development of lesson plans and writing packages in science subjects for science student teachers. Veridian E-Journal, Silpakorn University 2016;9(3):1005-14. (in Thai)

Lamchang S, Kiatwattanacharoen S. Effects of self-learning by using multimedia on knowledge and self-confidence in nursing practice for children with acute respiratory tract infection among nursing students. Nursing Journal 2014;41(2):107-16. (in Thai)

Haugan S, E, Sandaker J, Hustad JL, Thordarson GO. Playful learning with Vr-Simi model: the use of 360-video as a learning tool for nursing students in a psychiatric simulation setting [Internet]. 2023 [cited 2023 Jul 28]. Available from: https://search.ebscohost.com/login.aspx?direct=true&db=edssjb&AN=edssjb.978.3.031.10399.5.9&site=eds-live&scope=site.

Information Technology and Communication Center, Ministry of Higher Education, Science, Research and Innovation. Reality technology VR/AR/MR [Internet]. 2020 [cited 2023 Mar 19]. Available from: http://www.ops.go.th/th/main/index.php/knowledge-base/article-pr/675-interface-technology-vr-ar-mr. (in Thai)

Institute for Innovative Learning, Mahidol University. VR virtual reality technology [Internet]. 2017 [cited 2020 Mar 19]. Available from: https://il.mahidol.ac.th/th/i-learning-clinic/general-articles/vr-เทคโนโลยีโลกเสมือนจริง. (in Thai)

Thanawut S. Virtual Reality (VR) and the trend of teaching and learning in the digital age [Internet]. 2019 [cited 2020 Mar 19]. Available from: http://theced-digital.blogspot.com/2018/06/virtual-reality-vr.html. (in Thai)

Turner K, Leungratanamart L, Reunreang T, Rakkwamsuk S. Development of a pedagogical model to promote 21st century skills of nursing students. Nursing Journal of the Ministry of Public Health 2018;28(1):127-38. (in Thai)

Department of Nursing Administration, Faculty of Nursing, Prince of Songkhla University. A guideline to rational drug use in community health nursing and primary medical care practicum. Songkhla: Faculty of Nursing, Prince of Songkhla University; 2018.

Vera M. Fundamental of nursing: the 10 rights of drug administration [Internet]. 2020 [cited 2023 Mar 19]. Available from: https://nurseslabs.com/10-rs-rights-of-drug-administration/.

Khumkom S. Effect of Using Smart Educational Media Creator (SEMC) on learning achievement of nursing practicum of mental health and psychiatric and critical thinking among nursing students. Journal of Nursing and Education 2015;8(4):126-39. (in Thai)

Chen PJ, Liou WK. Exploring the impact of the use of immersive virtual reality interactive experiences on student learning of obstetrical Nursing. International Journal of Nursing Education 2022;14(3):121-6.

Komindr S, Sangpitak W, Keanoppakun M, Srisomphan K. Development of multimedia on mechanisms of labor for nursing students. Nursing Journal of the Ministry of Public Health 2020;30(2):136-49. (in Thai)

Chaneiam N, Wangthong K, Phangkaew K, Kruawal S, Laimek C, Lenphetr P, et al. Effectiveness and satisfaction of self-learning through virtual teaching media in the care of pressure injury of nursing students, Srinakharinwirot University. Srinakharinwirot Research and Development (Journal of Humanities and Social Sciences) 2019;11(22): 45-56. (in Thai)

Krautscheid L, Williams SB. Using multimedia resources to enhance active learning during office hours. J Nurs Educ 2018;57(4):256. doi: 10.3928/01484834-20180322-14.

Sorden S. The cognitive theory of multimedia learning [Internet]. 2018 [cited 2018 May 10]. Available from: https://www.researchgate.net/publication/267991109_The_Cognitive_Theory_of_Multimedia_Learning.

Lee Y, Suh M, Jung T. Effect of virtual reality-based nursing skills on the performance ability, performance confidence, and practice satisfaction of nursing college students [Internet]. 2023 [cited 2023 Jul 28]. Available from: https://search.ebscohost.com/login.aspx?direct=true&db=edssjb&AN=edssjb.978.3.031.25390.4.21&site=eds-live&scope=site.

Jung AR, Park EA. The effectiveness of learning to use HMD-Based VR technologies on nursing students: chemoport insertion surgery. Int J Environ Res Public Health 2022;19(8):4823. doi: 10.3390/ijerph19084823.

Aini FHQ, Widiasih R, Platini H. Nursing students’ practicum readiness using virtual learning reality: a pre-experimental one group study. Journal of Nursing Care [Internet]. 2023 [cited 2023 Jul 28];6(1):28-34. Available from: https://search.ebscohost.com/login.aspx?direct=true&db=edsbas&AN=edsbas.A39E7F8&site=eds-live&scope=site.

Apsari AP, Widiasih R, Mirwanti R. Virtual reality effectivity to increase self-efficacy in suction skill among nursing student: quasi experiment study. Journal of Nursing Care [Internet]. 2023 [cited 2023 Jul 28];6(2):95-101. Available from: https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=167233791&site=eds-live&scope=site.






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