Effects of Augmented Reality-based Rapid Blood Transfusion (Level-1®)

Effects of Augmented Reality-based Rapid Blood Transfusion (Level-1®) Education on Nurse's Clinical Competency, Self-efficacy, and Educational Satisfaction: Randomised Controlled Trial

The goal of this clinical trial is to compare the effectiveness of AR-based training with traditional guideline-based self-learning in practical nurses without prior Level-1® experience. The main questions it aims to answer are:

Does AR-based training using Microsoft HoloLens 2® improve clinical performance compared to traditional guideline-based self-learning? Does AR-based training affect self-efficacy and educational satisfaction compared to traditional methods?

Participants will:

Receive AR-based training using Microsoft HoloLens 2® (experimental group) Follow traditional guideline-based self-learning (control group) Researchers will compare the AR-based training group to the traditional self-learning group to see if AR-based training leads to better clinical performance, higher self-efficacy, and greater educational satisfaction.

Study Overview

• Status: Completed
• Conditions: Nurse's Role; Augmented Reality; Equipment and Supplies
• Intervention / Treatment: Other: AR-based Training with Microsoft HoloLens 2®; Other: Traditional Guideline-based Self-Learning

Detailed Description

In critical situations like hypovolemic shock, nurses must master skills for using devices like the Level-1® rapid infusion system. However, limited exposure poses challenges. Augmented reality (AR) offers a solution by providing realistic practice scenarios. While AR has shown effectiveness in cardiopulmonary resuscitation and intubation education, its application in Level-1® training remains underexplored.

This study was conducted at the Samsung Medical Center in Seoul, Korea, and involved 42 practical nurses without prior Level-1® experience. Participants were randomly assigned to one of two groups: the experimental group, which received AR-based training using Microsoft HoloLens 2®, and the control group, which followed traditional guideline-based self-learning.

The study aimed to investigate the impact of AR-based Level-1® education on nurses' clinical performance, self-efficacy, and educational satisfaction. Clinical performance, self-efficacy, and educational satisfaction were assessed through structured measurements.

Results data and conclusions drawn from the data are excluded from this section and will be reported separately in the Results Section of the record.

• Study Type: Interventional
• Enrollment (Actual): 42
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Korea, Republic of
  • Seoul, Korea, Republic of, 06351
    • Samsung Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Willingness to participate voluntarily and understanding of the study's purpose.
• No prior experience with the Level-1® rapid infusion system.

Exclusion Criteria:

• Failure to meet the inclusion criteria.
• Prior experience with the Level-1® rapid infusion system.
• Inability to comprehend the study's purpose or express voluntary participation.
• Inability to attend required training and evaluations.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: AR-based Training Group; Practical nurses in this arm receive AR-based training using Microsoft HoloLens 2®. This training method incorporates augmented reality technology to provide immersive and interactive learning experiences, enhancing their proficiency in device utilization.	Other: AR-based Training with Microsoft HoloLens 2®; Practical nurses in this group receive AR-based training using Microsoft HoloLens 2®. This training method incorporates augmented reality technology to provide immersive and interactive learning experiences, enhancing their proficiency in device utilization.
Sham Comparator: Traditional Self-Learning Group; Practical nurses in this arm follow traditional guideline-based self-learning methods without augmented reality technology. They rely on conventional educational materials and guidelines for learning device utilization skills.	Other: Traditional Guideline-based Self-Learning; Practical nurses in this group follow traditional guideline-based self-learning methods without augmented reality technology. They rely on conventional educational materials and guidelines for learning device utilization skills.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Clinical Competency	This measurement assesses nurses' clinical competency in rapid infusion procedures. It includes evaluation of learning time, performance time, accuracy, and assistance requests.	before training, immediately after training

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Self-efficacy	This assessment measures nurses' self-efficacy in rapid infusion procedures using a modified self-efficacy scale. It evaluates confidence levels in performing tasks related to rapid infusion.	efore training, immediately after training

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Educational Satisfaction Evaluation	This evaluation assesses nurses' satisfaction with the educational program. It includes measures of confidence, relevance, and willingness to recommend the training to others using a structured questionnaire.	Educational satisfaction will be assessed immediately after the completion of the training program.

Collaborators and Investigators

• Sponsor: Samsung Medical Center
• Investigators: Study Chair: meonghi son, MD, Samsung Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): July 17, 2023
• Primary Completion (Actual): September 5, 2023
• Study Completion (Actual): September 5, 2023

Study Registration Dates

• First Submitted: June 12, 2024
• First Submitted That Met QC Criteria: July 9, 2024
• First Posted (Actual): July 18, 2024

Study Record Updates

• Last Update Posted (Actual): July 18, 2024
• Last Update Submitted That Met QC Criteria: July 9, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Keywords: Blood Transfusion; Self-efficacy; Augmented Reality; Critical Care; Education, Nursing; Clinical Competency; Educational Satisfaction
• Other Study ID Numbers: 2023-06-084

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No