The Effect of Virtual Reality and Escape Rooms in Subcutaneous Injection Teaching

NCT06858514 | Completed

• 1 other identifier: 2023-2003
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: This study was planned to determine the effect of gamification-based virtual reality and escape room teaching methods on nursing students' skill learning and self-confidence levels in subcutaneous injection skill training. Type of Research: Randomized controlled experimental research Sample of the Study: The sample of the study will consist of 54 first-year nursing students enrolled in the Fundamentals of Nursing course at Aydın Adnan Menderes University Faculty of Nursing in the spring semester of the 2025-2026 academic year. Place and Time of the Study: The study is planned to be conducted at Aydın Adnan Menderes University Faculty of Nursing between March 03, 2025 and January 31, 2026. Materials and Method: "Student Information Form", 'SC Injection Skill Checklist', 'Subcutaneous Injection Knowledge Test', 'Self-Confidence Scale' and 'Playful Experience Scale for Gamification' will be used to collect the data. The students forming the sample will be randomized into 3 groups, 2 experimental and 1 control group, with 18 students in each group. First, the subject of subcutaneous injection application will be explained theoretically to all students for 90 minutes. After the completion of the theoretical explanation, the students in Experimental Group 1 will be taught the skill of subcutaneous injection application in the laboratory environment using the Gamification-Based Virtual Reality Application + Demonstration method, the students in Experimental Group 2 will be taught the Escape Room + Demonstration method, and the students in the Control Group will be taught the subcutaneous injection application skill in the laboratory environment using only the Demonstration method. After the completion of the theoretical lecture and laboratory applications according to their group, the subcutaneous injection application skill levels of the students in all three groups will be evaluated first in the laboratory environment with the Objective Structured Clinical Examination (OSCE) and then in the clinical environment using the Subcutaneous Injection Application Skill Checklist. Students' self-confidence levels will be determined by self-report method using the Self-Confidence Scale after all clinical applications are completed. Descriptive (number, percentage, mean, standard deviation, minimum-maximum) and comparative statistics (Chi-Square Test, Mann Whitney U Test, ANOVA, Student t, Wilcoxon Test) will be used to analyze the data. A p value less than 0.05 will be accepted for statistical significance.

Conditions

Virtual Reality Simulation; Escape Room Games and Role Playing Gamification; Nursing Students; Subcutaneous Injection; Skill Performance; Self-Confidence

Keywords

virtual reality; Escape room; Subcutaneous ınjection

Outcome Measures

Primary Outcomes (1)

• Skill Evaluation

  In the first stage, after the first clinical practice of the skills training, the subcutaneous skills learning levels of all students will be evaluated on the model in the laboratory environment. The assessment will be done by Objective Structured Clinical Examination (OSCE). OSCE, which is an approach used to evaluate skill performance, is a valid strategy used to assess students' readiness to perform the expected practices and skills at the desired level during clinical practice.In the second stage, all students will be evaluated in the second clinical practice one week after the completion of the theoretical skills training, laboratory practices according to their group and the first clinical practice. The second subcutaneous injection practice of the students in all three groups on patients in clinical practice will be evaluated by the researchers in accordance with the skill checklists.

  Once, 15 days after the theoretical lecture and laboratory practice.

Secondary Outcomes (1)

• Confidence

  once, up to 6 weeks (when the research is fınıshed)

Study Arms (3)

virtual reality group

EXPERIMENTAL

* 24 hours after the theoretical lecture, a demonstration will be given to the students in the laboratory environment by the researcher under the supervision of the advisor, * All students will be allowed to practice on low-realistic models (task trainer) under the supervision of the instructor, * After the laboratory practice, the "Student Information Form" and "Subcutaneous Injection Knowledge Test" will be applied to the students, * Students will be provided with Oculus 2 Interactive Virtual Reality Goggles to play the virtual reality gamification before clinical practice (within 7 days). * After completing the game, the student will be asked to fill out the "Playful Experience Scale for Gamification" and "Subcutaneous Injection Knowledge Test",

Other: Virtual reality

Escape room

EXPERIMENTAL

24 hours after the theoretical lecture, a demonstration will be given to the students in the laboratory environment by the researcher under the supervision of the advisor, * All students will be allowed to practice on low-realistic models (task trainer) under the supervision of the instructor, * After the laboratory application, "Student Information Form" and "Subcutaneous Injection Knowledge Test" will be applied to the students, * Before entering the rooms, students will be informed about the "Escape Room Game Rules" by distributing forms on which the relevant articles are written, * After explaining the rules of the game to the students and answering their questions, the students will be randomly divided into three groups with six people in each group, * Each group will be given a name of its own choosing, * Each group will be placed in 3 separate simulation rooms (to prevent groups from being affected by each other) * Students will first try to complete their assigned activity

Other: Escape room

Control group

NO INTERVENTION

* 24 hours after the theoretical lecture, a demonstration of the application in the laboratory environment will be carried out by the researcher under the supervision of the advisor, * It will be ensured that all students will perform the application on low-real models (task trainer) under the supervision of the instructor. * "Student Information Form" and "Subcutaneous Injection Knowledge Test" will be applied to the students All students (all groups) will perform the first subcutaneous injection in the clinical setting under the supervision of the course instructor before proceeding to the evaluation phase. This stage is an application carried out in line with the scope of the course and thus the risk of patient harm during the evaluation phase will be reduced.

Interventions

Virtual reality OTHER

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

virtual reality group

Escape room OTHER

Students will perform crossword puzzles, word hunt and matching activities related to subcutaneous injection practice.

Escape room

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• not graduated from health vocational high school.
• had no previous training in SC injection administration.
• no clinical experience.
• Participated in all theoretical and laboratory courses and all stages of the research on the dates when the SC injection subject was taught.
• To be a student of nursing department.
• who volunteer to participate in the research

You may not qualify if:

• students not participating in the evaluation phase.

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Adnan Menderes University

Aydin, Şehzadeler, 45020, Turkey (Türkiye)

Location

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: Aydin Adnan Menderes University

Model Details: A Randomized Controlled Trial

Study Record Dates

• First Submitted: March 4, 2025
• First Posted: March 5, 2025
• Study Start: March 3, 2025
• Primary Completion: June 1, 2025
• Study Completion: September 10, 2025
• Last Updated: October 3, 2025

Record last verified: 2025-03

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 on request form the corresponding author.

Locations

TU (1)