The effectiveness of 3D cadaver simulation learning on the perceived learning achievement, satisfaction, and flow state of nursing students

•3D cadaver simulation enhances nursing students' perceived learning achievement.•3D cadaver simulation improves nursing students' satisfaction.•3D cadaver simulation increases nursing students' flow state. This study examined the effectiveness of using 3D virtual anatomy simulation on the perceived learning achievement, satisfaction, and flow state of nursing students. In this quasi-experimental study conducted with undergraduate nursing students, the experimental group underwent a five-week 3D virtual anatomy simulation program, while both the experimental and control groups attended the same pathophysiology classes. Data were collected through surveys. Perceived learning achievement (t = 4.25, p = .001), satisfaction (t = 3.87, p < .001), and flow state (t = 5.11, p < .001) were statistically significantly higher in the experimental group. 3D virtual cadaveric simulation may be effective for enhancing nursing students’ perceived learning achievement, satisfaction, and flow state.