Satisfaction, PersonalNCT07237646
Virtual Game Simulation and Virtual Reality-Based Learning
A study testing Virtual game simulation and Virtual reality-based learning tool in people with Satisfaction, Personal and Knowledge, run by Necmettin Erbakan University at 1 site in Turkey (Türkiye).
Trial summary
The purpose of this study is to determine the effects of a virtual game simulation and a virtual reality-based learning tool on nursing students' knowledge and satisfaction with thoracic and lung physical examinations. Two different teaching methods involving technology will be used in the study. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Satisfaction, Personal, Knowledge
- What is being tested?
- Virtual game simulation and Virtual reality-based learning tool
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 4 Nov 2025to 2 Dec 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- The student must be taking the HEM 205 "Health Assessment" course for the first time.
- Students must not have any eye conditions that affect depth perception, such as amblyopia (lazy eye), anisometropia (differences in refraction between the two eyes), or strabismus (crossed eyes).
- Students must have no problems speaking and understanding Turkish.
- They must be willing to participate in the research.
Who cannot join
- Having a high school, associate's degree, or bachelor's degree in a health-related field;
- Taking the HEM 205 "Health Assessment" course as a secondary course;
- Not attending the thoracic and lung physical examination theoretical course;
- Not participating in laboratory exercises;
- Not participating in one of the research steps (pre-test, virtual game simulation, virtual reality-based learning tool, post-test);
- Completing and/or incomplete data collection forms;
- Wanting to withdraw from the research.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of Virtual Game Simulation and Virtual Reality-Based Learning Tool on Nursing Students' Thoracic and Lung Physical Examination Knowledge and Satisfaction: A Randomized Controlled Trial
The purpose of this study is to determine the effects of a virtual game simulation and a virtual reality-based learning tool on nursing students' knowledge and satisfaction with thoracic and lung physical examinations. Two different teaching methods involving technology will be used in the study. No studies have been found that have examined the thoracic and lung physical examination knowledge of nursing students using a virtual game simulation and a virtual reality-based student tool. The study will utilize a three-group (two interventions (virtual game simulation (Intervention-I) - virtual reality-based learning tool (Intervention-II) - one control) pretest-posttest randomized controlled trial design. The population will consist of 119 students enrolled in the second year of nursing at Gazi University Faculty of Nursing in the 2025-2026 Fall Semester and taking the elective course "Health Assessment" coded HEM 205. The sample will consist of 60 students (20 Intervention-I, 20 Intervention-II, 20 control) who met the inclusion criteria and agreed to participate in the study. Data will be collected using a "Descriptive Characteristics Form," a "Thoracic and Lung Physical Examination Knowledge Test," and a "Satisfaction with Education Methods Survey." First, all students will receive a one-hour theoretical training on thoracic and lung physical examination. Following the training, all students will receive a one-hour laboratory demonstration on thoracic and pulmonary physical examinations. All students will then be briefed, and a pretest will be administered the following week. The study will be implemented one week after the pretest. Students will be randomly assigned to three groups. The first group will play a virtual game simulation on thoracic and pulmonary physical examinations. The second group will experience a virtual reality-based learning tool. The third group, consisting of the control and excluded students, will be evaluated in a classroom environment using question-and-answer sessions. All students will then be informed that a posttest will be administered. The posttest will be administered one week later. After the posttest, all students will be provided with hands-on experience with technology-based learning methods.
Read the detailed description
One of the teaching methods that incorporates technology in nursing education is virtual game simulation, a two-dimensional (2D) virtual computer game featuring simulated people that allows students to actively participate in a clinical scenario. Virtual game simulations are a pedagogical method that allows students to practice critical thinking and decision-making skills by using simulated patients in scenarios involving different clinical environments. Studies using virtual game simulations have been conducted with nursing students in the fields of obstetrics, pediatrics, geriatrics, mental health, surgery, respiratory diseases, emergency health, and the nursing process. These studies indicate that virtual game simulations increase students' knowledge, feedback, interaction, participation, self-confidence, self-efficacy, satisfaction, critical thinking, decision-making skills, learning, and psychomotor skills. This study is expected to make significant contributions to the literature by evaluating the effectiveness of providing thoracic and lung examination training to nursing students through virtual game simulation.
Virtual reality is another method that incorporates technology in nursing education. Virtual reality is the user's active interaction with a computer-generated world through realistic scenarios. Virtual reality technology offers students an active learning environment independent of time and space. Virtual reality technology offers students a safe, motivating learning experience, and providing physical assessment training on a virtual patient is seen as an efficient alternative that will make future healthcare professionals more competent and equipped. A limited number of studies teaching physical assessment skills using virtual reality-based learning tools have found that the emphasis is on teaching inspection and auscultation skills. This study is expected to contribute significantly to the literature by evaluating the effectiveness of virtual reality-based thoracic and lung examination training for nursing students. This study is the first to use two different and innovative learning technologies in teaching thoracic and pulmonary examinations to nursing students, a field that has received limited research. No studies have been found in the literature examining the effectiveness of virtual game simulation and virtual reality technology on nursing students' learning. Therefore, the study is unique in its field. Therefore, the results of this study are expected to provide important information regarding teaching thoracic and pulmonary physical examinations to nursing students and to improve student satisfaction with both learning methods.
- Conditions
- Satisfaction, Personal, Knowledge
- Being tested
- Virtual game simulation, Virtual reality-based learning tool, Control
- Medical subject headings
- Personal Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Virtual game simulationOther
The virtual game simulation was prepared for nursing students to learn thoracic and lung physical examination.
Virtual reality-based learning toolOther
The virtual reality-based learning tool was designed for nursing students to experience thoracic and lung physical examination skills on a virtual patient in a life-like environment.
ControlOther
Traditional teaching method (question-answer, lecture, discussion) will be used.
| Study group | Role | What they receive |
|---|---|---|
| Virtual game simulation | Experimental | Students in this class will play the Virtual Game Simulation for Thorax and Lung Physical Examination located at https://nursinggames.net/tr/. Receives: Other: Virtual game simulation |
| Virtual reality-based learning tool | Experimental | Students in this class will experience the Thoracic and Lung Physical Examination featured in a virtual reality-based learning tool. Receives: Other: Virtual reality-based learning tool |
| Control | Active comparator | Students in this class will learn Thoracic and Lung Physical Examination using traditional learning methods (theory, question and answer, discussion). Receives: Other: Control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Knowlegde
Thorax and Lung Physical Examination Knowledge Test
Measured: Up to 1 month
Personal satisfaction
Satisfaction Survey with Training Methods
Measured: Up to 1 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Nov 2025
- Study start4 Nov 2025
- Primary completion25 Nov 2025
- Study completion2 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Satisfaction, PersonalStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- three groups (two interventions (virtual game simulation (Intervention-I) -virtual reality-based learning tool (Intervention-II)- one control)
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Necmettin Erbakan University
- Sponsor type
- University, hospital or other
- Collaborators
- Gazi University
- Responsible party
- Principal investigator, Yadigar Ordu, Necmettin Erbakan University
- Investigators
- Nurcan Çalışkan, PhD, Study director, Gazi University Faculty of Nursing
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07237646
- Sponsor's protocol ID
- Physical examination
- Status last verified
- Dec 2025
- First submitted
- 27 Sep 2025
- Last updated
- 4 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Virtual Game Simulation and Virtual Reality-Based Learning Tool on Nursing Students' Thoracic and Lung Physical Examination Knowledge and Satisfaction: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07237646
- Acronym / sponsor ID
- Physical examination
- Conditions
- Satisfaction, Personal, Knowledge
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Necmettin Erbakan UniversityUniversity, hospital or other
- Collaborators
- Gazi University
- Study start
- 4 Nov 2025 (actual)
- Primary completion
- 25 Nov 2025 (actual)
- Study completion
- 2 Dec 2025 (actual)
- First posted
- 20 Nov 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the effects of a virtual game simulation and a virtual reality-based learning tool on nursing students' knowledge and satisfaction with thoracic and lung physical examinations. Two different teaching methods involving technology will be used in the study. No studies have been found that have examined the thoracic and lung physical examination knowledge of nursing students using a virtual game simulation and a virtual reality-based student tool. The study will utilize a three-group (two interventions (virtual game simulation (Intervention-I) - virtual reality-based learning tool (Intervention-II) - one control) pretest-posttest randomized controlled trial design. The population will consist of 119 students enrolled in the second year of nursing at Gazi University Faculty of Nursing in the 2025-2026 Fall Semester and taking the elective course "Health Assessment" coded HEM 205. The sample will consist of 60 students (20 Intervention-I, 20 Intervention-II, 20 control) who met the inclusion criteria and agreed to participate in the study. Data will be collected using a "Descriptive Characteristics Form," a "Thoracic and Lung Physical Examination Knowledge Test," and a "Satisfaction with Education Methods Survey." First, all students will receive a one-hour theoretical training on thoracic and lung physical examination. Following the training, all students will receive a one-hour laboratory demonstration on thoracic and pulmonary physical examinations. All students will then be briefed, and a pretest will be administered the following week. The study will be implemented one week after the pretest. Students will be randomly assigned to three groups. The first group will play a virtual game simulation on thoracic and pulmonary physical examinations. The second group will experience a virtual reality-based learning tool. The third group, consisting of the control and excluded students, will be evaluated in a classroom environment using question-and-answer sessions. All students will then be informed that a posttest will be administered. The posttest will be administered one week later. After the posttest, all students will be provided with hands-on experience with technology-based learning methods.
Detailed description
One of the teaching methods that incorporates technology in nursing education is virtual game simulation, a two-dimensional (2D) virtual computer game featuring simulated people that allows students to actively participate in a clinical scenario. Virtual game simulations are a pedagogical method that allows students to practice critical thinking and decision-making skills by using simulated patients in scenarios involving different clinical environments. Studies using virtual game simulations have been conducted with nursing students in the fields of obstetrics, pediatrics, geriatrics, mental health, surgery, respiratory diseases, emergency health, and the nursing process. These studies indicate that virtual game simulations increase students' knowledge, feedback, interaction, participation, self-confidence, self-efficacy, satisfaction, critical thinking, decision-making skills, learning, and psychomotor skills. This study is expected to make significant contributions to the literature by evaluating the effectiveness of providing thoracic and lung examination training to nursing students through virtual game simulation.
Virtual reality is another method that incorporates technology in nursing education. Virtual reality is the user's active interaction with a computer-generated world through realistic scenarios. Virtual reality technology offers students an active learning environment independent of time and space. Virtual reality technology offers students a safe, motivating learning experience, and providing physical assessment training on a virtual patient is seen as an efficient alternative that will make future healthcare professionals more competent and equipped. A limited number of studies teaching physical assessment skills using virtual reality-based learning tools have found that the emphasis is on teaching inspection and auscultation skills. This study is expected to contribute significantly to the literature by evaluating the effectiveness of virtual reality-based thoracic and lung examination training for nursing students. This study is the first to use two different and innovative learning technologies in teaching thoracic and pulmonary examinations to nursing students, a field that has received limited research. No studies have been found in the literature examining the effectiveness of virtual game simulation and virtual reality technology on nursing students' learning. Therefore, the study is unique in its field. Therefore, the results of this study are expected to provide important information regarding teaching thoracic and pulmonary physical examinations to nursing students and to improve student satisfaction with both learning methods.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
- Model description
- three groups (two interventions (virtual game simulation (Intervention-I) -virtual reality-based learning tool (Intervention-II)- one control)
| Arm | Type | Receives |
|---|---|---|
| Virtual game simulation | Experimental | Other: Virtual game simulationStudents in this class will play the Virtual Game Simulation for Thorax and Lung Physical Examination located at https://nursinggames.net/tr/. |
| Virtual reality-based learning tool | Experimental | Other: Virtual reality-based learning toolStudents in this class will experience the Thoracic and Lung Physical Examination featured in a virtual reality-based learning tool. |
| Control | Active comparator | Other: ControlStudents in this class will learn Thoracic and Lung Physical Examination using traditional learning methods (theory, question and answer, discussion). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- The student must be taking the HEM 205 "Health Assessment" course for the first time.
- Students must not have any eye conditions that affect depth perception, such as amblyopia (lazy eye), anisometropia (differences in refraction between the two eyes), or strabismus (crossed eyes).
- Students must have no problems speaking and understanding Turkish.
- They must be willing to participate in the research.
Key exclusion criteria (7 listed)
- Having a high school, associate's degree, or bachelor's degree in a health-related field;
- Taking the HEM 205 "Health Assessment" course as a secondary course;
- Not attending the thoracic and lung physical examination theoretical course;
- Not participating in laboratory exercises;
- Not participating in one of the research steps (pre-test, virtual game simulation, virtual reality-based learning tool, post-test);
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Virtual game simulationThe virtual game simulation was prepared for nursing students to learn thoracic and lung physical examination. | Other | Virtual game simulation |
| Virtual reality-based learning toolThe virtual reality-based learning tool was designed for nursing students to experience thoracic and lung physical examination skills on a virtual patient in a life-like environment. | Other | Virtual reality-based learning tool |
| ControlTraditional teaching method (question-answer, lecture, discussion) will be used. | Other | Control |
Primary outcome
Knowlegde
Time frame: Up to 1 month
Thorax and Lung Physical Examination Knowledge Test
Personal satisfaction
Time frame: Up to 1 month
Satisfaction Survey with Training Methods
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Dec 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nurcan Çalışkan, PhD study director
Gazi University Faculty of Nursing
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Virtual game simulation and Virtual reality-based learning tool in people with Satisfaction, Personal and Knowledge, run by Necmettin Erbakan University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Knowlegde (time frame: Up to 1 month). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Dec 2025.