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Virtual Reality Supported by Wearable Technology on Nursing Students

30 maj 2026 uppdaterad av: 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.

Studieöversikt

Status

Avslutad

Intervention / Behandling

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Faktisk)

90

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Ja

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Stödjande vård
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Inget ingripande: Kontrollera
Experimentell: Immersive Virtual Reality
Virtual Reality goggles

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
The stress scale
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 januari 2023

Primärt slutförande (Faktisk)

1 mars 2023

Avslutad studie (Faktisk)

31 mars 2026

Studieregistreringsdatum

Först inskickad

18 mars 2026

Först inskickad som uppfyllde QC-kriterierna

23 maj 2026

Första postat (Faktisk)

1 juni 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

2 juni 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

30 maj 2026

Senast verifierad

1 maj 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • GumushaneUni10

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

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.

Tidsram för IPD-delning

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

Kriterier för IPD Sharing Access

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

IPD-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • ICF

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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