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EFFECTIVENESS OF VIRTUAL REALITY SIMULATION (VR)

17. juni 2026 oppdatert av: 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.

Studieoversikt

Status

Rekruttering

Intervensjon / Behandling

Detaljert 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.

Studietype

Intervensjonell

Registrering (Antatt)

32

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

      • Istanbul, Tyrkia (Türkiye)
        • Rekruttering
        • Istanbul Arel University
        • Ta kontakt med:
          • Arzu Dikici, PhD

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske 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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: Randomisert
  • Intervensjonsmodell: Crossover-oppdrag
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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
Virtual reality simulation of a patient with schizophrenia
Ingen inngripen: Control: Standard psychiatric nursing education
The control group will receive standard psychiatric nursing education consisting of theoretical lectures and routine clinical practice without VRS

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. mars 2026

Primær fullføring (Antatt)

30. juni 2026

Studiet fullført (Antatt)

1. juli 2026

Datoer for studieregistrering

Først innsendt

21. mars 2025

Først innsendt som oppfylte QC-kriteriene

17. juni 2026

Først lagt ut (Faktiske)

23. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

23. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

17. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

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

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

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

IPD-deling Støtteinformasjonstype

  • STUDY_PROTOCOL

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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