Experimental research design can be useful to identify the affordances and benefits of VR and AR to foster empathy when compared to other technologies or strategies. Moreover, changes in empathy can be identified by using pre-post tests in experimental research designs. Moreover, there is still a lack of research on the features of VR and AR that positively influence empathy and the personal traits that might moderate the factors that influence empathy. Based on the previous effects of mobile and web exposure, one can predict that immersive virtual reality technologies could eventually have similar or even worse results, affecting the same limbic areas involved in sympathetic resonance. Table 10 shows the software that have been used to build immersive environments in research studies where virtual reality or augmented reality has been used to promote empathy. Findings indicate that experiencing news through a head-mounted display for 360-degree videos resulted in higher self-location and co-presence compared to interacting with the same video on a desktop or reading a textual version.

The research evaluates the effectiveness of the tool developed to support empathy in 360 videos” (p. 8). These technological means encompass a wide range of equipment used in various disciplines, with the most common being 360° video immersion devices and Oculus Rift mixed reality headsets, as evidenced in the Section 4 (Table 9). Moreover, in 360° videos the interaction is more limited whereas in VR/AR environments the interaction is higher. Thus, we call for more research studies that involve the development of VR/AR experiences to really exploit the potential of this technologies and uncover the real affordances of the technology to foster empathy. Another risk is the sheer speed of digital interactions, which often prioritizes expediency over careful consideration.

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• Qualitative studies accounted for a total of 4 studies, with an equivalent average of 10.81%.
• These platforms serve as virtual havens where people can express their feelings, seek advice, and find comfort in the knowledge that they are not alone in their struggles.
• Features like recommendation algorithms, push notifications and virality metrics were not designed with ethics as a priority, they were designed for engagement.
• Additionally, the heightened levels of interaction facilitated by AR and VR surpass the efficacy of 360-degree videos in empathy development.

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For instance, in team-based strategy games, players must consider the unique strengths and weaknesses of teammates, leading to a deeper appreciation for diverse play styles and strategies. As players strategize together, they learn to value different viewpoints, which can translate into heightened empathy in real-world interactions. Beyond entertainment and identity, virtual communities often act as vital support networks. Mental health forums, parenting groups, or survivor circles provide empathy, advice, and encouragement to those in need.

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Pastors increasingly integrate contemporary examples to engage audiences, encouraging ethical decision-making and personal responsibility, while maintaining foundational religious teachings and values. In an age dominated by screens and endless digital chatter, have we forgotten the most human of connections? Imagine a world where every online interaction sparks genuine understanding and kindness—this is the promise of digital empathy. It’s more than just politeness; it’s about weaving compassion into the very fabric of our virtual lives. However, as a future recommendation, delving into qualitative studies is suggested since this methodology also has valuable theoretical support.

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Seuren et al.41 emphasized that patients benefit from enhanced satisfaction, trust, adherence to treatment plans, and improved health outcomes. Similarly, Subramanya et al.48 demonstrated that empathetic communication, even in digital environments, correlates with better patient outcomes, such as improved treatment adherence and reduced hospital readmissions. These attributes are underpinned by essential antecedents, including digital literacy, emotional intelligence, and supportive organizational environments. For instance, Abou Hashish and Alnajjar1 and Fitzpatrick22 emphasized that nurses with strong digital literacy are better equipped to navigate telehealth platforms and utilize technology effectively to deliver care.

Empathizing through stories is part of our nature as social beings, but making meaningful connections requires skilled creators, with deep insights into the lives of the people they are trying to engage. We borrow meaning from a wealth of life experiences, and from cultural immersion, to bring these stories to life, and the expression of that authentic connection is the key to influence. A key challenge is the lack of robust, validated tools specifically designed for measuring empirical referents and attributes of digital empathy. Developing comprehensive instruments that integrate these attributes is essential for advancing digital empathy in practice. The factors identified in this analysis—attributes, antecedents, and consequences—could serve as a basis for creating structured questionnaires to measure digital empathy in nursing practice.