Using Virtual and Mannequin-Based Simulation to Improve Nursing Students’ Clinical Reasoning in Identifying Patient Deterioration: A Mixed Method Feasibility Randomised Crossover Trial

This study aims to evaluate the feasibility of conducting a future large‑scale randomised crossover trial comparing two simulation modalities—virtual reality (VR) simulation and mannequin‑based simulation—in supporting undergraduate nursing students to develop clinical reasoning skills for recognising and responding to patient deterioration.