“…The present study developed an immersive VR neonatal resuscitation gamification program using Keller's ARCS model (1987), which included neonatal resuscitation nursing knowledge, problem-solving and clinical reasoning ability, self-confidence in practical performance, degree of anxiety, and learning motivation, which have previously demonstrated significant effectiveness ( Jeong and Choi, 2017 ; Nielsen and Harder, 2013 ; Shin et al, 2015 ; Yang, 2021 ). There are conflicting opinions about the possibility of replacing face-to-face simulation training in VR programs using immersive technologies ( Ntaba and Jantjies, 2019 ). Some previous studies ( Brady et al, 2018 ; Liaw et al, 2020 ; Succar et al, 2022 ) have demonstrated that VR programs have serious limitations in replacing face-to-face simulation training.…”