Multidisciplinary Model Research Articles

Adopting population health management in PHC. Bridging needs and response

Abstract Population health management can substantially contribute to realizing some of PHC's central attributes, including person-centeredness; accessibility; comprehensiveness; attention to health problems in their physical, mental, social, cultural and existential dimensions; continuity; coordination and community orientation. It can do this by supporting PHC providers in: • moving from a one-size-fits-all approach to targeted and tailored approaches that account for the needs of different groups within local catchment populations or population clusters with similar needs or health conditions; • moving from passive and reactive to proactive care, ensuring that people with different risks are identified and have their care anticipated; • moving from a narrow focus on clinical needs to a holistic approach focusing also on psychosocial needs and the social determinants of health; and • moving from fragmented and poorly coordinated care to better coordination and integration with secondary and tertiary care and partnership with other sectors and actors in the community. Although moving towards system-wide implementation of population health management requires several years of development work and takes time to achieve impact, population health management can promote improvements in PHC even before the full benefits of population health management are realized. Key and common success factors to enable population health management in PHC are described here as system (such as information governance arrangements that promote information sharing within and outside the health system, data stewardship capacity and skills or support of regulatory agencies); organizational (multidisciplinary and networked PHC models and integration and close collaboration with public health and social care agencies); and clinical-level factors (such as comprehensive and systematic data collection in PHC or patient and community engagement).

Multidisciplinary model for administration of recombinant Zoster vaccine in fragile patients

Abstract Background Target populations eligible for vaccinations are not comprehensively reached by out-of-hospital health services, particularly frail people with immunization deficits. The aim of this study was to evaluate the effectiveness of a model of shared management between hospital - IRCCS Fondazione Policlinico Universitario A.Gemelli (FPG) - and out-of-hospital health services -ASL Roma1- of fragile patients with an indication for herpes zoster (HZ) vaccination, based on counseling carried out by a multidisciplinary team in the hospital setting. Methods From June 2022 to April 2023, patients with congenital and/or acquired immunodepression, who were treated at the IRCCS FPG in the Units of Hematology, Geriatrics, Infectious Diseases, Rheumatology were offered vaccination with the recombinant Zoster vaccine. At the time of enrollment, all patients completed the Vaccination Attitudes Examination (VAX-I) scale, for the purpose of assessing vaccine hesitancy. Patients received multidisciplinary counseling focusing on HZ and contrasting vaccine hesitancy. Multiple linear regression was used to analyze the impact of demographic and clinical characteristics on the VAX-I items. Results Sixty fragile patients were included. Mean vaccine hesitancy score was 2.1 ± 0.9. A significant correlation between vaccine hesitancy and the age group 45-64 years, female sex and patient with HIV was demonstrated. These patients had significantly higher score of “mistrust of vaccine benefits”, “worries about unforeseen future effects”, “concerns about commercial profiteering” and “preference for natural immunity”. After counseling, all patients adhered to the vaccination with two doses of a recombinant zoster vaccine. No serious adverse events or breakthrough HZ infections were observed during a median follow-up of 65.5 days. Conclusions Although vaccine hesitancy in some age groups is high, hospital-based multidisciplinary counseling achieved full HZ vaccination compliance. Key messages • herpes zoster vaccination coverage of frail patients is not fully achieved in the community health setting. • The adoption of a multidisciplinary model for administration of recombinant Zoster vaccine in fragile patients based on a Hospital-Territory Vaccination Center may help overcome vaccine hesitancy.

Relationship Between Depression and Falls Among Nursing Home Residents: Protocol for an Integrative Review.

Aging exposes individuals to new health disorders and debilitating chronic diseases, yet most older adults, even in functional decline, do not want to leave their homes. Nevertheless, for many, institutionalization in a nursing home (NH) may become essential to ensure their continued safety and health. Depression is one of the most common psychiatric disorders among older adults, especially among those who are institutionalized. Depressed NH residents face a high risk of future functional decline and falls, decreasing their quality of life. The relationship between depression and falls is complex and bidirectional. Previous reviews have focused on home-dwelling older adults or explored the relationship between antidepressant drugs and falls. To the best of our knowledge, no integrative literature reviews have explored the relationship between depression and falls among NH residents. Analyze studies on the relationship between depression and falls among NH residents. We will conduct an integrative literature review of published articles in relevant scientific journals on the relationship between depression and depressive symptomatology and falls among NH residents. As usually defined, we will consider NH residents to be people aged 65 years and older who can no longer live safely and independently in their homes. We will also consider older adults on short-term stays in an NH for rehabilitation after hospital discharge. Retrieved articles will be screened for eligibility and analyzed following previously reported steps. The most pertinent bibliographical databases will be examined for qualitative, quantitative, and mixed methods studies, from inception until August 31, 2023, thus ensuring that all relevant literature is included. We will also hand-search the bibliographies of all the relevant articles found and search for unpublished studies in any language. If appropriate, we will consider conducting a meta-analysis of the studies retrieved. A first round of data collection was completed in March 2023. We retrieved a total of 2276 references. A supplementary literature search to ensure the most up-to-date evidence is ongoing. We anticipate that the review will be completed in late September 2023, and we expect to publish results at the end of December 2023. This integrative review will increase knowledge and understanding of the complex relationship between depression and falls in NH environments. Its findings will be important for developing integrated, multidisciplinary models and care recommendations, adaptable to each NH resident's situation and health status, and for creating preventive interventions to help them maintain or recover optimal health stability. DERR1-10.2196/46995.

A multidisciplinary primary prevention intervention to increase adherence to the Mediterranean diet: a pilot study

BackgroundThe role of the Mediterranean Diet (MD) in reducing cardiovascular (CV) risk is widely demonstrated and many studies have shown the effectiveness of educational interventions in primary prevention. This study aimed to evaluate the impact of a multidisciplinary educational intervention, that included nutritional, psychological and physical activity coaching, on adherence to MD and on CV risk.MethodsIn a Roman neighborhood, general practitioners enrolled 41 subjects to take part in the educational intervention from November 2018 (T0) to November 2019 (T1). Participants’ anthropometric measures, haematochemical parameters and CV risk score were assessed before and after the intervention. Furthermore, their adherence to MD was evaluated through the analysis of food frequency questionnaires using Medi-Lite.ResultsThe study found a significant reduction of 2.5 points in individual CV risk score, and an increase of 2.5 point in adherence to the MD. The stratification by gender showed statistically significant decreases in weight of 1.16 kg, BMI of 0.47, LDL cholesterol of 14.00 mg/dL, and individual CV risk score of 1.16 points among female participants.ConclusionsThese results show that a multidisciplinary educational intervention model including the adoption of MD could be an effective strategy in Public Health for CV primary prevention and improvement of people’s lifestyles.

Is there a need for change in cancer survivorship care? A qualitative exploration of survivor experiences and needs at the Sydney Cancer Survivorship Centre Clinic

PurposeEffective cancer survivorship care is contingent on a comprehensive understanding and management of the dynamic needs of cancer survivors. The Sydney Cancer Survivorship Centre (SCSC) clinic established a holistic, multidisciplinary model of survivorship care. We aimed to explore survivors’ experiences and perceptions of the clinic, and to identify their unmet needs.MethodsSemi-structured focus groups (FGs) involving participants recruited from the SCSC clinic were conducted by an experienced facilitator and observer using a guide covering: survivor perceptions of first SCSC clinic visit, services accessed, ongoing unmet needs, and how needs changed over time. FGs were audio-recorded and transcribed. Interpretive description using a Framework approach was undertaken and participant characteristics summarised descriptively.ResultsEight FGs were conducted involving a total of 26 participants (mean age: 60), most were female (n = 20), born in Australia (n = 14), and with breast cancer diagnoses (n = 16). Four overarching themes were identified: (i) perceptions of the SCSC clinic; (ii) patient-centred care; (iii) adjustment to illness; and (iv) external supports and resources. Participants valued the centralisation of multidisciplinary survivorship care at the SCSC clinic, which helped their recovery. Mitigating ongoing treatment sequelae, reassurance of good-health, normalisation of survivorship experiences, and handling caregiver stress represent some needs identified.ConclusionsThe SCSC clinic offers holistic, specialised care and reassurance to cancer survivors. Adjustment to the survivorship journey, inter-survivor shared experiences, and management of physical treatment sequelae were perceived as important in their recovery. Managing survivor needs is integral to improving long-term survivorship care.

Stakeholders' perception of factors influencing adoption of a pediatric weight management intervention: a qualitative study.

Childhood obesity is highly prevalent in the United States and disproportionately impacts communities of color and low-income populations; these disparities have worsened during the COVID-19 pandemic. Adoption of effective pediatric weight management interventions (PWMIs) that have been evaluated among low-income diverse populations is needed. The Healthy Weight Clinic PWMI, a package co-developed by the American Academy of Pediatrics and Massachusetts General Hospital, helps health centers establish multidisciplinary Healthy Weight Clinics based on previous randomized controlled trials which demonstrated effectiveness. We sought to identify the factors influencing successful adoption of this PWMI and understand adaptations needed prior to implementation in new sites. We interviewed 20 stakeholders, 10 from two health centers in Mississippi where the Healthy Weight Clinic PWMI will be piloted (pre-implementation sites) and 10 from health centers that have previously implemented it (sites in maintenance stages). Separate interview guides informed by the Consolidated Framework for Implementation Research (CFIR) were developed for the pre-implementation sites and those in maintenance stages, including questions related to adaptations of the PWMI in response to the COVID-19 pandemic. Qualitative data analysis was conducted using directed content analysis based on CFIR constructs. Adaptations in response to the pandemic were categorized using Framework for Reporting Adaptations and Modifications-Expanded (FRAME). In pre-implementation sites, an inner setting facilitator mentioned was a positive learning climate. Characteristics of individuals that can facilitate adoption include staff willingness to learn, valuing evidence-based care for childhood obesity, and culturally and weight-sensitive staff. In terms of patient needs and resources (outer setting), social drivers of health are barriers to adoption, but creative solutions were suggested to mitigate these. Other facilitators related to the intervention included its multidisciplinary model and adaptability. Similar themes were elicited from sites in maintenance stages; adaptations brought on by the pandemic, such as telehealth visits and content modification to align with distancing guidelines and the effects of social isolation were also described. Understanding the factors influencing adoption of an evidence-based PWMI informs necessary adaptations and implementation strategies required to facilitate nationwide dissemination of PWMIs, with the goal of reaching the populations most at-risk.

Trajectory planning of stratospheric airship for station-keeping mission based on improved rapidly exploring random tree

The station-keeping mission is one of the common missions of stratospheric airships. Its movement is sensitive to wind due to the large size and low airspeed of stratospheric airships. When the wind speed exceeds the maximum airspeed of the airship, the airship may fly out of the given mission region. Therefore, station-keeping trajectory planning is a new trajectory planning problem that has never existed before. A rapidly exploring random tree algorithm for station-keeping(RRT-SK) is proposed to solve the trajectory planning problem under multiple constraints of the airship, and an artificial potential field method (APF) considering wind field and relative position is designed as the objective function of the RRT-SK algorithm, both of which form the RRT-SK strategy used for the stratospheric airship station-keeping trajectory planning under multiple constraints. A multidisciplinary model is developed to simulate multiple constraints on the airship flight, including the energy model, thermal model, propulsion model, and kinematic model. The performance of the RRT-SK strategy is demonstrated in this multidisciplinary model with real wind fields. The results show that the multi-constrained station-keeping problem can be solved by the RRT-SK strategy. Compared with the conventional strategy, the RRT-SK strategy can improve the success rate of the airship’s 24-h stationing flight and well cope with the impact of wind field changes and stationing area changes. Moreover, the RRT-SK strategy has better advantages in actual long-duration use.

Improving palliative and supportive care in advanced cirrhosis: the HepatoCare model of integrated collaborative care.

Patients with advanced cirrhosis experience an unpredictable disease trajectory but are infrequently referred to palliative care (PC) services and rarely undertake advance care planning (ACP). We assessed whether a novel model of care increased provision of meaningful PC in advanced cirrhosis compared with standard of care (SOC). Thirty consecutive hepatology clinic outpatients with advanced cirrhosis, meeting one or more cirrhosis-related PC referral criteria, consented to treatment in the HepatoCare clinic (PC physician, specialist liver nurse, pharmacist) in parallel with usual specialist hepatology care. A control cohort of 30 consecutive outpatients with advanced cirrhosis undergoing SOC treatment was retrospectively identified for comparison. The primary outcome was provision of meaningful PC using HepatoCare versus SOC. Additional clinical outcomes were assessed over 12 months or until death and significant differences were identified. The intervention and control cohorts had similarly advanced cirrhosis (mean Child-Pugh scores 8.7 vs 8.2, P = 0.46; mean model for end-stage liver disease scores 14.4 vs 14.6, P = 0.88) but a lower 12-month mortality rate (33% HepatoCare vs 67% SOC; P = 0.02). The intervention cohort experienced higher uptake of formal ACP (100% vs 25% for the control cohort) and outpatient PC referral (100% vs 40%), and were more likely to die at home or in a PC bed/hospice (80% vs 30%). The majority of the HepatoCare cohort (81%) had medications safely deprescribed and experienced fewer unplanned admission days (470 vs 794). HepatoCare is a novel multidisciplinary model of care that integrates effective PC and specialist hepatology management to improve outcomes in advanced cirrhosis.

THU212 Exploring The Experiences Of Adult Patients With Turner Syndrome At A Multidisciplinary Clinic

Abstract Disclosure: S. Shin: Grant Recipient; Self; Canadian Menopause Society Pfizer Research Award. L. Liang: None. C. Korenvain: None. L. McCarthy: None. I.C. Lega: None. Context: Turner syndrome (TS), a genetic condition affecting 1 in 2500 live female births, is associated with short stature, infertility, and premature menopause. Patients with TS are often followed by multidisciplinary clinics as children, but such care is often lacking in adulthood. A multidisciplinary clinic in Canada fills this gap, providing dual visits with an endocrinologist and gynecologist. There is a paucity of research exploring the experiences of adults with TS with respect to menopause and fertility, and the perceived impact of a multidisciplinary team. Objective: To explore the experiences of adults with TS regarding 1) reproductive health and menopause, and 2) interacting with a multidisciplinary team for the management of TS. Methods: Qualitative semi-structured interviews were conducted with 21 adult TS patients who attend a multidisciplinary TS clinic. Interviews were transcribed verbatim and coded by two independent researchers. A codebook was developed using an iterative process with input from the entire research team. Themes were generated using thematic analysis. Results: Twenty-one participants aged 20 to 65 were interviewed and five themes emerged from the data. 1) Participants’ differing feelings toward fertility status. Experience with fertility differed widely and was affected by the timing of diagnosis, how the diagnosis was communicated, and feelings toward having children. 2) Resiliency. Participants sought ways to adapt to living with TS, striving towards resilience by leaning on support from family and others with TS. 3) Involvement in one’s own care. Many participants were actively engaged in their care and sought support in learning more about their condition. 4) Desire for comprehensive health care. Many participants felt the multidisciplinary TS clinic was knowledgeable, convenient, and effective in managing their comorbidities. 5) Barriers to accessing health care. Participants identified challenges in accessing health care providers with TS expertise, in navigating the financial burden involved in comprehensive TS care, and in accessing inclusive care. Conclusion: Infertility appeared to have a variable impact on participants, ranging from those who felt it was an important aspect in developing their self-identity to those who felt it had little impact. Our research highlights the importance of using a tailored approach to providing fertility care. Participants desired to be actively involved in their own healthcare and for further access to educational resources. The participants greatly appreciated the care provided in the multidisciplinary care model and called for further capacity building in TS expertise among all healthcare providers. To improve the care of our TS patients, our findings support the demand/need for additional TS-specific clinics across the world. Presentation: Thursday, June 15, 2023

Multidisciplinary collaborative topology optimization method for perforated plates

Perforated plate is a connection structure able to provide variety of functions such as load-bearing and flow-through capabilities. The current designs of perforated plate are mostly obtained by optimization after establishing an initial model empirically, ignoring the influence across different disciplines and lacking a systematic design process. In this study, we proposed a multidisciplinary topology optimization method to address the design issues of holes on perforated plates. The response states of perforated plate in structural mechanics, fluid mechanics, and vibration were determined using disciplinary analysis, and a single disciplinary topology optimization model was established based on this. A multidisciplinary topology optimization model was constructed based on the disciplinary coupling relationship and collaborative optimization method, with material retention as a shared variable. The continuous change process of materials was discretized by taking a finite number of values for shared variables, and the trend of topology optimization results with respect to material retention was obtained. The hole parameters were converted individual hollow parameters of the material by establish functional and process, and the final topology optimization result was obtained by combining partition collaboration. The method and process were used to optimize the connecting plate of top nozzle, and the results showed higher comprehensive performance compared to engineering case.

Before Is Better: Innovative Multidisciplinary Preconception Care in Different Clinical Contexts.

Implementation of pre-conception care units is still very limited in Italy. Nowadays, the population's awareness of the reproductive risks that can be reduced or prevented is very low. Purpose and main findings: We presented a new personalized multidisciplinary model of preconception care aimed at identifying and possibly reducing adverse reproductive events. We analyzed three cohorts of population: couples from the general population, infertile or subfertile couples, and couples with a previous history of adverse reproductive events. The proposal involves a deep investigation regarding family history, the personal histories of both partners, and reproductive history. Preconception care is still neglected in Italy and under-evaluated by clinicians involved in natural or in vitro reproduction. Adequate preconception counseling will improve maternal and fetal obstetrical outcomes.

Management of Glucose-Lowering Therapy in Older Adults with Type 2 Diabetes: Challenges and Opportunities.

The population of older adults (≥65 years) with type 2 diabetes mellitus (T2DM) is diverse, encompassing individuals with varying functional capabilities, living arrangements, concomitant medical conditions, and life expectancies. Hence, their categorization into different patient profiles (ie, good health, intermediate health, poor health) may aid in clinical decision-making when establishing glycemic goals and pharmacological treatment strategies. Further granularity in assessing each patient profile through interdisciplinary collaboration may also add precision to therapeutic and monitoring decisions. In this review, we discuss with a multidisciplinary approach how to deliver the best benefit from advanced diabetes therapies and technologies to older adults with T2DM according to each patient profile. There remain however several areas that deserve further research in older adults with T2DM, including the efficacy and safety of continuous glucose monitoring and automated insulin delivery systems, the switch to once-weekly insulin, the effectiveness of multidisciplinary care models, and the use of supported telemedicine and remote blood glucose monitoring in the oldest-old (≥85 years) who particularly require the assistance of others.

Multidisciplinary Clinics in Neuromuscular Medicine.

Multidisciplinary care is comprehensive, coordinated clinical care across medical disciplines and allied health professions. Neuromuscular disorders, such as amyotrophic lateral sclerosis and muscular dystrophies, are often associated with disabling weakness and extramuscular symptoms and may benefit from care in a model that consolidates numerous clinic visits into a single more efficient multidisciplinary clinic visit. The goal of the neuromuscular multidisciplinary care model is to improve patient outcomes, patient satisfaction, quality of life, access to medications and equipment, and survival. Although the costs of running a multidisciplinary clinic are high, they are likely associated with cost savings from the patient's perspective. Several barriers to acceptance of multidisciplinary clinics include the distance needed to travel to the clinic and the duration of the clinic visit. Telehealth multidisciplinary clinic visits may address some of these concerns. Further study is needed to understand the value of multidisciplinary clinics and is a necessary step toward creating a sustainable model.

The Graded Multidisciplinary Model: Fostering Instructional Design for Activity Development in STEM/STEAM Education

The Graded Multidisciplinary Model: Fostering Instructional Design for Activity Development in STEM/STEAM Education

Pleural empyema due to Salmonella enterica in a patient affected by lung adenocarcinoma: A clinical case report

During last years, lung cancer treatment has rapidly changed thanks to novel drugs, such as immunotherapy and target therapy. Hence, an improvement of life expectancy, notwithstanding with a higher infectious risk. This is probably due to many factors, such as longer survival and immunosuppression; furthermore, novel drugs could increase infectious risk with different biologic mechanisms. However, correlation between infections and immunotherapy has not been completely clear, although lately has increasingly been described. Salmonella enterica spp is an intracellular facultative anaerobe gram-negative bacillus that can spread to different sites, such as lung and pleura; nevertheless, an association between lung cancer and pleural empyema due to salmonella infection is rarely highlighted in literature and its management is challenging. Hereby we outline the case of a 62-year-old woman affected by extended lung adenocarcinoma who developed salmonella-related pleural empyema during its active oncological treatment with chemo-immunotherapy by describing our multidisciplinary management model.

Results from the BETTER WISE trial: a pragmatic cluster two arm parallel randomized controlled trial for primary prevention and screening in primary care during the COVID-19 pandemic

BackgroundCancer and chronic diseases are a major cost to the healthcare system and multidisciplinary models with access to prevention and screening resources have demonstrated improvements in chronic disease management and prevention. Research demonstrated that a trained Prevention Practitioner (PP) in multidisciplinary team settings can improve achievement of patient level prevention and screening actions seven months after the intervention.MethodsWe tested the effectiveness of the PP intervention in a pragmatic two-arm cluster randomized controlled trial. Patients aged 40–65 were randomized at the physician level to an intervention group or to a wait-list control group. The intervention consisted of a patient visit with a PP. The PP received training in prevention and screening and use of the BETTER WISE tool kit. The effectiveness of the intervention was assessed using a composite outcome of the proportion of the eligible prevention and screening actions achieved between intervention and control groups at 12-months. ResultsFifty-nine physicians were recruited in Alberta, Ontario, and Newfoundland and Labrador. Of the 1,005 patients enrolled, 733 (72.9%) completed the 12-month analysis. The COVID-19 pandemic occurred during the study time frame at which time nonessential prevention and screening services were not available and in-person visits with the PP were not allowed. Many patients and sites did not receive the intervention as planned.The mean composite score was not significantly higher in patients receiving the PP intervention as compared to the control group. To understand the impact of COVID on the project, we also considered a subset of patients who had received the intervention and who attended the 12-month follow-up visit before COVID-19. This assessment demonstrated the effectiveness of the BETTER visits, similar to the findings in previous BETTER studies. ConclusionsWe did not observe an improvement in cancer and chronic disease prevention and screening (CCDPS) outcomes at 12 months after a BETTER WISE prevention visit: due to the COVID-19 pandemic, the study was not implemented as planned. Though benefits were described in those who received the intervention before COVID-19, the sample size was too small to make conclusions. This study may be a harbinger of a substantial decrease and delay in CCDPS activities under COVID restrictions. Trial registrationISRCTN21333761. Registered on 19/12/2016. http://www.isrctn.com/ISRCTN21333761.

Effect of multidisciplinary team model on prevention of PICC-associated thrombosis in cancer patients

Effect of multidisciplinary team model on prevention of PICC-associated thrombosis in cancer patients

Breaking the cycle: unraveling the diagnostic, pathophysiological and treatment challenges of refractory migraine.

Refractory migraine is a poorly described complication of migraine in which migraine has chronified and become resistant to standard treatments. The true prevalence is unknown, but medication resistance is common in headache clinic patient populations. Given the lack of response to treatment, this patient population is extremely difficult to treat with limited guidance in the literature. To review the diagnostic, pathophysiological, and management challenges in the refractory migraine population. There are no accepted, or even ICHD-3 appendix, diagnostic criteria for refractory migraine though several proposed criteria exist. Current proposed criteria often have low bars for refractoriness while also not meeting the needs of pediatrics, lower socioeconomic status, and developing nations. Pathophysiology is unknown but can be hypothesized as a persistent "on" state as a progression from chronic migraine with increasing central sensitization, but there may be heterogeneity in the underlying pathophysiology. No guidelines exist for treatment of refractory migraine; once all guideline-based treatments are tried, treatment consists of n-of-1 treatment trials paired with non-pharmacologic management. Refractory migraine is poorly described diagnostically, its pathophysiology can only be guessed at by extension of chronic migraine, and treatment is more the art than science of medicine. Navigating care of this refractory population will require multidisciplinary care models and an emphasis on future research to answer these unknowns.

Retracted: Systematic Review and Meta-Analysis Program Based on Effectiveness of a Multidisciplinary Model of Care for Patients with Chronic Kidney Disease.

[This retracts the article DOI: 10.1155/2022/4315361.].

Multidisciplinary Design-Based Multimodal Virtual Reality Simulation in Nursing Education: Mixed Methods Study.

The COVID-19 pandemic underscored the necessity for innovative educational methods in nursing. Our study takes a unique approach using a multidisciplinary simulation design, which offers a systematic and comprehensive strategy for developing virtual reality (VR) simulations in nursing education. The aim of this study is to develop VR simulation content for a pediatric nursing module based on a multidisciplinary simulation design and to evaluate its feasibility for nursing education. This study used a 1-group, posttest-only design. VR content for pediatric nursing practice was developed by integrating the technological characteristics of a multimodal VR system with the learning elements of traditional nursing simulation, combining various disciplines, including education, engineering, and nursing. A user test was conducted with 12 nursing graduates (preservice nurses) followed by post hoc surveys (assessing presence, VR systems, VR sickness, and simulation satisfaction) and in-depth, one-on-one interviews. User tests showed mean scores of 4.01 (SD 1.43) for presence, 4.91 (SD 0.81) for the VR system, 0.64 (SD 0.35) for VR sickness, and 5.00 (SD 1.00) for simulation satisfaction. In-depth interviews revealed that the main strengths of the immersive VR simulation for pediatric pneumonia nursing were effective visualization and direct experience through hands-on manipulation; the drawback was keyword-based voice interaction. To improve VR simulation quality, participants suggested increasing the number of nursing techniques and refining them in more detail. This VR simulation content for a pediatric nursing practice using a multidisciplinary educational design model was confirmed to have positive educational potential. Further research is needed to confirm the specific learning effects of immersive nursing content based on multidisciplinary design models.