FEATURESThe Use of Immersive and Virtual Reality Technologies to Enable Nursing Students to Experience Scenario-Based, Basic Life Support Training—Exploring the Impact on Confidence and SkillsRushton, Melanie Ann MA; Drumm, Ian Anthony PhD; Campion, Simon Peter PhD; O'Hare, John Joseph PhDAuthor Information Author Affiliations: School of Health and Society (Ms Rushton), The Informatics Research Centre (Dr Drumm), The School of the Built Environment (Dr Campion), and Octave Multimodal Research Platform (Dr. O’Hare), University of Salford, Manchester, UK. The main photographic image of the Octave in use during the experiment (Figure 1) was taken by John O'Hare (coauthor) with permission to use granted by the photographer and the institution (University of Salford). The inset image (model of Octave) was generated by John O'Hare from source data generated by Kyle McDonald and released under MIT license. https://github.com/kylemcdonald/ScreenLab/blob/master/license.md. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Corresponding author: Melanie Ann Rushton, MA, School of Health and Society, Mary Seacole Building ms 2.52, University of Salford, Manchester, UK M54WT (email@example.com). CIN: Computers, Informatics, Nursing: June 2020 - Volume 38 - Issue 6 - p 281-293 doi: 10.1097/CIN.0000000000000608 Buy Take the CE Test Metrics Abstract The link between effective basic life support and survival following cardiac arrest is well known. Nurses are often first responders at in-hospital cardiac arrests and receive annual basic life support training to ensure they have the adequate skills, and student nurses are taught this in preparation for their clinical practice. However, it is clear that some nurses still lack confidence and skills to perform basic life support in an emergency situation. This innovative study included 209 participants, used a mixed-methods approach, and examined three environments to compare confidence and skills in basic life support training. The environments were nonimmersive (basic skills room), immersive (immersive room with video technology), and the Octave (mixed reality facility). The skills were measured using a Laerdal training manikin (QCPR manikin), with data recorded on a wireless Laerdal Simpad, and confidence levels before and after training were measured using a questionnaire. The nonimmersive and the immersive rooms were familiar environments, and the students felt more comfortable, relaxed, and, thus, more confident. The Octave offered the higher level of simulation utilizing virtual reality technology. Students felt less comfortable and less confident in the Octave; we assert that this was because the environment was unfamiliar. The study identified that placing students in an unfamiliar environment influences the confidence and skills associated with basic life support; this could be used as a way of preparing student nurses with the necessary emotional resilience to cope in stressful situations. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.