Investigation of the Effect of Virtual Reality Software on Nurses' Clinical Practice, Problem Solving and Clinical Decision Making Skills and Anxiety in the Care Management of Intensive Care Patients.

NCT05982288 | Unknown

• 1 other identifier: VR_BANUTERZI07
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

In the light of technological developments, learner-centered methods have begun to replace traditional teaching methods. Simulation applications are increasing in order to ensure patient safety and improve the quality of care in the training of nurses. Virtual reality, which is one of the simulation applications, is defined as an interactive, fun and virtual environment with three-dimensional visual feedback consisting of different sensory stimuli, where computer software and hardware are used together. When the studies on virtual reality, which is seen as a treatment, care and education tool in health care services, are examined; It is seen that virtual reality is mostly used in the teaching of some basic skills and in the education of nursing/medical students. From this point of view, in this project, which was submitted to the proposal, it was aimed to develop a virtual reality software for the care management of the intensive care patient and to investigate the effect of this software on the new intensive care nurses. Nurses to be included in the study will be randomly assigned to the control (n=34) and study groups (n=34). The research will be carried out in the following steps: 1) According to Kolcaba's Comfort Theory, the patient case scenario including the care management of the intensive care patient will be prepared and transferred to the virtual reality software, 2) The nurses in both groups will be given theoretical training on the care management of the intensive care patients, 3) The nurses forming the control group will be given theoretical training. A routine orientation training program will be given, and virtual reality glasses will be applied to the study group 4) "Knowledge Level Questionnaire", "Clinical Practice Skill Observation Form", "Problem Solving" before the theoretical training, 1 week after the application and in the first month of the application for both groups. Inventory", "Clinical Decision Making Scale in Nursing", "State Anxiety Inventory" and "Satisfaction Level Questionnaire" will be applied. With the software planned to be developed within the scope of the project, it is predicted that patient comfort and quality of life in intensive care will increase by providing rapid orientation to the clinic of the new intensive care nurses and increasing their clinical practice, problem solving and clinical decision making skills.

Conditions

Nurse's Role; Anxiety; Nursing Caries

Keywords

Problem solving; Clinical decision making; Intensive care nurses; Patient comfort; Critical decision making; Anxiety; Virtual reality

Outcome Measures

Primary Outcomes (4)

• Clinical practice skills questionnaire

  Change in clinical practice skills of intensive care nurses

  1-8 month

• Problem-solving skills scale

  The problem solving inventory is a scale consisting of a total of 35 items with 6 subgroups. The subgroups are as follows: hasty approach, thinking approach, avoidant approach, evaluative approach, self-confident approach and planned approach. Each group can be used independently. High total scores obtained from the whole scale indicate that the individual perceives himself/herself as inadequate in problem solving skills. The marking of the PSI is done on a 6 Likert-type scale. 21 items are scored as straight and 14 items are scored as reversed. The minimum score for the whole scale is 32 and the maximum score is 192. Items 9, 22 and 29 are excluded during scoring. Cronbach's alpha values found in the existing studies on the reliability of the scale are between 0.73 and 0.94.

  1-8 month

• The clinical decision making scale in nursing

  The Clinical Decision Making Scale in Nursing consists of 40 items and four subscales. The subscales of the scale are "Exploring options and ideas", "Investigating goals and values", "Evaluating outcomes", and "Searching for information and adopting new information impartially". Each subscale consists of 10 items. The total scale is scored between 40 and 200 and each subscale is scored between 10 and 50 and there is no cut-off point. A high score on the scale indicates a high perception of decision making and a low score indicates a low perception of decision making. The evaluation of the scale is based on each subscale and the total score of the scale.

  1-8 month

• State anxiety scale

  State Anxiety Scale is the subjective fear that an individual feels due to the stressful (pressurized) situation in which he/she is in. This scale can be applied to individuals over the age of 14. The inventory has two separate scales of 20 items each. State Anxiety Scale; determines how the individual feels at a certain moment and under certain conditions. It can be applied individually and as a group. In answering the State Anxiety Scale, it is asked to choose one of the options "not at all", "a little", "a lot" and "completely" according to the severity of the feelings, thoughts or behaviors expressed by the items. The total score value obtained from the scale varies between 20 and 80. A high score indicates a high level of anxiety and a low score indicates a low level of anxiety.

  1-8 month

Secondary Outcomes (1)

• Satisfaction questionnaire

  1-8 month

Study Arms (1)

Intensive care nurses

EXPERIMENTAL

Type of Study: It will be conducted in a single-center, randomized controlled experimental design. A clinical trial number will be obtained before starting the study. Location of the Study: The research will be conducted in the Anesthesiology and Reanimation Clinic of Antalya Kepez State Hospital.

Other: Virtual Reality Software

Interventions

Virtual Reality Software OTHER

Training of intensive care nurses with virtual reality software

Intensive care nurses

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• To be a new graduate from the Department of Nursing
• Being a new employee in the intensive care unit
• Not having worked in an intensive care unit before
• Being willing and volunteering to participate in the study

You may not qualify if:

• Having just started working in the intensive care unit and subsequently changed duty station
• Resignation at any stage of the study
• Being a member of a profession other than nursing (midwife, ATT, paramedic, etc.)

Sponsors & Collaborators

• Akdeniz University: lead

Study Sites (1)

Kepez State Hospital

Antalya, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Banu Terzi, PhD

  Akdeniz University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: In this study, the single-blind method will be used to prevent nurses from interacting with each other. For this, the interventions will be performed on the same day and time using different areas.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: The study is a single-center, randomized controlled experimental design.

Study Record Dates

• First Submitted: July 8, 2023
• First Posted: August 8, 2023
• Study Start: July 1, 2023
• Primary Completion: May 30, 2024
• Study Completion: August 1, 2024
• Last Updated: August 8, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)