BACKGROUND: In healthcare education, virtual reality (VR), simulating real-world situations, is emerging as a tool to improve communication skills, particularly in sensitive scenarios involving patients and caregivers. While promising, VR-based education also poses challenges such as avatar realism, cognitive load, and the need for pedagogical grounding. OBJECTIVE: This protocol paper presents the VR-TALKS project, which aims to develop, apply, and evaluate VR scenarios designed to teach healthcare students communication skills in serious illness scenarios. Barriers and facilitators to integrating VR into healthcare teaching modules, along with the usability, feasibility, and educational impact of the VR tool, will be assessed across five European countries, incorporating insights from both students and educators. METHODS: Phase 1 involves screening current communication courses at six partner institutions to identify opportunities for integrating VR. Phase 2 assesses the barriers and facilitators faced by approximately n = 70 educators in incorporating VR into communication training. Phase 3 focuses on developing VR scenarios based on the SPIKES and NURSE techniques. Phase 4 evaluates the usability and feasibility of the scenarios with n = 200 students and n = 30 educators. Feedback from this phase will inform further improvement of the tool. EXPECTED RESULTS: The project will provide valuable insights into the barriers and facilitators of VR integration, develop two VR scenarios in multiple languages, and collect data on feasibility, usability, and user satisfaction. Additionally, it will offer recommendations for effectively incorporating VR into university curricula. Potential limitations of immersive VR, such as motion sickness, will be considered during evaluation. CONCLUSIONS: The project aims to enhance teaching methods for serious illness communication across Europe. The knowledge gained will be disseminated publicly through peer-reviewed publications and the project website, with plans to offer the VR training to other universities. INNOVATION: By addressing the limitations of conventional training, VR-TALKS offers healthcare professionals the opportunity to develop crucial communication skills in a repeatable, standardized, and time-flexible environment. FUNDING: ERASMUS+ Program through the Centre for International Cooperation in Education in the Czech Republic, "Dům zahraniční spolupráce" (DZS), spanning from 01.09.2023 to 31.08.2025.

1st Faculty of Medicine Charles University Prague Czech Republic

2nd Faculty of Medicine Charles University Prague Czech Republic

Catherine McAuley School of Nursing and Midwifery University College Cork Ireland

Department of Medical Psychology and Ethics Masaryk University Brno Czech Republic

European Association for Palliative Care Belgium

Institute for General Practice and Palliative Care Hannover Medical School Germany

Leiden University Department of Health and Medical Psychology the Netherlands

LMU University Hospital Munich Ludwig Maximilians Universität München Germany

sense Czech Republic

Universidade dos Açores | Fundação Gaspar Frutuoso CEEAplA Center of Applied Economic Studies of the Atlantic Ponta Delgada São Miguel Island Azores Portugal

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