Gamification-Based Virtual Reality in Subcutaneous Injection Skill Teaching

NCT06494462 | Completed

• 1 other identifier: Adnan Menderes Univ-Nursing
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled experimental study aimed to determine the effect of gamification-based virtual reality applications and video demonstration methods on nursing students' skill learning and confidence levels in subcutaneous injection skill training. The population of the study consisted of 96 first-year nursing students enrolled in the Fundamentals of Nursing course at a university's Faculty of Nursing during the spring semester of the 2024-2025 academic year. The students will be randomized into three groups, each containing 32 students: two experimental groups and one control group. First, the topic of subcutaneous injection application will be theoretically explained to all students for 90 minutes. After completing the theoretical explanation, the skill of subcutaneous injection application will be taught in a laboratory setting using the Gamification-Based Virtual Reality Application + Demonstration method for students in Experimental Group 1, the Video Demonstration + Demonstration method for students in Experimental Group 2, and only the Demonstration method for students in the Control Group. After the theoretical explanation and laboratory practices according to their groups, the subcutaneous injection skill levels of the students in all three groups will first be assessed in the laboratory setting using the Objective Structured Clinical Examination (OSCE) and later evaluated in the clinical setting using the Subcutaneous Injection Skill Checklist. The confidence levels of the students will be determined through self-reporting using the "Confidence Scale" after all clinical practices are completed. The research data will be collected between April and June 2025. Descriptive (number, percentage, mean, standard deviation, minimum-maximum) and comparative statistics (Chi-Square Test, Mann Whitney U Test, Wilcoxon Test) will be used in the analysis of the data. The level of statistically significance will be considered at p\<0.05.

Conditions

Training Group

Keywords

virtual reality; game; subcutaneous injection; skill; nursing students; confidence

Outcome Measures

Primary Outcomes (1)

• Skill Evaluation

  First, the evaluation will be conducted using the Objective Structured Clinical Examination (OSCE).The OSCE score will be determined according to the procedure steps specified in the SC Injection Skill Checklist. The form consisting of 27 items in which each application step is scored shows the skill level as points. In the evaluation, each step that the student performs correctly will be calculated as 2 points, each incomplete step will be calculated as 1 point, and each step that the student does not perform or performs incorrectly will be calculated as 0 points. The lowest score that can be obtained from the form is 0 and the highest score is 54. In the second stage, all students will be evaluated in Clinics of the University Hospital. Skill assessments will be performed using the Subcutaneous Injection Skill Checklist.The average score obtained as a result of the two assessments will determine the student's skill level.

  twice, first evaluation will take place up to 10 weeks after the begining of the study (end of laboratory training) and second evaluation will take place up to 12 weeks the begining of the study (after 7 or 15 days the laboratory training) in hospital

Secondary Outcomes (1)

• Confidence

  once, up to 20 weeks (when the research is finished)

Study Arms (3)

game based virtual reality

EXPERIMENTAL

24 hours after the theoretical lecture, students will be given a demonstrative presentation of the application in the laboratory environment by the instructor (researcher). All students will perform the application on low-fidelity models (task trainers) under the supervision of the instructor. After the laboratory application, students will be required to play a gamified virtual reality experience using Oculus 2 Interactive Virtual Reality Headsets within 7 days before the clinical application.

Other: virtual reality training

Video

EXPERIMENTAL

24 hours after the theoretical lecture, students will be given a demonstrative presentation of the application in the laboratory environment by the instructor (researcher). All students will perform the application on low-fidelity models (task trainers) under the supervision of the instructor. After the laboratory application, students will be shown a video recording prepared by the researchers via VR Box non-interactive virtual reality headsets within 7 days before the clinical application.

Other: virtual reality training

Control

NO INTERVENTION

24 hours after the theoretical lecture, students will be given a demonstrative presentation of the application in the laboratory environment by the instructor (researcher). All students will perform the application on low-fidelity models (task trainers) under the supervision of the instructor.

Interventions

virtual reality training OTHER

students will watch a video about subcutaneous injection or students will play a about subcutaneous injection by virtual reality glasses

Video; game based virtual reality

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• To be between 18-50 years old
• To be a student of nursing department
• Being a 1st year nursing student
• To volunteer to participate in the research
• Having internet access

You may not qualify if:

• Being a graduate of a of health vocational high school
• Having received training on SC injection,
• Have a clinical experience,
• To be absent from the theoretical and laboratory courses on the dates of SC injection subject

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Adnan Menderes University Nursing Faculty

Aydin, Turkey (Türkiye)

Location

Study Officials

• Barış Atiker

  Aydin Adnan Menderes University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: June 20, 2024
• First Posted: July 10, 2024
• Study Start: January 7, 2024
• Primary Completion: June 2, 2025
• Study Completion: September 1, 2025
• Last Updated: October 1, 2025

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: end of the study
• Access Criteria: The data that support the findings of this study are available onrequest from the corresponding author.

Locations

TU (1)