Development of an Augmented Reality (AR) Anatomy Application to Enhance Practical Skills in Vocational Health Education
Abstract
Vocational health education, particularly diploma-level nursing programs, faces challenges in anatomy learning that still rely on conventional methods using mannequin models and two-dimensional atlases. This study aimed to develop and evaluate an Android-based Augmented Reality (AR) anatomy application designed for vocational nursing students at STIKES Al Islam Yogyakarta. The development process employed the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation). Usability evaluation was conducted using the User Experience Questionnaire (UEQ) and the System Usability Scale (SUS) involving 40 students. The UEQ results showed an overall score of 1.80 (Excellent category), with the Novelty scale achieving the highest score (1.93) and the Efficiency scale the lowest (1.68). The average SUS score was 81.3, categorized as Excellent/Grade A. Effectiveness testing using pre-test and post-test assessments demonstrated an improvement in practical examination scores from an average of 55.4 to 81.1, with an N-gain score of 0.57 (moderate category). The findings indicate that the AR anatomy application is feasible for use and effective in improving the practical skills of vocational nursing students.
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Syed Abd Halim, S. A., Yusoff, M. S. B., Yaman, M. N., Roslan, N. S., Tengku Muda, T. F. M., Ramli, R. R., & Hadie, S. N. H. (2024). The need to identify anatomy‐related competencies in medical education. Anatomical Sciences Education, 17(9), 1659-1667.
Nubsaen, C., Visaetsilapanonta, P., Jiawiwatkul, U., & Chianchana, C. (2025). Soft skills development among vocational students in courses related to medical and comprehensive healthcare industry. Kasetsart Journal of Social Sciences, 46(1), 460129-460129.
Esmaeilzadeh, P. (2025). Ethical implications of using general-purpose LLMs in clinical settings: a comparative analysis of prompt engineering strategies and their impact on patient safety. BMC Medical Informatics and Decision Making, 25(1), 342.
Brenner, E., Pechriggl, E., & Konschake, M. (2025). The Human Cadaver as an Educational Tool: Classification and Comparison with Other Educational Tools. In International Anatomical Education: The Trans-European Pedagogic Anatomy Research Group (pp. 17-41). Cham: Springer Nature Switzerland.
Zhang, Z., Gao, Y., Duan, H., & Hu, Y. (2025). Study on the Application of the Combination of Drawing and Multimedia in the Teaching of Human Anatomy. Science Progress and Humanity, 1(1), 26-31.
Sahria, Y., & Utami, E. N. (2026). Development of Augmented Reality-Based Anatomy Learning Media (ARANOMI) for Vocational Health Students. MALCOM: Indonesian Journal of Machine Learning and Computer Science, 6(1), 62-72.
Lee, J. W. Y., Low, L. X. T., Ong, D. W., Bello, F., & Soh, R. C. C. (2025). An activity theory approach to analysing student learning of human anatomy using a 3D-printed model and a digital resource. BMC medical education, 25(1), 553.
Manaroinsong, A. D., Domu, I., & Laamena, C. M. (2025). Design and Development of Construct 2-Based Learning Media for Teaching Three-Dimensional Geometry. Kognitif: Jurnal Riset HOTS Pendidikan Matematika, 5(4), 1610-1622.
Munguiko, C., Ngeno, A. C. K., Atukwatse, J., & Museene, S. K. (2025). Institutional Determinants of Academic Achievement in Biomedical Sciences: A Cross-Sectional Study of Nursing Students in Uganda. Advances in Medical Education and Practice, 2439-2462.
Lampropoulos, G., Fernández-Arias, P., Del Bosque, A., & Vergara, D. (2025). Augmented reality in health education: Transforming nursing, healthcare, and medical education and training. Nursing Reports, 15(8), 289.
Muntian, L. (2025). Virtual and Augmented Reality in Healthcare Management Mechanisms for Maintaining Public Health: Literature Overview. Ukrainian Journal of Medicine, Biology and Sports, 10(3), 36-50.
Mondal, H., & Mondal, S. (2025). Adopting augmented reality and virtual reality in medical education in resource-limited settings: constraints and the way forward. Advances in Physiology Education, 49(2), 503-507.
Nguyen, H., Samsel, Z., Cormi, C., Acidi, B., Vibert, E., & Sandor, C. (2026, April). Studying the Implications of Augmented Reality for Teamwork in Open Liver Surgery. In Proceedings of the 2026 CHI Conference on Human Factors in Computing Systems (pp. 1-24).
Geng, G., Green, K., Telford, A., & Zhu, Y. (2026). Engaging Young Minds: How Smart Augmented Reality Glasses Transform Learning Experiences in AR smart glasses Immersive Virtual Learning Environments (AR smart glasses IVLE). Journal of Science Education and Technology, 1-20.
Chandra, S., & Boddu, H. S. H. (2026). Leveraging Augmented Reality for Precision and Productivity in Healthcare and Industrial Manufacturing: A Paradigm Shift in Innovation and Efficiency. In Intersecting Public Administration and Technology for Public Trust and Citizen Engagement (pp. 401-428). IGI Global Scientific Publishing.
Elmalı, F., & Çıtak, H. (2026). Design, Development, and Formative Evaluation of a Tablet-Based Augmented Reality Application for Early Number Learning. International Journal of Human–Computer Interaction, 1-21.
Penza, V., Neri, A., Koskinopoulou, M., Turco, E., Azam, M. A., & Mattos, L. S. (2026). Augmented Reality Navigation in Robot-Assisted Surgery. In Handbook of Robotic and Image-Guided Surgery (pp. 863-877). Elsevier.
Mohamed, M., Yuriko, E., Kawagoe, Y., Kawamura, K., & Ikeuchi, M. (2026). AI-Based Augmented Reality Microscope for Real-Time Sperm Detection and Tracking in Micro-TESE. Bioengineering, 13(1), 102.
Wang, Y., & Ametefe, D. S. (2026). Immersive Technologies in Digital Museums: A Systematic Review of Virtual and Augmented Reality for Heritage Reconstruction and Visitor Experience. PRESENCE: Virtual and Augmented Reality, 35, 71-93.
Çevik, S. Ö., & Gök, B. (2026). Effects of Interactive Augmented Reality Application on Primary School Students' Misconceptions and Attitudes in Mathematics Education. International Journal of Technology in Education, 9(1), 238-259.
Shi, Y., & Yang, X. (2026). Virtual reality stimulating customer creativity in product co-development. Humanities and Social Sciences Communications, 13(1), 156.
Shehadeh, A., Alshboul, O., Abuaddous, M. A., Nimer, H. F., & Otoom, M. (2026). Emerging WEFE Technologies in Engineering Education: Integration of Optimization, Explainable AI, Digital Twins, and Virtual Reality. Array, 100756.
Dechsling, A., Vister, O. M., Johansen, T. E., Børtveit, L., Herikstad, Y., & Nordahl-Hansen, A. (2026). Implementing virtual reality in special education: Teachers’ perspectives. International Journal of Disability, Development and Education, 73(2), 263-278.
Lee, C., Saiki, H., Lin, T., Ikeda, E., Suzuki, K., Zhu-Tian, C., & Pfister, H. (2026, April). ViSTAR: Virtual Skill Training with Augmented Reality with 3D Avatars and LLM coaching agent. In Proceedings of the 2026 CHI Conference on Human Factors in Computing Systems (pp. 1-16).
Almufarreh, A. (2026). Gamification in education and its impact on student academic performance: A conceptual model based on systematic literature review and PLS-SEM analysis. Algorithms, 19(2), 143.
Mondro, C. A., Benner, J. S., Thomson, B. J., & Lang, N. (2026). Implementation of an augmented reality sandbox as a topographic map learning tool in 100-level geology classes increases long-term knowledge retention and classroom engagement. Journal of Geoscience Education, 74(1), 3-16.
Abdelrahim, A. A. (2026). The impact of a critical fiction analysis based on using augmented reality technology on developing students’ critical thinking and critical writing at Tabuk University. Language teaching research, 30(4), 1814-1838.
Sharma, B., Alhazmi, A., Nasir, N., & Bridget, B. (2026). Innovative Learning in Anatomy Education: Assessing the Impact of Low-Cost 3D Deep Learning Anatomical Models in Museum-Based Instruction. Journal of Surgical Education, 83(1), 103748.
Bolatli, G., Birisci, S., & Bolatli, Z. (2026). An Alternative Approach in Anatomy Education: Design of a Learning Environment Based on Artificial Intelligence‐Supported Virtual Manipulatives and Investigation of Its Effectiveness. Clinical Anatomy, 39(1), 30-44.
Attallah, H. S., Abdelghani, R., & Hamed, O. (2025). Enhancing Radiation Oncology Delineation Skills Through Simulation-Based Learning (SBL): A Five-Step Practical Approach Using the ADDIE Model. Journal of Cancer Education, 1-6.
Arifitama, B., & Syahputra, A. (2025, September). User Experience Analysis of a Mobile Augmented Reality Campus Visualization Using User Experience Questionnaire (UEQ) Approach. In 2025 International Seminar on Application for Technology of Information and Communication (iSemantic) (pp. 275-280). IEEE.
Hertzum, M. (2026). System Usability Scale: A Meta-Analysis of How SUS Relates to Workload, Task Time, and Error Rate. International Journal of Human–Computer Interaction, 1-14.
DOI: https://doi.org/10.55311/aiocsit.v7i1.380
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