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Virtual Reality Supported by Wearable Technology on Nursing Students

30. maj 2026 opdateret af: Aydanur Aydin, Gümüşhane Universıty

Effects of Immersive Virtual Reality Supported by Wearable Technology on Clinical Anxiety, Stress, and Adaptation in Nursing Students: A Randomized Controlled Trial

This study will examine the effects of brief immersive virtual reality (IVR) exposure (10-15 minutes) using commercially available applications (Beat Saber, TRIPP) on nursing students' clinical anxiety, stress, and adaptation, compared with usual clinical preparation in a control group. It will be assumed that anxiety experienced during clinical practice may negatively affect students' success.

The research will be designed as a prospective, randomized controlled trial. The study will be conducted with 195 students enrolled in the Department of Surgical Nursing at the Faculty of Nursing of an academic institution. Students will be divided into two groups using a simple randomization method. Those in the intervention group will practice with IVR goggles in the clinical setting, engaging in game-based activities involving breathing exercises and aerobics. Data will be collected using the Demographics Questionnaire, State-Trait Anxiety Inventory, Clinical Success Evaluation Form, and the Stress, Adaptation, and Satisfaction Scale, and these measures will be correlated with clinical success.

It is anticipated that the IVR application will help reduce clinical anxiety and stress by fostering alternative perceptions of the environment. Students are expected to demonstrate high levels of engagement and immersion in the virtual environment. Although within-group changes in state anxiety may not be statistically significant, between-group comparisons are expected to show lower post-intervention anxiety scores in the IVR group compared with the control group (p≈0.02).

In conclusion, brief IVR exposure is expected to be associated with reduced self-reported stress and improved adaptation compared with usual clinical preparation, while its effects on standardized anxiety scores and objective clinical success may remain limited. Additionally, the type of VR experience is expected to influence the outcomes.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This study will examine the effects of brief immersive virtual reality (IVR) exposure (10-15 minutes) using commercially available applications (Beat Saber, TRIPP) on nursing students' clinical anxiety, stress, and adaptation, compared with usual clinical preparation in a control group. It will be assumed that anxiety experienced during clinical practice may negatively affect students' success.

The research will be designed as a prospective, randomized controlled trial. The study will be conducted with 195 students enrolled in the Department of Surgical Nursing at the Faculty of Nursing of an academic institution. Students will be divided into two groups using a simple randomization method. Those in the intervention group will practice with IVR goggles in the clinical setting, engaging in game-based activities involving breathing exercises and aerobics. Data will be collected using the Demographics Questionnaire, State-Trait Anxiety Inventory, Clinical Success Evaluation Form, and the Stress, Adaptation, and Satisfaction Scale, and these measures will be correlated with clinical success.

It is anticipated that the IVR application will help reduce clinical anxiety and stress by fostering alternative perceptions of the environment. Students are expected to demonstrate high levels of engagement and immersion in the virtual environment. Although within-group changes in state anxiety may not be statistically significant, between-group comparisons are expected to show lower post-intervention anxiety scores in the IVR group compared with the control group (p≈0.02).

In conclusion, brief IVR exposure is expected to be associated with reduced self-reported stress and improved adaptation compared with usual clinical preparation, while its effects on standardized anxiety scores and objective clinical success may remain limited. Additionally, the type of VR experience is expected to influence the outcomes.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

90

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Tyrkiet (Türkiye)
      • Gümüşhane, Tyrkiet (Türkiye)
        • Gumushane University
      • Gümüşhane, Tyrkiet (Türkiye), 28010
        • Aydanur AYDIN

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion criteria:

-Be the undergraduate nursing student enrolled in the "Surgical Nursing" course in a pre-bachelor degree program at the University

Exclusion criteria:

  • Had vision impairment that prevented them from watching IVR videos, neck pain or injury that prevented them from moving their head, or an open wound that prevented them from wearing the IVR headset
  • Experienced nausea and dizziness when watching IVR videos
  • Had epileptic symptoms.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Ingen indgriben: Styring
Eksperimentel: Immersive Virtual Reality
Enhed: Immersive Virtual Reality
Virtual Reality goggles

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The stress scale
Tidsramme: Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)
The stress scale consists of a linear rating system that includes nursing students' assessments of the experience they received. The single-question inventory asked students to rate their satisfaction on a scale of 0 (very dissatisfied) to 10 (very satisfied). The responses were used to determine students' stress levels using IVR goggles.
Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)
The Clinical Success
Tidsramme: Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)
The Clinical Success Evaluation Form (CSEF) is an evaluation form developed by the second and third authors in 2005 for the Surgical Nursing course at their institution. The form is used by all lecturers and mentor nurses conducting the course to evaluate the success of the students in clinical practice. In the form, scored in three sections (knowledge, skills, behaviors). Behavioral anchors were provided for each item to improve objectivity.
Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)
Clinical anxiety levels
Tidsramme: Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)
The State Anxiety Inventory (SAI) is a self-report scale comprising 20 brief statements designed to assess an individual's emotional state at a specific point in time and under particular circumstances. The emotions and behaviors expressed in the State Anxiety Scale items are answered by marking one of the conditions, namely (1) not at all, (2) a little, (3) a lot, and (4) completely, according to the severity of such experiences.
Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)
The clinical adaptations
Tidsramme: Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)
The Clinical Adaptation Scale consists of a linear rating system that includes nursing students' assessments of the experience they received. The single-question inventory asked students to rate their adaptation on a scale of 0 (very dissatisfied) to 10 (very satisfied).
Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)
The Satisfaction Scale
Tidsramme: Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)
The Satisfaction Scale consists of a linear rating system that includes nursing students' assessments of the experience they received. The single-question inventory asked students to rate their satisfaction on a scale of 0 (very dissatisfied) to 10 (very satisfied).
Baseline and post-intervention measurement (at the end of clinical practice, 14th week of the semester)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Gümüşhane Universıty

Samarbejdspartnere

Gazi University
The Scientific and Technological Research Council of Turkey

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. januar 2023

Primær færdiggørelse (Faktiske)

1. marts 2023

Studieafslutning (Faktiske)

31. marts 2026

Datoer for studieregistrering

Først indsendt

18. marts 2026

Først indsendt, der opfyldte QC-kriterier

23. maj 2026

Først opslået (Faktiske)

1. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • GumushaneUni10

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Data supporting this study are not publicly available due to ethical reasons, but the datasets used and/or analyzed during the current study are available by emailing aydanuraydin@gumushane.edu.tr upon reasonable request.

IPD-delingstidsramme

Beginning 3 months and ending 2 years after the publication of results

IPD-delingsadgangskriterier

They will be able to access via e-mail to aydanuraydin@gumushane.edu.tr

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • ICF

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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Kliniske forsøg med Immersive Virtual Reality

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Bosnia & Herzegovina

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

Abonner