Intervention group: The students in this group are those who used the prepared metaverse environment for the development of knowledge and skills. Students accessed all materials related to life science knowledge and skills-including lecture slides, articles, textbook content, skill lists, videos, images, and more-through this platform. Additionally, a video of the lecture presentation, narrated by the instructor who taught this course to the control group, is available on this platform. Before the training began, a single trial/preparation session was held with the students one week prior to the intervention to ensure they could log into the metaverse environment, select an avatar, and communicate within this environment. Subsequently, when the study began, the entire group logged into the designated virtual rooms in the Metaverse environment using their chosen avatars and accessed the content prepared for them at any time (without time restrictions) and via any online device of their

Control group: Life skills training was delivered to this group by the relevant faculty member in a face-to-face classroom setting. Subsequently, the details of this topic were taught through demonstrations using models in a 4-hour face-to-face laboratory session. Documents related to the life certificate (lecture slides, articles, book references, skill lists, videos, images, etc.) were organized into a dedicated documents section within the university's Learning Management System. As a result, participants in the control group were able to access these materials from time to time. This training was conducted over the course of one academic week.

Education on Metaverse platform

This study was conducted using a post-test control group experimental design. The intervention group consisted of students who utilized the metaverse environment for knowledge and skills development. Once the study commenced, all students in the intervention group entered the designated virtual rooms using their chosen avatars and were able to access the prepared content at any time over a one-week period, without time restrictions and via any internet-enabled device. The vital signs training for the control group was delivered face-to-face in a classroom setting by the course instructor. Students in both groups learned information and skills related to vital signs using different methods within the same academic week. The data collection tools used included the Personal Information Form, the Vital Signs Knowledge Test to assess knowledge acquisition, and the Objective Structured Clinical Examination (OSCE) to assess skill acquisition.