Randomized controlled trial evaluating mixed reality technology for training scrub nurses in anterior cervical spine surgery - Summary - MDSpire

Randomized controlled trial evaluating mixed reality technology for training scrub nurses in anterior cervical spine surgery

  • By

  • Wenqing Yang

  • Tingting Ma

  • May 13, 2026

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Objective:

To evaluate the effectiveness of a Mixed Reality (MR) training module compared to standard training for scrub nurses in anterior cervical spine surgery (ACSS), focusing on primary outcomes such as theoretical knowledge, practical performance, and emergency response.

Key Findings:
  • MR group had significantly higher post-training scores in theoretical knowledge (92.47 vs. 86.33, p < 0.001), indicating a substantial improvement in understanding.
  • MR group showed better practical performance scores (94.50 vs. 88.97, p < 0.001), suggesting enhanced skill acquisition.
  • Emergency response scores were higher in the MR group (91.73 vs. 85.40, p < 0.001), reflecting improved preparedness.
  • MR training resulted in lower cognitive load (28.60 vs. 36.43, p < 0.001), which may facilitate better learning.
  • Participants in the MR group reported higher satisfaction across all domains (p < 0.001), indicating a positive training experience.
Interpretation:

Mixed Reality training is more effective than traditional methods in enhancing knowledge, skills, and preparedness for ACSS, while also reducing cognitive load and increasing engagement, which could transform surgical nursing education.

Limitations:
  • Participants and trainers could not be blinded to group assignment, which may introduce bias.
  • Outcome assessors were blinded, but the lack of blinding for participants may affect the perceived effectiveness of the training.
  • The findings may not be generalizable to all surgical nursing contexts due to the specific focus on ACSS.
Conclusion:

Immersive MR training presents a valuable advancement in surgical nursing education, improving learning outcomes and learner satisfaction, and highlights the need for further research to validate these findings.

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