For this study, Microsoft Dynamic 365 Guides will be developed for specific nursing skills (e.g. sterile urinary catheterization, thoracentesis, central line placement) and used in conjunction with nursing equipment and supplies to create a mixed reality learning experience for procedures training. In addition, a new platform, UpTale, will allow nursing students to fully immerse themselves in a 360 degree VR experience for clinical application of the skill or procedure learned from the Guides in addition to assessment, tactile skill development, and clinical decision making regarding procedure necessity.