Background:  Simulation-based  learning  is  widely  used  in  nursing  students'  clinical  practice,  
including  3D  video  virtual  reality which has grown remarkably in the last few years. Integrating  3D  
video  virtual  reality  and  mobile  phone  technology  into  clinical  training  of nursing  students  allows  
for  enhancing  learning  experiences.  Aim :The purpose of this study was to  evaluate  the  effect  of  
video  based  virtual  reality  simulation  on  nursing  students'  self-efficacy,  satisfaction  and  
performance  regarding  selected  procedures.  Subjects  and  Method:  A  purposive  sample  of  200  
nursing  students  from  academic  first  year,  who  were  enrolled  in  fundamental  nursing  course  in  
the  second  semester,  Faculty  of  Nursing,  Tanta  University.  Tools:  four tools were included.  Tool 
(I):  Student  knowledge  questionnaire  which  composed  of  two  parts:  Part  (A):  Socio-  demographic  
characteristics  of  students.  Part (B):  Students knowledge assessment sheet. Tool (II):  Observational 
checklist of selected procedures Tool (III):  Students Self-Efficacy. Tool (IV):  Nursing student's 
satisfaction scale.  Results: The main findings showed that nursing students' performance, knowledge, 
self-efficacy, and satisfaction had all significantly improved in  the  study  group  since  p  value  was  ≤  
0.05  post  implementing  the  program.  Conclusion&  Recommendations:  The  implementation  of  
video  based  virtual  reality  simulation  had  a positive effect  on  nursing  students'  knowledge,  
performance,  self-efficacy  and  satisfaction  regarding  selected  procedures.  It  was  recommended  that  
financial  investment  on  the  part  of  nursing  faculty  in  the  creation  of  suitable  laboratories  and  
training  instructors  who  will  apply  training  program