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Immersive Virtual Reality Training for Stoma Care (IVRT_SC)

24 juni 2026 uppdaterad av: National Taiwan University Hospital

The Effectiveness of Immersive Virtual Reality Training for Stoma Care on Nurses' Knowledge and Skill, Self-efficacy and Learning Satisfaction

This study investigates the effectiveness of immersive virtual reality (VR) training in stoma care on nurses' knowledge, skills, self-efficacy, and learning satisfaction.

Using a mixed-method design with convenience sampling, 100 clinical nurses will be recruited and randomly assigned (1:1) to experimental and control groups. The experimental group will receive two VR training sessions one month apart, while the control group will attend a single traditional classroom session. Both groups will follow stoma care replacement procedures established by National Taiwan University Hospital.

Data collection will include demographic information, knowledge/skill tests, and self-efficacy questionnaires administered at three time points: before training, immediately after training, and one month post-training. Learning satisfaction will be assessed immediately after training. Participants reporting adverse VR reactions or scoring below 4 on satisfaction will be invited to one-on-one semi-structured interviews.

Studieöversikt

Detaljerad beskrivning

This study aims to validate the effectiveness of immersive virtual reality training for stoma care on nurses' knowledge and skill, self-efficacy and learning satisfaction.

Skin irritation is the commonest complication of stoma creation. Actuate and comprehensive care for stoma can help to improve patients' quality of life and enhanced outcome of nursing care. Due to lack of consistent, standardized and cost-effective training program, motivation of this study is development of it.

A mixed-method design with convenience sampling will recruit 100 clinical nurses, randomly assigned (1:1) to experimental and control groups. The experimental group will receive two VR training sessions one month apart, while the control group will attend a single traditional classroom session. Both groups will follow stoma care replacement procedures developed by National Taiwan University Hospital, which includes preparation of materials, skin cleansing, stoma pouch application, and key considerations for proper attachment.

Data collection includes demographics, knowledge/skill tests, and self-efficacy questionnaires at three time points: pre-training, immediately post-training, and one month post-training. Learning satisfaction will be assessed immediately after training. Participants with adverse VR reactions or satisfaction scores below 4 will be invited to one-on-one semi-structured interviews.

Data analysis conducts by a SPSS software (version 27.0; SPSS Inc., Chicago, IL, United States). Descriptive statistics include mean, standard deviation and frequency distribution for analyzing the demographic characteristics, and scores of test and questionnaires; independent t-test will be applied for comparing the difference between groups; and qualitative content analysis will be used to understand the management experience on adverse reaction of immersive virtual reality training.

Studietyp

Interventionell

Inskrivning (Beräknad)

100

Fas

  • Inte tillämpbar

Kontakter och platser

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

Studiekontakt

Studera Kontakt Backup

Studieorter

      • Taipei, Taiwan, 10617
        • National Taiwn University Hospital

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
  • Äldre vuxen

Tar emot friska volontärer

Ja

Beskrivning

Inclusion Criteria:

  • Full-time registered nurses employed at the study institution or nursing students currently enrolled in a formal nursing program
  • Willing to participate in the study and able to provide written informed consent

Exclusion Criteria:

  • Prior participation in virtual reality-based ostomy care training
  • Self-reported history of significant discomfort during VR use (e.g., dizziness, nausea, or other physical discomfort)
  • Individuals who consider themselves unable or unwilling to undergo VR training

Studieplan

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

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: immersive virtual reality training
stoma care with immersive virtual reality device
This training program included (1) Scenario: Hospital ward, 56-year-old female post-rectal cancer surgery with temporary colostomy; (2) Intervention: Ostomy care education via immersive VR; (3) Materials: HTC cloud platform, Insta360 camera, tripod, 2 HMDs; (4) Expert Review: Physician, nursing supervisor, academic faculty, wound/ostomy nurse, nurse practitioner; (5) Training: Two 30 minute VR sessions, one month apart, in a quiet hospital meeting room.
Aktiv komparator: traditional classroom lecture
lecture with PPT
This group received (1) Intervention: Traditional classroom lecture; (2) Format: Two-hour PowerPoint session; (3) Instructor: Certified wound/ostomy nurse; (4) Location: Meeting room with audiovisual facilities, Yunlin Branch.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Knowledge and Skills Test of Stoma Care
Tidsram: Assessments will be conducted at three time points: (1) before training (baseline), (2) immediately after training (post-test I), and (3) one month after training (post-test II).
The test covers four domains: normal stoma characteristics, standard procedures for ostomy care, principles of managing ostomy leakage, and key points of ostomy care education. It consists of five single-choice questions, with a total score ranging from 0 to 100. Higher scores indicate better knowledge and skills in stoma care.
Assessments will be conducted at three time points: (1) before training (baseline), (2) immediately after training (post-test I), and (3) one month after training (post-test II).

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Self-Efficacy Scale of Stoma Care
Tidsram: Assessments will be conducted at three time points: (1) before training (baseline), (2) immediately after training (post-test I), and (3) one month after training (post-test II).
The scale includes 5 items designed to assess nurses' confidence in performing ostomy care tasks. Each item is rated on a 0-10 scale, with higher scores indicating greater self-efficacy. Content validity was established by five nursing experts, yielding a CVI of 0.87.
Assessments will be conducted at three time points: (1) before training (baseline), (2) immediately after training (post-test I), and (3) one month after training (post-test II).

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
standardized institutional training satisfaction questionnaire
Tidsram: There is a time frame: (1) after training immediately.
A standardized institutional training satisfaction questionnaire consisting of 5 items will be administered to evaluate participants' learning satisfaction. Each item will be scored on a 0-10 scale, with higher scores reflecting greater satisfaction.
There is a time frame: (1) after training immediately.

Samarbetspartners och utredare

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

Utredare

  • Huvudutredare: Ling-Chun Lu, National Taiwan University Hospital

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 (Beräknad)

4 juni 2026

Primärt slutförande (Beräknad)

31 december 2026

Avslutad studie (Beräknad)

31 december 2028

Studieregistreringsdatum

Först inskickad

3 juni 2026

Först inskickad som uppfyllde QC-kriterierna

24 juni 2026

Första postat (Faktisk)

1 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

1 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

24 juni 2026

Senast verifierad

1 juni 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • 202603033RINC
  • 115-S031 (Annat bidrag/finansieringsnummer: National Taiwn University Hospital Yunlin Branch)

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

IPD-planbeskrivning

Due to privacy concerns, we do not plan to share individual participant data (IPD) with other researchers.

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