Nurse training through virtual reality simulation of an operating room: assessing satisfaction and outcomes
| ISRCTN | ISRCTN16864726 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN16864726 |
| Secondary identifying numbers | JZJ-PIL-2021-01 |
- Submission date
- 09/10/2023
- Registration date
- 23/10/2023
- Last edited
- 20/05/2024
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English summary of protocol
Background and study aims
In the pursuit of enabling nurses to apply acquired theoretical knowledge within a clinical context to narrow the theory-practice gap – recognizing that nursing is a practical discipline – innovative teaching methods must be embraced to ensure the accurate application of knowledge. Traditional teaching techniques do not always seamlessly translate into clinical practice due to the disparity between classroom learning and real clinical settings. An increasingly adopted approach involves the utilization of simulators, which replicate clinical environments. The benefits encompass a risk-free, interactive, and realistic learning environment for nurses; the provision of various adaptable clinical scenarios; the opportunity for experiential learning outside the clinical domain; fostering teamwork and communication through collaborative and supportive frameworks with multiple participants; the capacity to repeat scenarios, allowing for increased exposure and error correction; and the enhancement of technical and non-technical skills. Aligned with the aforementioned interests, a video-assisted thoracic surgery (VATS) simulator, facilitating nurses in performing surgical procedures within a virtual reality (VR) setting, has been developed by the Spanish company, Kauka. Consequently, the aim of this pilot study is to evaluate the use of created VR software as a potential tool for training operating room nurses to perform thoracic surgery procedures.
Who can participate?
Operating room nurses without prior thoracic surgery experience, irrespective of contract type or age.
What does the study involve?
The participants will assist in a thoracic surgery procedure (right upper lobectomy) in a VR-created operating room.
What are the possible benefits and risks of participating?
Participants will benefit by improving their knowledge of thoracic surgery and virtual reality. There are no risks expected.
Where is the study run from?
Donostia University Hospital (Spain)
When is the study starting and how long is it expected to run for?
October 2021 to December 2023
Who is funding the study?
Basque Health Service 22BU213 (Spain)
Who is the main contact?
Jon Zabaleta (Thoracic surgeon at Donostia University Hospital), jon.zabaletajimenez@osakidetza.eus
Contact information
Public, Scientific, Principal Investigator
paseo Dr Beguiristain s/n
Donostia
20014
Spain
 ORCID ID |
0000-0001-8837-0580 |
|---|---|
| Phone | +34 943007000 |
| jon.zabaletajimenez@osakidetza.eus |
Study information
| Study design | Open-label parallel-group randomized pilot study |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital, Internet/virtual |
| Study type | Treatment |
| Participant information sheet | 44378_PIS_v1.0_20Nov2021.pdf |
| Scientific title | Nurse training through virtual reality simulation of an operating room: assessing satisfaction and outcomes |
| Study acronym | RVSURG |
| Study objectives | Virtual reallity is a useful tool for operating room nurse formation |
| Ethics approval(s) |
Approved 30/11/2021, Comité de Ética de la Investigación con Medicamentos Gipuzkoa (Paseo Dr Beguiristain s/n, Donostia, 20014, Spain; +34 943007000; iratxe.urretabarallobre@osakidetza.eus), ref: None provided |
| Health condition(s) or problem(s) studied | Improve skills of operating room nurses using virtual reality |
| Intervention | This is an open-label, parallel-group, randomized clinical trial. One group will receive basic formation followed by an assessment module. The experimental group will receive the same basic formation, followed by thoracic surgery training and an assessment module. Operating Room Simulator: Participants are poised to begin surgery. The nurse stands on the right side of the patient (opposite the surgeon). For heightened immersion, users can observe surgery in progress by monitoring two room screens. This recording showcases the same surgery conducted at University Hospital Donostia (VATS-Right Upper Lobectomy). A continuous beeping sound simulates the patient's condition monitoring alarms. Correct tool handling triggers a cheerful sound, while incorrect execution prompts a program message reading "Incorrect Tool Selected." The program comprises two modules: Formation and Evaluation. Formation restricts interaction with the requested instrument, eliminating error possibilities. The tool is indicated by red arrows for precise location. In Evaluation, participants solely hear the instrument name called by the surgeon (as in real surgeries). Interaction with the software requires touch controller usage, symbolized as virtual hands. Left and right controllers correspond to respective hands. The only permitted action in the simulator is grasping. Pressing the back button on a touch controller closes the hand, flexing all fingers. Close proximity to any instrument enables users to pick up objects upon button press, retaining them until release. |
| Intervention type | Device |
| Pharmaceutical study type(s) | Not Applicable |
| Phase | Not Applicable |
| Drug / device / biological / vaccine name(s) | Operating Room Simulator |
| Primary outcome measure | Number of Completed Tasks (range 0-46), Individual Task Scores (20 for correct performance, 0 for incorrect), Time Spent in the Simulator (in minutes), and Overall Score (sum of task scores, max: 1000) measured at one timepoint using data collected in real-time by the virtual reality software |
| Secondary outcome measures | 1. Simulator sickness and satisfaction measured using a Simulator Sickness Questionnaire (SSQ) and a satisfaction test at one timepoint just after the simulation 2. Demographic variables: age, gender, dominant hand (right-handed, left-handed, ambidextrous), and videogame usage measure using a direct question "Do you have experience playing video games?" [yes or no] at one timepoint before the simulation |
| Overall study start date | 25/10/2021 |
| Completion date | 31/12/2023 |
Eligibility
| Participant type(s) | Health professional |
|---|---|
| Age group | Adult |
| Lower age limit | 22 Years |
| Upper age limit | 65 Years |
| Sex | Both |
| Target number of participants | 50 |
| Key inclusion criteria | Operating room nurses without prior thoracic surgery experience, irrespective of contract type or age. |
| Key exclusion criteria | Previous participation in a thoracic surgery operating room within the 24 months preceding the study |
| Date of first enrolment | 01/11/2023 |
| Date of final enrolment | 30/11/2023 |
Locations
Countries of recruitment
- Spain
Study participating centre
Donostia
20010
Spain
Sponsor information
Hospital/treatment centre
Basque health service (Servicio Vasco De Salud)
Paseo Dr Beguiristain, s/n
Iratxe Urreta, Chief of the Epidemiology Department, Donostia University Hospital
Donostia/San Sebastian
20010
Spain
| Phone | +34943007000 |
|---|---|
| Iratxe.urretabarallobre@osakidetza.eus | |
| Website | https://www.osakidetza.euskadi.eus/portada/ |
"ROR" |
https://ror.org/02g7qcb42 |
Funders
Funder type
Hospital/treatment centre
No information available
Results and Publications
| Intention to publish date | 01/06/2024 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | Planned publication in a high-impact peer-reviewed journal |
| IPD sharing plan | The dataset generated during the current study will be available upon request from Jon Zabaleta, jon.zabaletajimenez@osakidetza.eus. The study will collect all data as an anonymized dataset and upon request, all raw data can be shared within 2-3 working days after the request. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Participant information sheet | version 1.0 | 20/11/2021 | 11/10/2023 | No | Yes |
| Protocol file | [Spanish] version 1.0 |
20/11/2021 | 18/10/2023 | No | No |
| Results article | 16/05/2024 | 20/05/2024 | Yes | No |
Additional files
Editorial Notes
20/05/2024: Publication reference added.
11/10/2023: Study's existence confirmed by the Gipuzkoa Drug Research Ethics Committee (Comité de Ética de la Investigación con Medicamentos Gipuzkoa) (Spain)
