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Using virtual reality to improve how doctors and nurses learn to resuscitate newborns

Effectiveness of virtual reality-based simulation training as supplement to traditional simulation for improving neonatal resuscitation performance among doctors and nurses: a randomized controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN43822066
Enrollment
50
Registered
2025-10-17
Start date
2025-10-20
Completion date
Unknown
Last updated
2026-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Simulation training in neonatal resuscitation Other

Interventions

Intervention group: will receive virtual reality simulation training on supplementary to the traditional mannekin-based simulation training offered at the department. The intervention consists of lo

Sponsors

Nordsjællands Hospital Hillerød
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Resident doctors with clinical function in neonatology 2. Nurses with clinical function in neonatology

Exclusion criteria

Exclusion criteria: 1. Unwilling to give informed consent 2. Change of workplace (to non-study site) before endline or unable to participate in the study until endline 3. Previously attended any formal training with VR 4. Not fully proficient in Danish

Design outcomes

Primary

MeasureTime frame
Clinical skills performance and adherence to the latest European Resuscitation Council Guidelines for Resuscitation (ERC) – Newborn Life Support (NLS), will be evaluated during scenario execution at baseline and endline using Laerdal dolls. The evaluation will be done by two assessors, using structured video observation checklists. The assessors are blinded for participant randomization. The NeoCheck, a validated 38-item checklist developed through a Delphi process, will be used to objectively assess participant performance during the NR simulation. Moreover, 4 additional global skills will be rated, as well as time to critical actions for both simulated scenarios. Measured at baseline and 2 months. Removed 19/01/2026: The assessment of participant performance during the NE simulation will be done through a 22-item skills checklist adapted from Hultin et al.

Secondary

MeasureTime frame
Measured at baseline and 2 months unless noted: 1. Clinical knowledge acquisition will be evaluated through pre- and post-intervention tests with multiple-choice questions (MCQs) aligned with the latest NLS curriculum. The NEONATAL study group has developed the NR clinical knowledge test specifically for this project. The test consists of 23 MCQs, with four options and one correct answer. 2. Cognitive, emotional and motivational responses will be evaluated at baseline and endline through: 2.1. NASA Task Load Index (NASA TLX), a validated scale measuring perceived workload related to the specific task. The workload score is based on 6 dimensions (mental, physical and temporal demand, performance, effort and frustration), and each dimension is scored from 0 = Very Low to 100 = Very High, in increments of 5. This is subjective and based on the participants experience during the task. NASA TLX has previously been forward backward translated to Danish by two professional translators and tested in a Danish context. 2.2. Intrinsic Motivation Inventory (IMI), a validated questionnaire measuring intrinsic motivation related to a specific activity on a 7-point Likert scale ranging from 1 = not at all true to 7 = very true. A 7-item version of the scale will be used, including items from the subscale interest/enjoyment. It has been translated to Danish and tested in a Danish context. 3. Usability of VR will be evaluated at endline through System Usability Scale (SUS), a validated questionnaire measuring the subjective usability of a product on a 5-point Likert-scale ranging from 1= strongly disagree to 5 = strongly agree. The SUS item scores are subsequently converted into a single SUS score on a scale from 0-100. SUS has previously been translated professionally to Danish and validated in a Danish context. 4. Feasibility of VR will be evaluated at endline through: 4.1. Semi-structured end-user interviews with 15 participants, allowing NEONATAL to receive and consider feedbac

Countries

Denmark

Contacts

Public ContactHanna Rahimi
hanna.rahimi@regionh.dk+45 52441529

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 7, 2026