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NursingVRNCT07175467

Development and Implementation Haptic VR Simulation

A study testing Haptic-asissted virtual simulation in people with Nursing and Skill Performance, run by Sakarya University at 1 site in Turkey (Türkiye).

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record

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Trial summary

The goal of this experimental study is to increase objectivity in clinical decision-making and skill assessment of nursing students by using haptic-assisted virtual reality simulation, unlike imported products used in nursing education. Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Nursing, Skill Performance, Virtual Reality
What is being tested?
Haptic-asissted virtual simulation
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Oct 2025to 30 Nov 2025
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Students who have agreed to participate in the study,
  • Students taking the Fundamentals of Nursing course for the first time,
  • Students with no prior simulation experience

Who cannot join

  • Students who do not meet the inclusion criteria,
  • Students who do not complete the data collection forms in full,
  • Students who are retaking the Fundamentals of Nursing course will be excluded from the study.
  • Students who do not participate in the virtual reality application or laboratory application to be implemented during the study period, who are absent, or who wish to withdraw from the study will be excluded from the study during the follow-up period.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Özlem Doğu, PhD contact

+902642953882

ozlemdogu@sakarya.edu.tr

Ramazan Bozkurt, MSc contact

+902642956607

ramazanbozkurt@sakarya.edu.tr

Turkey (Türkiye)1 site
  • Sakarya University Faculty of Health Sciences

    Sakarya, Serdivan, 54200

    Ramazan Bozkurt, MSc, +902642956607, ramazanbozkurt@sakarya.edu.tr

    Özlem Doğu, PhD, +902642953882, ozlemdogu@sakarya.edu.tr

Other trials in Turkey (Türkiye)

About this study

Official title: Development and Implementation of a Multi-Skill, Haptic-Supported Virtual Reality Simulation for Nursing Students

The goal of this experimental study is to increase objectivity in clinical decision-making and skill assessment of nursing students by using haptic-assisted virtual reality simulation, unlike imported products used in nursing education.

Hypotheses:

Read more

H1: There is a difference between the total psychomotor skill levels of the intervention and control group students in all relevant skill applications.

H2: There is a difference between the clinical decision-making score averages of the intervention and control group students.

Researchers will compare the effects of haptic-assisted virtual simulation training on psychomotor skill levels and clinical decision-making scores in the intervention and control groups.

Participants will:

  • Students who have agreed to participate in the study,
  • Students taking the Fundamentals of Nursing course for the first time,
  • Students with no prior simulation experience
Being tested
Haptic-asissted virtual simulation
Keywords
nursing, virtual reality, skills training, clinical decision making, haptic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Haptic-asissted virtual simulationOther

    The virtual reality application will be developed using the Unity game engine. The VR simulation environment, which will progress through scenarios, will include taking vital signs, performing aspiration, performing a nasogastric catheterization, oxygen therapy, performing physical examinations, and performing subcutaneous injections.

Study groups in NCT07175467
Study groupRoleWhat they receive
Haptic-assisted virtual realityExperimentalThe haptic-assisted virtual reality simulation developed for the intervention group will enable them to practice nursing skills.
Receives: Other: Haptic-asissted virtual simulation
ControlNo interventionClassic nursing skills education with task trainer in the nursing skills laboratory.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Clinical Decision Making, Self-Confidence, and Anxiety Assessment in Nursing

    This scale assesses nursing students' anxiety and self-confidence levels in clinical decision-making. Separate scores are obtained for self-confidence and anxiety from the scale, which consists of a total of 27 questions. Both the self-confidence and anxiety sections of the scale have three subscales: "Using resources to obtain information and listening carefully (13 questions)", "Using available information to identify the problem (7 questions)", and "Knowing and taking action (7 questions)". Higher scores on self-confidence and its subdimensions indicate increased levels of self-confidence in clinical decision-making among students. Low scores on the anxiety section and its subdimensions indicate low levels of anxiety in clinical decision-making. It is a six-point Likert-type scale. The lowest possible score on the self-confidence and anxiety sections is 27, and the highest possible score is 162.

    Measured: 1 month

  2. Knowledge Test

    The Knowledge Test, prepared in line with the literature, consists of 20 questions. Each question will be scored with "1" point for a correct answer and "0" points for an incorrect answer. Questions covering all skill applications will be scored out of 100, with the total number of correct answers completing the score. The form was evaluated by ten experts in the field of Nursing Fundamentals outside of the study and finalized. The purpose of the expert opinion is to examine the items according to criteria such as whether the test measures behavior according to its structure, its comprehensibility in terms of language, whether there are scientific errors, grammatical errors, and the suitability of the items for the group to be applied to, and to make the necessary corrections.

    Measured: 1 month

  3. Performance evaluation

    The performance report, which awards points out of 100, will include scoring for nursing interventions. Performance report scores range from 0 to 100; minimum score "0", maximum score "100". The performance report applied with the task trainer has been created to be identical to the virtual patient simulation performance report, and OSCE steps have been defined. The performance forms created will be evaluated by the researcher during the student's application. All students (intervention and control groups) will use the application at least once within the scope of the study. For the success assessment in the applications, the cutoff score is considered as follows: 50.00-59.99 is passing, 60.00-69.99 is average, 70.00-84.99 is good, and 85.00-100 is excellent. A higher score indicates higher performance.

    Measured: 1 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Sep 2025
  2. Study start1 Oct 2025 (estimated)
  3. Primary completion30 Nov 2025 (estimated)
  4. Study completion30 Nov 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07175467
Sponsor's protocol ID
E-61923333-050.99-285112
Acronym
VR
Status last verified
Sep 2025
First submitted
9 Sep 2025
Last updated
19 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: There are plans to make the IPD and related data dictionaries available for use. Researchers may share the data upon request after the study is published.

Publications

  • White KA. Development and validation of a tool to measure self-confidence and anxiety in nursing students during clinical decision making. J Nurs Educ. 2014 Jan 1;53(1):14-22. doi: 10.3928/01484834-20131118-05. Epub 2013 Nov 18.

    PubMed 24256004
  • Park S, Hur HK, Chung C. Learning effects of virtual versus high-fidelity simulations in nursing students: a crossover comparison. BMC Nurs. 2022 Apr 27;21(1):100. doi: 10.1186/s12912-022-00878-2.

    PubMed 35473614
  • Butt, A. L., Kardong-Edgren, S., & Ellertson, A. (2018). Using game-based virtual reality with haptics for skill acquisition. Clinical Simulation in Nursing, 16, 25-32.

  • Sundler AJ, Pettersson A, Berglund M. Undergraduate nursing students' experiences when examining nursing skills in clinical simulation laboratories with high-fidelity patient simulators: A phenomenological research study. Nurse Educ Today. 2015 Dec;35(12):1257-61. doi: 10.1016/j.nedt.2015.04.008. Epub 2015 Apr 25.

    PubMed 25943280
  • Sanders, D. (2010). Comparing ability to complete simple tele-operated rescue or maintenance mobile-robot tasks with and without a sensor system. Sensor Review, 30(1), 40-50.

  • Kim, S. Y., Han, H. G., Kim, J. W., Lee, S., & Kim, T. W. (2017). A hand gesture recognition sensor using reflected impulses. IEEE Sensors Journal, 17(10), 2975-2976.

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