The Effect of Haptic Interactive Virtual Reality on Nasogastric Tube Practice Teaching

NCT05040191 | Completed DMC

• 1 other identifier: 1870
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

This research was carried out as a randomized controlled experimental study to evaluate the effects of haptic interactive virtual reality and computer-based simulation technologies on students' knowledge, skills, anxiety, satisfaction in learning and self-confidence in teaching nasogastric tube application. The research population consisted of students who enrolled in a foundation university nursing department and took the "Basic Principles and Practices in Nursing II" course in the Spring Semester of the 2020-2021 academic year, and the sample consisted of 90 students who met the inclusion criteria of the study. During nasogastric tube application, the Control Group (n=30) trained with the Standard Curriculum, Experimental Group 1 (n=30) trained with Haptic Interactive Virtual Reality Simulation Technology, and Experimental Group 2 (n=30) trained with Haptic Interactive Computer-Based Simulation. n=30) was performed. Research data were collected with "Structured Student Introduction Form", "Nasogastric Tube Application Skills Examination", "Nasogastric Tube Application Skill Checklist", "State-Trait Anxiety Inventory", "Student Satisfaction and Self-Confidence in Learning Scale". Appropriate statistical methods were used in the analysis of the data.

Conditions

Simulation; Nasogastric Tube

Keywords

virtual reality; simulation; nasogastric tube; haptic glove

Outcome Measures

Primary Outcomes (1)

• nasogastric tube application skill success levels

  Students were informed about the "Nasogastric Tube Application Skill Checklist"

  2 Months

Secondary Outcomes (1)

• Anxiety levels

  2 Months

Other Outcomes (1)

• Satisfaction and self-confidence levels

  2 Months

Study Arms (3)

Control Group

EXPERIMENTAL

Application in the Control Group: After the theoretical lesson, the control group was taken to the Nursing Fundamentals Skills Laboratory. The laboratory consists of 3 practice rooms, 1 control room and 1 analysis room. A video prepared by the researcher on the Simple Nasogastric Tube Application Model in line with the steps of "Checklist for Teaching Nasogastric Tube Application Skills" was watched and preliminary information was given. The questions were answered by allowing the students to ask questions.

Other: Traditional Education(control)

Haptic Interactive Virtual Reality Simulation(Experiment 1 group)

EXPERIMENTAL

Application in the Experiment-1 Group: After the theoretical lesson, the students in the Experiment-1 group were taken to the computer laboratory room where the haptic interactive virtual reality application was installed. The Nasogastric Tube Application with Haptic Interactive Virtual Reality Simulation was applied and explained by the researcher and preliminary information was given. The questions were answered by allowing the students to ask questions.

Other: Haptic interactive virtual reality simulation training

Haptic Interactive Computer Based Simulation(Experiment 2 group)

EXPERIMENTAL

Application in the Experiment-2 Group: After the theoretical lesson, the students in the Experiment-2 group were taken to the laboratory room where the haptic interactive computer-based simulation was located. This computer-assisted simulation allows us to see the application on the computer screen while performing an application with a haptic arm. It gives feedback on hand manipulations similar to reality. It was explained by the researcher by applying the nasogastric tube application skill with haptic interactive computer-based simulation and preliminary information was given. The questions were answered by allowing the students to ask questions.

Other: Haptic interactive computer-based simulation training

Interventions

Traditional Education(control) OTHER

The application was made on the model that allows nasogastric tube application and the anatomical structure in the nasogastric region is seen. The student can experience the skill of applying a nasogastric tube to the nasogastric or orgastric region on this model. In the nursing skills laboratory, students were given a demonstration of nasogastric tube application on a model.

Control Group

Haptic interactive virtual reality simulation training OTHER

Haptic interactive virtual reality simulation technology; It functions by using haptic gloves that are interactive, visually enhanced, containing three-dimensional video and animation, wearable by students. This program has been developed by a software developer who is an expert in the field of information technologies, using the unreal program with a nine-generation computer with a game engine. All the necessary steps in the NGT application have been in simulation.

Haptic Interactive Virtual Reality Simulation(Experiment 1 group)

Haptic interactive computer-based simulation training OTHER

"Clinical tvr (tactile simulator)" produced by a foreign commercial company used in nursing education was used. Clinical tvr simulation applications can be accessed online or downloaded to a computer. This simulator; It functions by using an interactive, visually enhanced 2D, animated, haptic arm that can be held by students like a pen. It includes applications such as nasogastric tube placement, urinary bladder catheter placement, heart massage. These applications can be realized through both mouse and haptic arm computer input devices. clinical tvr; It is a simulator that incorporates the enhanced benefits of haptic feedback through the use of haptic technology. This simulator provides a near-realistic sensory experience where the learner can practice a skill as it actually is. Computer-based simulation with haptic interaction was used in this study with the haptic arm in NGT application skill.

Haptic Interactive Computer Based Simulation(Experiment 2 group)

Eligibility Criteria

• Age: 19 Years - 38 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Students;
• Over 18 years old,
• Registered in the nursing department,
• Able to use a computer,
• No vision and hearing problems
• Have not done the NGT skill practice before,
• Taking the Nursing Fundamentals course for the first time.

You may not qualify if:

• Students;
• Under 18 years old,
• Can't use a computer,
• Having vision and hearing problems,
• Have done NGT skill practice before,
• Having taken the Nursing Fundamentals course before.

Sponsors & Collaborators

• University of Beykent: lead

Study Sites (1)

Beykent University

Istanbul, Beykent, 34500, Turkey (Türkiye)

Location

Related Publications (2)

• SENDIR, M., & KIZIL, H. (2019). An innovative approach in teaching nasogastric tube application: NAZO-AR. Journal of Duzce University Institute of Health Sciences, 9(2), 86-90.

  BACKGROUND

• Choi KS, He XJ, Chiang VC, Deng Z, Qin J. A Heuristic Force Model for Haptic Simulation of Nasogastric Tube Insertion Using Fuzzy Logic. IEEE Trans Haptics. 2016 Jul-Sep;9(3):295-310. doi: 10.1109/TOH.2016.2550044. Epub 2016 Apr 6.

  PMID: 27071195 RESULT

Study Officials

• Hamiyet Kızıl, RN Msc

  Beykent University Istanbul,Turkey

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: RN Msc Lecturer

Study Record Dates

• First Submitted: August 17, 2021
• First Posted: September 10, 2021
• Study Start: May 1, 2021
• Primary Completion: June 15, 2021
• Study Completion: July 1, 2021
• Last Updated: September 10, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)