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Virtual Reality Hypnosis and Nurses' Stress

Effects of a Virtual Reality Hypnosis Intervention on Reducing Stress and Compassion Fatigue in Neonatal Intensive Care Nurses

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06786962
Acronym
HYPNOVRNEO
Enrollment
43
Registered
2025-01-22
Start date
2024-11-04
Completion date
2025-02-12
Last updated
2025-02-14

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

Conditions

Anxiety, Compassion Fatigue, Compassion Satisfaction, Emotions, Hypnosis, Stress, Virtual Reality Therapy

Keywords

Hypnosis, Virtual reality, Stress, Compassion fatigue, Neonatal intensive care nurses, Stress reduction program, Non Pharmacological Intervention

Brief summary

The practice of nursing is based on helping relationships and empathy. The work is physically, mentally and emotionally demanding. This requires the mobilization of personal resources (lifestyle, coping strategies) and work resources (managerial, medical support, recognition) to cope with stress. When these resources are present, nurses can activate a resilience process through coping strategies. However, stress levels and emotional impact are such that they can lead to states of suffering and trauma such as compassion fatigue (CF). The prevalence of CF is high in the nursing profession and particularly among neonatal intensive care (NICU) nurses. Several levels of intervention exist to prevent CF in services: organizational, inter-individual and individual. At the individual level, certain interventions such as meditation have been studied, showing positive effects with the highest levels of evidence. On the other hand, interventions such as hypnosis have not yet been studied in this context. There is, however, an interest in studying hypnosis as a non-pharmacological intervention to reduce stress and improve emotional regulation. Indeed, the hypnotic process (promoting attentional and cognitive rest, redirecting attentional focus, reducing mental effort) is a resource activator. In order to combine individual and organizational support, the intervention must be offered in the workplace and during working hours, given the difficulty nurses have in extracting themselves from the service, the restricted break time and the acceptability of the virtual reality system. In a context where break time is short and precious, it is necessary to use a tool that adapts to these constraints. Virtual reality with the HypnoVR® tool meets these needs. This device acts as a restorative environment. It has already proven its effectiveness in the care of painful and stressed patients in critical situations. It has not yet been studied in the context of work-related stress in healthcare professionals, such as neonatal intensive care nurses. The protocol takes into account the results of studies reporting the effects associated with the use of virtual reality (VR).

Interventions

The experimental group of 22 participants consists of a hypnosis intervention using a virtual reality device (HypnoVR®). Participants are seated in a quiet area of the unit: They choose a visual scenario from among 3 proposals, guaranteeing the conditions of a restorative environment. During each session, the same script (support mode) is spoken and the same music (serenity program with soothing tones) is associated with the script. Each participant is fitted with a virtual reality mask and a headset with active noise reduction.

Restoration time Participants are seated in a quiet area of the unit. The control group of 21 participants consists of a break with the following instructions and suggestions: Take advantage of this break, this time just for you, to recharge your batteries. Sit in this armchair and I suggest you think of something pleasant and comfortable.

Sponsors

University of Rennes 2
CollaboratorOTHER
CARESP: Cellule d'animation régionale en soins palliatifs
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Intervention model description

Neonatal Intensive Care Unit (NICU) Nurses (n = 42) will be randomly assigned to one of two conditions (control or Virtual Reality Hypnosis (VRH)). Each nurse will receive six 10-minute sessions of one of the techniques for 6 weeks (1 session per week).

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Nurse * Regularly work in a neonatal intensive care unit * Be of legal age and not opposed to participating in research * Fluency in French

Exclusion criteria

* Age \< 18 * Refusal to participate * Current anticonvulsant or psychotropic treatment

Design outcomes

Primary

MeasureTime frameDescription
Comfort levelFrom enrollment to the end of treatment at 8 weeksComfort: indicator of parasympathetic changes in emotional situations during each session, with the ANI Guardian® device.
RestorationFrom enrollment to the end of treatment at 8 weeksRestoration: 3 items from the Mental Restoration Scale
Satisfaction and compassion fatigueFrom enrollment to the end of treatment at 8 weeksSatisfaction and compassion fatigue: 21 items from the ProQOL - 21 scale
Stress levelsFrom enrollment to the end of treatment at 8 weeksPerceived stress: a single question on stress symptoms : Stress is a situation in which a person feels tense, restless, nervous or anxious, or can't sleep at night because their mind is constantly troubled. Are you feeling this type of stress these days? The answer will be recorded on a five-point Likert scale ranging from 1 (not at all) to 5 (a lot).
EmotionsFrom enrollment to the end of treatment at 8 weeksEmotions : 10 items from the short version of the Positive and Negative Affects Schedule .
AnxietyFrom enrollment to the end of treatment at 8 weeksState anxiety : 10 items from the short version of the State Anxiety Scale

Secondary

MeasureTime frameDescription
AcceptabilityFrom enrollment to the end of treatment at 8 weeksTo assess acceptability, participants will rate their perception of the relaxation activity using five items from the Unified Theory of Acceptance and Use of Technology (UTAUT). These items assess ease of use, usefulness, effectiveness, overall satisfaction and behavioral intention. Participants will respond on a 10-point Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree).
Evaluation of experienceFrom enrollment to the end of treatment at 8 weeksExperience Open-ended question about the user experience during the session (Your comments on the session): How did you experience this session? Responses will be analyzed using an approach combining inductive coding and content analysis based on hypnosis processes identified in the literature

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026