The following article is part of coverage from the National Association of Pediatric Nurse Practitioners Annual Meeting (NAPNAP 2020). Due to the global COVID-19 pandemic, the Association made the necessary decision to cancel the meeting originally scheduled for March 25 to 28, 2020, in Long Beach, CA. While live events will not proceed as planned, readers can click here to catch up on the latest research intended to be presented at the meeting.

The addition of simulated clinical scenarios using an augmented reality (AR) app significantly improved asthma test scores among pediatric nurse practitioners (PNP) students studying asthma management in children, according to results of a poster presented virtually at the National Association of Pediatric Nurse Practitioners Annual Meeting (NAPNAP 2020).

Twenty-one PNP students were included in the study.  A 7-item test of knowledge, the Instructional Materials Motivation Survey (IMMS), was given before and after completing the integrated simulation education, which was accessed using an iPad provided by the program. The IMMS is made up of 4 motivational factors: attention, relevance, confidence, and satisfaction. The Simulation Design Scale (20 items) includes objectives and information, support, problem solving, feedback/guided reflection, and fidelity. Student Satisfaction and Self-Confidence was measured in the Learning Scale (13 items). A focus group was held each semester to assess student perceptions of benefits and difficulties associated with the experience.

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After using the iPad in both semesters, significant improvement in asthma test scores were found. Average scores ranged from 3.2 to 4.2, indicating that students were generally satisfied and confident with their learning and felt the content was important. Motivation did not decline among students and positive correlations were seen in satisfaction and confidence. Findings from the focus groups found that the simulation was realistic and tied together teaching and learning.

“The findings in this study indicate the importance of utilizing AR in teaching [pediatric asthma management] content,” concluded the authors. “It demonstrates the use of technology to provide clinical situations without the concerns related to synchronous scheduling.”

Visit Clinical Advisor’s conference section for complete coverage of NAPNAP 2020.


Pelish P, Kotcherlakota S, Hoffman K, Rejda P. Efficacy of an augmented reality technology in learning pediatric asthma management. Presented virtually at: NAPNAP 2020; June 4-5, 2020. Abstract F15.