Clinical trial NCT06788405: Development of Hand Hygiene Training Virtual Reality Simulation and Evaluation of Its Effectiveness
Official title: Development of Hand Hygiene Training Virtual Reality Simulation and Evaluation of Its Effectiveness: an Example of In-Service Training in Nursing
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Hospital Infection
Keywords: hand hygiene
virtual reality
nursing education
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
Collaborators: name: The Scientific and Technological Research Council of Turkey
First posted: 2025-01-23
Enrollment: 76
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Healthcare-associated infections (HAI), which have become a major problem in all countries, prolong hospital stay and increase treatment and care costs. In health care institutions, HAIs that occur directly or indirectly related to health services are among the most common causes of mortality and morbidity. A high level of hand hygiene compliance, which is the most basic step of infection control and precautions, is the first and most important step to prevent HAIs. However, it has been determined in the literature that the compliance rates of healthcare professionals with hand hygiene are low and that nurses' attitudes and behaviors regarding hand hygiene are not at the desired level. Well-structured training programs need to be developed to maintain and increase nurses' hand hygiene compliance rates. Different training methods and tools are needed to increase hand hygiene compliance, awareness and awareness. It is recommended that innovative training approaches such as virtual simulation be developed and evaluated to further internalize and encourage nurses' most effective hand hygiene practice behaviors. In recent years, the use of simulation methods in the training of healthcare professionals has been increasing as they facilitate the transfer of theoretical knowledge into clinical practice. One of these simulation methods is virtual reality (VR). The use of gamification in the virtual environment supports different learning styles, enabling learners to participate more intensively in education and increase their internal motivation. In this context, with VR support, entertainment and learning processes can be used to support each other. Considering the features of VR usage such as integrating knowledge and skills, creating a learning environment for the learner by doing, giving the opportunity to repeat until the correct application is made, reducing incorrect interventions in clinical practice and increasing patient safety, it is recommended that virtual simulation systems be used in nursing education. VR provides different opportunities to learners by enriching and diversifying learning environments. In these virtual environments, learners can have new experiences and these experiences remain permanent for the learners. As stated in the WHO Hand Hygiene Theme, it is important to develop innovative training programs, learning materials and measurement and evaluation tools regarding hand hygiene within the scope of infection control and prevention studies. VR simulation can be used to attract nurses' attention and awareness by increasing intrinsic motivation to perform hand hygiene, and can be used to support nurses in developing positive attitudes towards hand hygiene. Hand hygiene simulation scenarios created with virtual reality can contribute to greater awareness about the problems caused by microorganism transmission by increasing hand hygiene awareness. Thus, increasing attitudes and awareness regarding hand hygiene can have a positive effect on reducing the HAI rate by supporting the transformation of hand hygiene awareness into behavior. In the study, it was planned to develop, implement and evaluate a virtual reality hand hygiene simulation. It is thought that this virtual reality simulation will pave the way for the development of psychomotor skills for hand hygiene, increase the level of knowledge, and increase hand hygiene compliance by providing internal motivation to perform hand hygiene. In our country, no studies have been found on the development of virtual reality simulation in hand hygiene practice. The aim of this study is to develop and implement virtual reality hand hygiene simulation in teaching hand hygiene behaviors in nurses and to evaluate its effect on hand hygiene compliance.


Eligibility criteria: Inclusion Criteria:

* Nurses who have not received additional hand hygiene training after general orientation training at the beginning of work • Nurses working actively in areas other than the operating room (inpatient services, intervention units, etc.).

Exclusion Criteria:

* Nurses in the intervention group who have a disease/condition that may pose a problem regarding the use of VR glasses (having epilepsy, having a history of seizures, having an eye or neurological disease that would prevent the use of VR glasses, having motion sickness).

  * Nurses working in the operating room
  * Nurses who receive additional hand hygiene training after general orientation training

Primary outcomes:
measure: Introductory Form
timeFrame: up to one month
measure: Knowledge Test
timeFrame: up to 12 weeks
measure: Scale for Evaluation of Hand Washing Behavior in Terms of Planned Behavior Model
timeFrame: up to 12 weeks
measure: Hand Hygiene Observation Form
timeFrame: up to 12 weeks
measure: Simulation Design Scale
timeFrame: up to 12 weeks
measure: Training Evaluation Form
timeFrame: up to 12 weeks
measure: Student Satisfaction and Self-Confidence Scale in Learning
timeFrame: up to 12 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Aşkin Selvi
state: Avcılar
Study officials:
affiliation: İstanbul University-Cerrahpasa, Turkey
name: AŞKIN SELVİ, PhD student
role: PRINCIPAL_INVESTIGATOR
References:
citation: Clack, L., Hirt, C., Kunz, A., Sax, H. 2021. "Experiential training of hand hygiene using virtual reality. recent advances in technologies for ınclusive well-being", 196: 31-42. Doi: 10.1007/978-3-030-59608-8_3.
citation: Eichel VM, Brandt C, Brandt J, Jabs JM, Mutters NT. Is virtual reality suitable for hand hygiene training in health care workers? Evaluating an application for acceptability and effectiveness. Antimicrob Resist Infect Control. 2022 Jun 25;11(1):91. doi: 10.1186/s13756-022-01127-6.