ICU Nurses, Delirium, Virtual Reality
Conditions
Brief summary
Background: Delirium is an acute mental status change characterized by confusion, fluctuating symptoms, and inattention. It affects 11%-40% of hospitalized elderly patients and over 80% of mechanically ventilated ICU patients. Early detection and intervention are crucial in preventing adverse outcomes. The Confusion Assessment Method for the ICU (CAM-ICU) has been widely adopted in Taiwan for delirium screening. However, nurses' knowledge and skills in delirium assessment remain insufficient. Objective: This study aims to evaluate the effectiveness of a spherical video-based virtual reality (SVVR) training system in improving nurses' delirium assessment and management skills. Methods: A parallel-group randomized controlled trial will be conducted. Participants (nurses aged 20-65) will be recruited via social media and screened for eligibility. They will be randomly assigned to: Intervention group: SVVR-based delirium training using a head-mounted display. Control group: Standard video-based training via YouTube. Pre- and post-intervention assessments will measure delirium knowledge, attitudes, assessment skills, learning motivation, and technology acceptance. Quantitative data will be analyzed using SPSS (Version 25) with t-tests, ANOVA, and chi-square tests. Qualitative data will be analyzed using thematic analysis. Expected Outcome: This study will determine whether immersive VR training enhances nurses' delirium management skills more effectively than conventional video training.
Interventions
DEVICEuse 360 degree VR training
Participants will use Virtual Reality (VR) training
Sponsors
Tri-Service General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Aged between 20 and 65 years. * Currently a licensed nurse and practicing. * Willing to participate in this study and comply with the related procedures. * Completed and signed the written informed consent form.
Exclusion criteria
* Nurse managers or nurses who do not directly care for patients, or nurses working in outpatient or community settings. * Individuals with epilepsy, heart disease, or dizziness. * Individuals with anxiety, panic disorder, or claustrophobia. * Individuals with myopia greater than 600 degrees or those who have previously undergone eye surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Chinese Version of Nurse's Assessment Ability Questionnaire in Delirium Subtypes | 20 mins | VR group will get high score in assessment ability of Delirium Subtypes |
Countries
Taiwan
Outcome results
None listed