확장현실을 활용한 입원 아동 환자안전사고 예방 교육프로그램 개발 및 평가: 낙상 예방 및 투약 안전을 중심으로 = Development and Evaluation of an Extended Reality-Based Educational Program for Preventing Patient Safety Incidents in Hospitalized Children: Focusing on Fall Prevention and Medication Safety

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to develop and evaluate an extended reality (XR)–based patient safety education program for hospitalized children, focusing on fall prevention and medication safety. The program incorporated virtual reality (VR) and augmented reality (AR) technologies to provide experiential and interactive learning environments based on Kolb’s Experiential Learning Theory and the Knowledge–Attitude–Practice (KAP) model.

Methods: A quasi-experimental, nonequivalent control group pretest–posttest design was employed. Participants included 50 hospitalized children aged 7–13 years and their 50 parents, recruited from a pediatric ward in B City, Korea (25 pairs in the experimental group and 25 in the control group). The XR program consisted of a VR-based fall prevention module and an AR-based medication safety storybook module, with content validated by pediatric nursing and patient safety experts. The seven-session intervention was delivered over two consecutive days. Data were collected from August 25 to October 14, 2025. Outcome variables included children’s hospitalization safety knowledge and parents’ fall prevention attitude, medication safety attitude, and performance of patient safety activities. Data were analyzed using t-tests, Mann–Whitney U tests, paired t-tests, and Wilcoxon signed-rank tests according to normality.

Results: Children in the experimental group showed significant improvement in hospitalization safety knowledge compared to the control group (z=5.87, p<.001). Parents in the experimental group demonstrated higher post-intervention scores in fall prevention attitude (t=−8.68, p<.001), medication safety attitude (z=3.61, p<.001), and patient safety performance (t=5.30, p<.001). Both children and parents reported high satisfaction with the XR program, with children preferring the VR module for its interactivity and parents favoring the AR module for its accessibility and educational value.

Conclusion: The XR-based patient safety education program effectively improved children’s safety knowledge and strengthened parents’ safety-related attitudes and practices. By integrating VR for experiential behavioral learning and AR for accessible cognitive understanding, the program demonstrates strong potential as an innovative, family-centered nursing intervention for enhancing pediatric patient safety. Longitudinal studies are recommended to examine sustained behavioral effects and explore the broader clinical applicability of XR-based education.

목차 (Table of Contents)

• 서론 1
• 문헌고찰 10
• 연구의 개념적 기틀 20
• 연구방법 24
• 연구결과 71
• 논의 91
• 결론 97
• 참고문헌 98
• Abstract 110
• 부록 113