Statistical Analysis Data were summarized as frequency and percent age for categorical variables. To examine group dif ferences and changes from 3 months to 6 months after the intervention, the 2 test was used when expected cell frequencies in the contingency table were greater than 5. In instances where expected fre quencies fell below 5, the Fisher exact test was applied. Data were analyzed using SAS, version 9.4 (SAS Insti tute Inc). A 2-sided significance level was set at .05. Power Analysis The sample size estimation was based on the pri mary outcomethe correct recognition of impend ing respiratory failure. One hundred ninety-seven nurses were required to detect a small to medium effect size (Cramr's V = 0.2) to achieve 80% statisti cal power at a significance level of .05. To account for a 10% attrition rate, we planned to include 210 nurses in this study. onclusion This study demonstrates the successful implemen tation of a VR-based training curriculum that showed an association with improved recognition of pediat ric respiratory distress and impending respiratory failure at 3 and 6 months compared with standard training approaches. However, there was a concur rent decline in the recognition of the need for esca lation of care in the impending respiratory failure case from the 3- to 6-month assessments for both groups. 5. Identify the findings and evaluate the linkages between the statistical results and the findings expressed by the researche