Virtual Reality Educational Intervention for Nursing Students' Day Surgery Patient Counselling: A Mixed-Methods Pilot Feasibility Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Feasibility Indicators Composite
研究概览
简要总结
This pilot feasibility study evaluates whether a virtual reality (VR) educational program can help nursing students develop better skills for counseling day surgery patients.
Day surgery patients spend limited time in the hospital but need comprehensive information about their surgery, recovery, and self-care at home. Nurses must provide effective patient education within short timeframes, which creates unique challenges. Research shows that surgical patients consistently report needing more education than they currently receive, particularly about managing pain, recognizing complications, and knowing what to expect during recovery.
Traditional nursing education often lacks the patient's perspective and emotional context that characterize real clinical situations. Virtual reality simulation can address this gap by letting nursing students experience healthcare scenarios from the patient's viewpoint in a safe learning environment.
The CINDY (Counseling Intervention for Day Surgery) intervention uses 360-degree VR videos showing day surgery situations from the patient's perspective. Students can practice counseling skills and learn to understand patient concerns before working with actual patients.
This pilot feasibility study will include 60 nursing students from Seinäjoki University of Applied Sciences. Thirty students will receive the CINDY VR intervention alongside their regular education, while 30 students will receive only standard education. The study will run for approximately 6-7 months.
The primary goal is to test whether this VR approach is feasible and acceptable for nursing education. The study will measure:
- How successfully students can be recruited and retained
- Whether students complete the VR program as designed
- Student and educator satisfaction with the learning method
- Technical performance and usability of the VR platform
- Preliminary changes in student counseling competencies
Results will inform the design of a larger study to definitively test whether VR training improves nursing students' patient counseling skills. This research may help nursing programs better prepare students to provide high-quality patient education in day surgery settings.
详细描述
BACKGROUND AND FRAMEWORK
The CINDY (Counseling Intervention for Day Surgery) educational intervention was systematically developed using the Medical Research Council (MRC) framework for complex intervention development. The intervention addresses the recognized gap in nursing education regarding patient counseling competencies for day surgery settings, where reduced contact time requires highly effective communication skills.
INTERVENTION DEVELOPMENT (MRC PHASE 1)
Following MRC Phase 1 guidelines, the intervention was co-designed through multidisciplinary collaboration with nursing educators, day surgery nurses, and nursing students. Stakeholder evaluation was conducted with nursing educators (n=6-8), day surgery nurses (n=6-8), and graduating nursing students (n=6-8), demonstrating excellent usability with a Post-System Usability Scale (P-SUS) score of 95.0/100 (scores ≥70 indicate good to excellent usability). Phase 1 results will be reported separately.
CURRENT STUDY (MRC PHASE 2)
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Currently enrolled in perioperative nursing course at Seinäjoki University of Applied Sciences
- •Provided written informed consent
- •Basic digital literacy and ability to use computer/tablet devices
- •Access to required technology (computer, tablet, or smartphone with internet connection)
- •Willingness to participate in all study procedures including surveys and potential interviews
排除标准
- •Significant visual or hearing impairments that would prevent use of virtual reality technology
- •History of motion sickness or documented intolerance to virtual reality environments
- •Current or planned leave of absence during the study period that would prevent completion of all measurement timepoints
- •Previous participation in CINDY intervention stakeholder evaluation (Phase 1)
- •Inability to read and understand Finnish language study materials
研究组 & 干预措施
Intervention Group
Nursing students (n=30) receive the CINDY virtual reality educational intervention (90 minutes, ThingLink platform) in addition to standard perioperative nursing education. The VR intervention includes interactive 360-degree scenarios showing day surgery patient journeys from the patient's perspective.
干预措施: CINDY Virtual Reality Educational Intervention (Behavioral)
Control Group
Nursing students (n=30) receive standard perioperative nursing education only, without the CINDY VR intervention.
结局指标
主要结局
Feasibility Indicators Composite
时间窗: Baseline to 6-week follow-up
Composite measure of five feasibility indicators with pre-specified success criteria: (1) Recruitment success: ≥70% of eligible students enrolled; (2) Retention: ≥80% of enrolled students complete all three measurement timepoints; (3) Intervention adherence: ≥75% of intervention group students complete the full 90-minute VR program; (4) Intervention fidelity: ≥85% of VR scenarios completed correctly according to protocol; (5) Acceptability: mean Post-System Usability Scale (P-SUS) score ≥70 among intervention group students. Success defined as meeting at least 4 of 5 pre-specified criteria.
次要结局
- Patient Counselling Competencies(Baseline (T1), immediately post-intervention (T2), and 4-6 weeks post-intervention (T3))
- Qualitative User Experience(Post-intervention period, within 4-6 weeks after intervention completion)
- Patient Counselling Competencies(Baseline (T1), immediately post-intervention (T2), and 4-6 weeks post-intervention (T3))
- Qualitative User Experience(Post-intervention period, within 4-6 weeks after intervention completion)
研究者
Terhi Voltti
Doctoral Candidate, Lecturer, MSc
Seinajoki University of Applied Sciences