Effects of AR-Based Education on PICC Care Knowledge, Clinical Reasoning, and Learning Engagement in Nurses

NCT06784856 | Completed

• 1 other identifier: TYGH112093
• Study Type: interventional
• Target: 157
• Locations: 1 country
• Sites: 1

Brief Summary

The peripherally inserted central catheter (PICC) is the preferred venous access route for patients undergoing medium- to long-term infusion therapy. PICC insertion is a common clinical nursing procedure for intravenous infusion and drug administration. However, due to its complexity and associated risks, it is crucial to assess the needs of clinical nursing staff in PICC care and to develop appropriate educational training programs. This study aims to explore the development of a novel online "Augmented Reality (AR) Scenario-Based Gamification-Assisted Teaching" intervention to enhance nurses' competence in PICC care, improving patient care quality and treatment outcomes. This study investigates the effectiveness of AR scenario-based gamification in improving nursing staff's cognitive knowledge, clinical reasoning skills, and learning engagement in PICC care. The study employs a block randomization trial design, involving nurses from a regional hospital in northern Taiwan. The educational intervention includes classroom instruction on PICC clinical care and complication management, combined with the "PICC AR Exploration APP," which leverages interactive gaming elements within a digital learning platform. Through scenario-based gamified teaching, learners address situational problems and select appropriate interventions, enhancing knowledge and clinical reasoning skills. The teaching program offers benefits such as flexibility for repeated practice, cost efficiency, and high portability, making it a promising approach for PICC care training and the prevention and management of catheter-related complications.

Conditions

Nursing Education

Keywords

PICC care AR teaching Clinical reasoning Learning engagement Nursing education

Outcome Measures

Primary Outcomes (1)

• PICC care Knowledge scale、Clinical Reasoning Scale

  Primary Outcome Measures: PICC Care Knowledge Scale Description: This scale measures participants' knowledge of PICC care. Time Frame: Baseline, immediately post-intervention, 6 weeks post-intervention. Clinical Reasoning Scale Description: This scale evaluates participants' clinical reasoning skills related to PICC care. Time Frame: Baseline, immediately post-intervention, 6 weeks post-intervention. Learning Engagement Scale Description: Measures participants' engagement levels during the learning process. Time Frame: Immediately post-intervention.

  6months

Study Arms (2)

Experimental Group

EXPERIMENTAL

Introduction to Updated CVAD-PICC Guidelines and Clinical Applications PICC Catheter Care Management of Common PICC-Related Complications Utilization of "Augmented Reality-Assisted Teaching - PICC AR Exploration APP" Interactive Online Gaming: Participants engage directly with a scenario-based game focused on PICC care, progressing through challenges within the game.

Other: PICC AR APP

Control Group

PLACEBO COMPARATOR

Classroom Teaching and Case Sharing Introduction to Updated CVAD-PICC Guidelines and Clinical Applications PICC Catheter Care Management of Common PICC-Related Complications Case Sharing on PICC Complication Management: Researchers

Other: Classroom Teaching and Case Sharing

Interventions

PICC AR APP OTHER

This study utilized Vuforia software and Unity 2022 LTS as the primary development platforms to create an AR-Enhanced and Game-Assisted Teaching curriculum. The designed "PICC AR Exploration APP" was developed for both iOS and Android platforms. The PICC-related content was based on the 8th Edition of the Infusion Therapy Standards of Practice published by the Infusion Nurses Society (INS) in 2021 and the 2022 Clinical Guidelines for Vascular Access Devices. The required items for PICC care procedures were photographed and used to create 3D object elements and animations for developing AR scenarios and interactive gaming elements. The design and content of the "PICC AR Exploration APP" are described as follows: Game Design Concept: The "PICC AR Exploration APP" includes a learning unit system and a quiz unit system: Learning Unit System Content: Topic 1: Updates to guidelines and an introduction to clinical applications. Topic 2: PICC catheter care, dressing change steps, and techni

Also known as: PICC AR Exploration APP

Experimental Group

Classroom Teaching and Case Sharing OTHER

Introduction to Updated CVAD-PICC Guidelines and Clinical Applications PICC Catheter Care Management of Common PICC-Related Complications Case Sharing on PICC Complication Management: Researchers

Control Group

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Licensed Clinical Nurses Participants must hold a valid nursing license and be clinical nursing staff. Willingness to Participate Participants must be willing to participate and provide signed informed consent.

You may not qualify if:

• Incomplete Course Participation Participants who do not complete the full course will be excluded. Nurses Not Involved in PICC Care
• Nurses from units that do not perform PICC care, such as:
• Traditional Chinese medicine nurses. Delivery room nurses. Pediatric nurses. Anesthesia nurses. Post-anesthesia care unit (PACU) nurses. Operating room nurses.

Sponsors & Collaborators

• Taoyuan General Hospital: lead

Study Sites (1)

Taoyuan General Hospital

Taoyuan District, 330, Taiwan

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Taoyuan General Hospital

Study Record Dates

• First Submitted: December 17, 2024
• First Posted: January 20, 2025
• Study Start: August 3, 2024
• Primary Completion: November 1, 2024
• Study Completion: November 1, 2024
• Last Updated: January 20, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)