Table 8.

Qualitative data for intervention students’ views on Jasper ^VR.

Module	Theme	Quote
Enjoyed the most
Common feedback (all modules)	Realism	Felt like a real situation and it helped me to handle any situation in the future. The scenario was realistic, and the module was able to give you a chance to reflect on the options you have chosen to manage the situation. Use of different locations and scenarios made the virtual experience more realistic
	Rehearsal, ability to make mistakes	The information that was delivered was relevant. I loved the systematic delivery of information. I could choose wrong answers and know how the patient would react. … I liked that it told you what you did right and what you didn’t. You get to see the different things that can happen if you don’t choose the right choice which is educational. The existence of ‘mastery mode’ -the best solution for the situation and how a professional would deal with the situation. Choosing the wrong choices leads you to well performed scenes. Actors took the time to show all paths
	Reduced stress and increased confidence compared to a normal SIM	I was not there physically to witness the scene. It was less intimidating. The VR was fantastic compared to the usual physical sim. The VR environment was student-friendly, did not cause any anxiety and therefore, helped learn a lot. I was able to maintain calm and well settled behaviour due to confidence build up through our Jasper activities
	Ability to practise the modules multiple times	Not being stressed out having the opportunity to practise as many times as I want.
	Development of critical thinking	The fact that I felt well immersed into the environment of the simulation. A proper handover was delivered and gave me direction of how I could manage the patient. The VR project gave … me options to choose from which promoted higher order critical thinking and reasoning skills to be used in practice within the simulated scenario
Enjoyed the least
Common feedback (all modules)	Technical: VR headset	The VR headsets did not work well, was better able to watch using mobile view mode. Using the VR-GX device. Using normal view on my phone was more enjoyable. It was difficult with wearing glasses
	Scenario: Lack of interaction	The thing I least enjoyed was not being able to interact with the patient and the situation. Not having the chance to do skills by my own hand. Having to stand on a corner and watch the whole situation. I know it’s hard, but I wanted to be more involved Break up sections with more interactive parts to better take in all the information
	Scenario: Development of clinical reasoning	Wish there were more questions and options to choose and participate. More options that could potentially be helpful, not just one right way
	Scenario: Revision of information presented	Add multiple choice questions after the scenario to recap the covered information presented in the scenario.
	Additional scenarios required in different settings	Maybe in a hospital setting with triggers that will cause patient to escalate (e.g., postponed surgery, etc.) Provide multiple video situations because everyone’s anger/aggression is different. Provide video of angry patient in room, as that situation is what we will most likely experience. I still want to learn and want content of deteriorating patient condition. Need more depth about this topic in regard to VR simulation.