Abstract:Objective To explore the practical effect of Gibb′s reflective cycle combined with VR panoramic video skill training in new nurses in the operating room.Methods A total of 64 new nurses rotating in the operating room were divided into two groups accor-ding to the time of admission, 31 new nurses admitted from October 2022 to June 2023 served as the control group, and 33 new nurses admitted from July 2023 to March 2024 served as the observation group.The control group received traditional skill operation training, while the observation group was subjected to Gibb′s reflective cycle combined with VR panoramic video training.The skill operation scores, new nurse transition shock scores, Self-Rating Scale of Self-Directed Learning (SRSSDL) scores and trai-ning satisfaction of the two groups were compared.The cumulative sum control chart (CUSUM) was used to draw the overall learning curve for each operation, and the minimum number of operation mastered by two groups for each operation was compared between the two groups.Results The scores of skill operation, SRSSDL, and training satisfaction of the observation group were higher than those of the control group (all P<0.05), and the transition shock level of the new nurses was significantly lower than that of the control group (P<0.05); the minimum number of operations mastered by observation group was lower than that of the control group.Conclusion The Gibbs′ reflective cycle combined with VR panoramic video training can improve the skill level and self-directed learning ability of new nurses, enabling them to adapt more quickly to the special environment of the operating room.