UbiSim Immersive VR to Enhance Psychological Safety in Simulation

In simulation-based nursing education, psychological safety must be a priority, creating an environment where learners engage with high-stakes, realistic scenarios, such as managing a pediatric sepsis case or responding to a pregnant patient with preeclampsia, without fear of judgment.
Yet, traditional simulation often falls short. Research shows that 90% of nursing graduates have had negative experiences with traditional simulation, with 75% feeling uncomfortable being observed and critiqued on video (1).
This is where UbiSim helps transform the learning experience.
The UbiSim Difference
UbiSim addresses these concerns by providing a psychologically safe learning environment that aligns with best practices identified in clinical research. Our platform enables:
- Collaborative Learning Without Judgment: Up to 8 participants can join the headset experience simultaneously - with up to 3 as active participants and the rest as "ghost observers" - while larger groups can participate via casting to a large screen. This synchronous participation can provide a more supportive, evidence-based "guided simulation" approach proven to reduce anxiety and enhance learning outcomes (1).
- Flexible Participation Options: Students can practice in the same physical location or join remotely, with peers and instructors able to observe and offer input without the intimidation of traditional video observation (2).
- Build confidence: Learners build confidence gradually in a supportive environment that emphasizes learning over evaluation (2).
- Evidence-Based Design: Research shows that psychologically safe simulation experiences lead to significantly better learning outcomes and higher retention rates—97% compared to the industry average of 82.5%¹. UbiSim fosters this psychological safety through collaborative learning, removing the fear of being “on stage,” and offering immediate, supportive feedback. By incorporating collaborative observation methods, UbiSim helps transform simulation from a source of anxiety into a powerful, confidence-building experience. In fact, these methods contributed to simulation becoming the highest-rated component of a nurse residency program—earning a 5.9 out of 6 (1).
Transform your nursing simulation program to an experience that nurse learners rate as a highlight of their education.
By eliminating the fear and anxiety of traditional simulation, UbiSim helps nursing programs increase learner confidence, improve skill retention, and ultimately prepare more capable and confident nurses.
Citations:
(1) Kutzin, J. M., & Collins, L. (2025). Return on investment of incorporating simulation into a new graduate nurse emergency department residency program. Nursing Administration Quarterly, 49(1), 27-34. https://doi.org/10.1097/NAQ.0000000000000660
(2) Kardong-Edgren, S., Wells-Beede, E., & Wands, L. (2024). Student abuse in simulation: causes and solutions. Teaching and Learning in Nursing, 19(2), 145-149. https://doi.org/10.1016/j.teln.2024.02.007.


Debra Loop, DNP, MSN, RN, CNE, CHSE has dedicated 37 years to teaching nursing students. With 18 years as a Simulationist and Simulation Coordinator/Educator, her passion for educational technology and nursing education shines through her work. Through innovative methods, Debra has enhanced students’ critical thinking, clinical judgment, confidence, and competencies by creating and integrating challenging, immersive, and realistic learning experiences throughout nursing curricula. As a Nurse Educator for UbiSim, she expands her global impact on nursing education by developing immersive virtual reality nursing scenarios. Debra holds a Doctorate of Nursing Practice in Educational Leadership from Post University, a Master of Science in Nursing from the University of Virginia, and a Bachelor of Science in Nursing from Liberty University. She is a Certified Nurse Educator through the National League for Nursing and a Certified Healthcare Simulation Educator through the Society for Simulation in Healthcare. Beyond her professional pursuits, she enjoys scuba diving, international travel and cooking, and spending time with her family in Erie, PA.
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