NCT06091449

Brief Summary

Subject: The effects of high fidelity and virtual reality-based simulation applications on simulation-based learning, reflective thinking and therapeutic communication skills in nursing undergraduate students. Objective : It was planned to determine the effects of high fidelity and virtual reality-based simulation applications on simulation-based learning, reflective thinking and therapeutic communication skills in nursing undergraduate students. Backgroud:Simulation-based learning is one of the most effective and interesting teaching methods that is effective in adapting nursing students to clinical environments by reducing the gap between education and practice.Students reinforce their knowledge and improve their clinical performance through active training methods that mimic real healthcare environments. They have the experience of developing psychomotor skills and making appropriate decisions in a timely manner through supervision, repetition and reinforcement. Methods:The research is planned to be conducted at Hacettepe University Faculty of Nursing between 16 October 2023 and 16 October 2024.Students will be divided into two groups by randomization method. The group that will receive virtual reality application is 38 people; The group for which simulation + virtual reality application will be applied will be determined as 38 people.Data will be collected using the Personal Information Form, simulation-based learning evaluation scale, reflective thinking skills scale for problem solving, and therapeutic communication skills scale for nursing students.The analysis of the data will be done with a statistical program.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
76

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 18, 2023

Completed
28 days until next milestone

Study Start

First participant enrolled

October 16, 2023

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 19, 2023

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
3 days until next milestone

Study Completion

Last participant's last visit for all outcomes

January 3, 2024

Completed
Last Updated

February 28, 2024

Status Verified

February 1, 2024

Enrollment Period

3 months

First QC Date

September 18, 2023

Last Update Submit

February 26, 2024

Conditions

Outcome Measures

Primary Outcomes (3)

  • Simulation Based Learning Scale

    It evaluates the simulation-based learning experience from the student perspective. The scale has 5 sub-dimensions and 37 items. The responses are scored on a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) and the total score ranges between 37-185. All statements in the scale are positive and there are no reverse coded items. It will be applied to the students just before high reality simulation and/or virtual reality simulation and after completing the training on the same day (each session is 60 minutes).

    Change from baseline scores at the end of 60 minutes.

  • Reflective Thinking Skills for Problem Solving Scale

    It evaluates reflective thinking towards problem solving. It is a 5-point Likert scale (Always=5, Most of the time=4, Sometimes=3, Rarely=2, Never time=1) and consists of 14 items. The highest score to be obtained from the scale is 70 and the lowest score is 14. The maximum score is expressed as the degree of having reflective thinking skills. It will be applied to the students just before high reality simulation and/or virtual reality simulation and after completing the training on the same day (each session is 60 minutes).

    Change from baseline scores at the end of 60 minutes.

  • Therapeutic Communication Skills Scale

    It measures nursing students' therapeutic communication skills. It consists of 3 dimensions, 16 It is a 7-point Likert-type scale consisting of items. Scores to be obtained from the scale range from 16-112. An increase in the score indicates an increase in therapeutic communication skills. It will be applied to the students just before high reality simulation and/or virtual reality simulation and after completing the training on the same day (each session is 60 minutes).

    Change from baseline scores at the end of 60 minutes.

Study Arms (2)

High fidelity simulation

EXPERIMENTAL

The Faculty of Nursing has a simulation laboratory to enable students to realize their professional skills in a high-reality environment. The laboratory has all the equipment that should be found in a clinic, such as a high-reality simulation mannequin, nurse's table, patient bed, shelves, monitors, bedside oxygen systems, treatment and emergency response carts.Lab; It consists of 3 sections: application room, control room and analysis room.

Other: High fidelity simulation

High fidelity simulation and virtual reality

EXPERIMENTAL

The modular education and virtual reality-based simulation program is currently actively available on the "hadi.hacettepe.edu.tr" website. Students who will benefit from this program can access the program after defining a username and password.The application of high-fidelity simulation is the same in both groups.

Other: High fidelity simulationOther: Virtual reality

Interventions

Within the scope of high reality simulation application; The ideal number of students to take part in each simulation was determined to be 10. On the simulation day, the researchers responsible for the simulation application will introduce the environment and the tools and equipment they will use in the simulation application, so that they can make preliminary preparations for the students. It will last 60 minutes in total, including preliminary information (10 minutes), simulation time (15 minutes) and evaluation/analysis session (35 minutes).

High fidelity simulationHigh fidelity simulation and virtual reality

For the virtual reality-based simulation application, students can log in to the virtual reality-based simulation program prepared in line with the "Diabetes Mellitus" scenario using their username and password; They will receive modular training integrated into the simulation. The expected time for students to complete the modular training is 30 minutes. Students who complete the module will be asked to take a 10-minute break and then participate in a virtual reality-based simulation application.The application of high-fidelity simulation is the same in both groups.

High fidelity simulation and virtual reality

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Being a second year student at the Faculty of Nursing
  • Being 18 years or older
  • Voluntarily agreeing to participate in the research
  • have internet access
  • Not having participated in high reality and/or virtual reality based applications before

You may not qualify if:

  • Not participating in any of the pretest-posttest tests
  • Not agreeing to participate in the research

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hacettepe University

Ankara, Çankaya, 06010, Turkey (Türkiye)

Location

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
associate professor

Study Record Dates

First Submitted

September 18, 2023

First Posted

October 19, 2023

Study Start

October 16, 2023

Primary Completion

December 31, 2023

Study Completion

January 3, 2024

Last Updated

February 28, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

Locations