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EFFECTIVENESS OF VIRTUAL REALITY SIMULATION (VR)

17. juni 2026 opdateret af: Arzu DIKICI, Istanbul Arel University

The Effectiveness of Virtual Reality Simulation in Psychiatric Nursing Students and Its Impact on Their Confidence and Anxiety Levels in Clinical Decision-Making: A Randomized Controlled Study

This randomized controlled trial aims to evaluate the effects of VRS on decision-making skills, self-confidence levels, and anxiety of psychiatric nursing students. Students participating in the study will be divided into two groups: intervention and control groups. VRS, which includes a scenario of a patient with schizophrenia, will be applied to the intervention group at the beginning of the academic term, before students start clinical practice, and in the middle of the term. The control group will be subjected to theoretical courses and clinical practice. Data will be collected using the Clinical Decision-Making, Self-Confidence, and Anxiety Scale, Personal Information Form, and Modified Simulation Effectiveness Tool. Measurements will be performed at three time points: before the simulation, in the middle of the academic term, and at the end of the academic term. In addition, debriefing sessions will be held with students participating in VRS in groups of 4-5 within the scope of the simulation process. It is expected that the findings obtained as a result of the study will make significant contributions to the literature in understanding the effects of VRS on psychiatric nursing education. At the same time, this study aims to demonstrate that this VRS, designed specifically for the Turkish language and culture, can be an effective tool to increase the self-confidence levels of psychiatric nursing students in their clinical decision-making processes and to reduce their anxiety levels within the scope of the psychiatric nursing course. The results of the study are intended to guide the development of new approaches to the use of technology in psychiatric nursing education and the integration of technology-based VRS into the psychiatric nursing curriculum.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This randomized controlled trial aims to investigate the impact of a schizophrenia-focused virtual reality simulation (VRS) on clinical decision-making skills. This randomized controlled trial aims to investigate the impact of a schizophrenia-focused virtual reality simulation (VRS) on clinical decision-making skills, self-confidence, and anxiety levels of undergraduate psychiatric nursing students. The study will be conducted with second- or third-year nursing students enrolled in a psychiatric nursing course at a university in Türkiye.

Participants will be randomly assigned to either the intervention or control group. The intervention group will participate in VRS, which includes an interactive, gamified simulation scenario based on a patient diagnosed with schizophrenia. This simulation will be conducted twice: once at the beginning of the academic term, prior to clinical placement, and again at mid-term. Each simulation session will be followed by structured debriefing sessions held in small groups (4-5 students), led by a trained facilitator to enhance reflective learning and reinforce clinical reasoning.

The control group will receive standard psychiatric nursing education, consisting of theoretical lectures and routine clinical practice, without exposure to VRS.

Data will be collected using the Clinical Decision-Making Scale, Self-Confidence Scale, Anxiety Scale, Personal Information Form, and the Modified Simulation Effectiveness Tool (SET-M). Measurements will be taken at three time points: (1) before the first VRS session or clinical practice, (2) at mid-term, and (3) at the end of the academic term.

This study is expected to contribute significantly to the understanding of how technology-enhanced, culturally tailored simulation tools affect learning outcomes in psychiatric nursing education. Specifically, it aims to demonstrate that VRS can enhance students' self-confidence in clinical decision-making and reduce their anxiety before and during psychiatric clinical placements. The findings are anticipated to guide the future integration of digital simulation technologies into psychiatric nursing curricula in Türkiye and globally.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

32

Fase

  • Ikke anvendelig

Kontakter og lokationer

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

Studiekontakt

Studiesteder

  • Tyrkiet (Türkiye)
      • Istanbul, Tyrkiet (Türkiye)
        • Rekruttering
        • Istanbul Arel University
        • Kontakt:
          • Arzu Dikici, PhD

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:

  • To be registered for the Psychiatric Nursing course in the 2024-2025 spring semester,
  • To be taking the Psychiatric Nursing course for the first time,
  • To attend the course regularly,
  • Not to have received any training with virtual reality simulation within the scope of the Psychiatric Nursing course before,
  • Not to have practiced in a Mental Health and Diseases clinic before

Exclusion Criteria:

  • Not registered for a Psychiatric Nursing course.
  • Having previously taken a Psychiatric Nursing course.
  • Not attending class regularly.
  • Having previously received training with a schizophrenia simulation.
  • Having previously practiced in a Mental Health and Diseases clinic.

Studieplan

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

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: Randomiseret
  • Interventionel model: Crossover opgave
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Virtual reality simulation of a patient with schizophrenia
Virtual reality simulation will be applied to psychiatric nursing course students. The same students will participate in the theoretical and practical training of the psychiatric nursing course
Andet: Virtual Reality Simulation
Virtual reality simulation of a patient with schizophrenia
Ingen indgriben: Control: Standard psychiatric nursing education
The control group will receive standard psychiatric nursing education consisting of theoretical lectures and routine clinical practice without VRS

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Clinical decision-making skills assessed by the Clinical Decision-Making Scale
Tidsramme: Baseline, mid-term (week 8), and end of academic term (week 16)
Clinical decision-making skills of psychiatric nursing students will be measured using the Clinical Decision-Making Scale at baseline, mid-term, and end of academic term.
Baseline, mid-term (week 8), and end of academic term (week 16)
Self-confidence assessed by the Self-Confidence Scale
Tidsramme: Baseline, mid-term (week 8), and end of academic term (week 16)
Self-confidence levels of psychiatric nursing students will be measured using the Self-Confidence Scale at baseline, mid-term, and end of academic term
Baseline, mid-term (week 8), and end of academic term (week 16)

Samarbejdspartnere og efterforskere

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

Sponsor

Istanbul Arel University

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. marts 2026

Primær færdiggørelse (Anslået)

30. juni 2026

Studieafslutning (Anslået)

1. juli 2026

Datoer for studieregistrering

Først indsendt

21. marts 2025

Først indsendt, der opfyldte QC-kriterier

17. juni 2026

Først opslået (Faktiske)

23. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

23. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • E-52857131-050.04-735125
  • Istanbul Arel University (Anden identifikator: Istanbul Arel University)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Orchid ID: https://orcid.org/0000-0003-0077-9264

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL

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