The Effect of Virtual Reality on Affective Awareness, Empathy, Clinical Decision Making in Nursing Students

NCT06729918 | Completed

• 1 other identifier: virtual reality-2024
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

This study was planned to be conducted in a randomized controlled experimental design to determine the effect of virtual reality-based learning tool on nursing students' affective awareness, empathy, self-confidence and anxiety levels in clinical decision making. The population of the study will consist of students taking the Health Assessment course at Kırıkkale University, Faculty of Health Sciences, Department of Nursing. The data of the study will be collected by using descriptive characteristics form, "Affective Awareness Scale for Teaching", "Affective and Cognitive Empathy Scale", "Clinical Decision Making Self-Confidence and Anxiety Scale in Nursing". Students will be divided into virtual reality group, simulated patient group and control (traditional education) group using their academic grade point average. The subject of Health Assessment Thorax and Lung assessment will be taught to the control group with traditional education, to the virtual reality group with a virtual reality-based thorax and lung physical examination learning tool, and to the simulated patient group by performing a physical examination of the thorax and lung. Before the application, at the end of the application and at the end of clinical practices, the Affective Awareness Scale for Teaching", 'Affective and Cognitive Empathy Scale', Clinical Decision Making in Nursing Self-Confidence and Anxiety Scale" will be collected. Frequency distributions, descriptive statistics, chi-square, one-way analysis of variance (OneWay ANOVA), Levene's test, "multiple comparison test" (Bonferroni, Tamhane's T2) and repeated measures analysis of variance will be used to evaluate the data. 0.05 will be used as the significance level and it will be stated that there is a significant difference in case of p\<0.05 and there is no significant difference in case of p\>0.05.

Conditions

Virtual Reality; Physical Examination of the Thorax and Lungs; Emotional Awareness; Empathy; Self-confidence in Clinical Decision Making and Anxiety

Keywords

virtual reality; physical examination; affective awareness; empathy; self-confidence in clinical decision making and anxiety

Outcome Measures

Primary Outcomes (3)

• Affective Awareness Level

  Scores from sub-dimensions and the scale total are evaluated according to the minimum and maximum scores that can be obtained. As the score increases, the level of affective awareness towards teaching also increases. Receiving sub-dimension: min: 7, max: 35 Reacting: min: 9, max: 45 Valuing: min: 8, max: 40 Organizing: min: 7, max: 35 Personalizing: min: 6, max: 30 Scale Total Score: min: 37, max: 185

  From the pre-test before the training applications to the post-test after the training applications, approximately one month.

• Affective and Cognitive Empathy Level

  As the score increases, the level of affective and cognitive empathy also increases.

  From the pre-test before the training applications to the post-test after the training applications, approximately one month.

• Clinical Decision Making Self-Confidence and Anxiety Level

  As the score obtained from the self-confidence section and its sub-dimensions increases, the student's self-confidence level increases, and as the score obtained from the anxiety section and its sub-dimensions decreases, the anxiety level decreases.

  As the score increases, the level of affective and cognitive empathy also increases. From the pre-test before the training applications to the post-test after the training applications, approximately one month.

Study Arms (3)

virtual reality group

EXPERIMENTAL

Thoracic lung physical examination will be studied using a virtual reality-based thoracic and lung physical examination learning tool.

Other: Virtual reality

simulated patient group

EXPERIMENTAL

Thoracic lung physical examination will be studied using a simulated patient.

Other: simulated patient

control (traditional education) group

NO INTERVENTION

No applicationwas madeto the control group. He/she will practice the thoracic lung physical examination on a classmate who is not in the sample group.

Interventions

Virtual reality OTHER

Thoracic lung physical examination will be studied using a virtual reality-based thoracic and lung physical examination learning tool.

Also known as: Virtual reality based training

virtual reality group

simulated patient OTHER

Thoracic lung physical examination will be studied using a simulated patient.

Also known as: simulated patient group

simulated patient group

Eligibility Criteria

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

You may qualify if:

• Volunteering to participate in the research
• Not having eye defects that can affect depth perception such as amblyopia (lazy eye), anisometropia (when the refractions of the two eyes are different from each other) and strabismus (strabismus) (The declaration of the person will be taken as basis)
• Having enrolled in the HEM2005 coded "Health Assessment" course for the first time in the Fall Semester of the 2024-2025 Academic Year.

You may not qualify if:

• Participation in the research is voluntary
• Graduated from high school, associate degree or undergraduate degree in a health-related field,

Sponsors & Collaborators

• Esra DOĞAN YILMAZ, PhD: lead

Study Sites (1)

Kirikkale University

Kırıkkale, 71450, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Emel GÜLNAR, Assoc. Prof.

  Kırıkkale University

  PRINCIPAL INVESTIGATOR

• Aslı YILMAZ, MSc

  Gazi University graduate student

  STUDY CHAIR

• Esra DOĞAN YILMAZ, Asst. Prof.

  Kırıkkale University

  STUDY CHAIR

• Kamile KIRCA, Asst. Prof.

  Kırıkkale University

  STUDY CHAIR

• Şule BIYIK BAYRAM, Assoc. Prof.

  Black Sea Technical University

  STUDY CHAIR

• Nurcan ÇALIŞKAN, Prof. Dr.

  Gazi University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Data will be entered into the study by someone other than the researchers. Statistical analysis will be performed by someone other than the researchers. Due to the nature of the study, participants will know which group they are in. Therefore, blinding of participants will not be possible. The implementation of the study and collection of data will be performed by the researchers. Therefore, the researchers were not blinded to the study.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assistant Professor

Model Details: A randomized controlled trial

Study Record Dates

• First Submitted: December 7, 2024
• First Posted: December 12, 2024
• Study Start: December 11, 2024
• Primary Completion: December 17, 2024
• Study Completion: January 17, 2025
• Last Updated: July 28, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)