Abstract: Objective: To construct a training programme using electronic schoolbag combined with Virtual Reality (VR) technology for newly recruited nurses based on the ADDIE model and explore its primary effects in improving training of new nurses to strengthen their clinical skills and adaptability. Methods: We designed a nurse training programme according the ADDIE model with electronic schoolbag for theory training and a VR-based self-developed software for skills training. From July 2022 to August 2023, 126 new nurses recruited in a Qingdao tertiary grade A hospital were selected as participants. They were randomly assigned to either the experimental or the control group using a random number table. After completing the standard primary pre-service training, the experimental group received the new training programme, while the control group underwent the routine training for new nurses. The intervention lasted for 12 months with rotations in two specialized departments and indicators including the Mini-Clinical Evaluation Exercise (Mini-CEX) scores, the transition shock scores of graduated nurses scales and nurses' satisfaction to training programme were collected and compared before intervention, 6 months and 12 months after intervention Results: After 12 months of intervention, all of the 126 new nurses successfully completed the training. The results revealed statistically significant differences between the groups at different time, and interaction effects in terms of transition shock experienced by the new nurses (P<0.05). Additionally, the experimental group outperformed the control group in terms of Mini-CEX assessment and training satisfaction (P<0.05). Conclusion: The utilization of ADDIE model-based training for new nurses employing electronic schoolbag combined with VR technology has shown significant potential in enhancing the comprehensive clinical competence of new nurses. Besides, this approach also helps to reduce the transition shock experienced by new nurses and increases their overall satisfaction with the training process.

Key words: electronic schoolbag; Virtual Reality; ADDIE; newly recruited nurses