Virtual Reality Hypnosis and Nurses' Stress

NCT ID: NCT06786962

Last Updated: 2025-02-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-04

Study Completion Date

2025-02-12

Brief Summary

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The practice of nursing is based on helping relationships and empathy. The work is physically, mentally and emotionally demanding. This requires the mobilization of personal resources (lifestyle, coping strategies) and work resources (managerial, medical support, recognition) to cope with stress. When these resources are present, nurses can activate a resilience process through coping strategies. However, stress levels and emotional impact are such that they can lead to states of suffering and trauma such as compassion fatigue (CF). The prevalence of CF is high in the nursing profession and particularly among neonatal intensive care (NICU) nurses.

Several levels of intervention exist to prevent CF in services: organizational, inter-individual and individual. At the individual level, certain interventions such as meditation have been studied, showing positive effects with the highest levels of evidence.

On the other hand, interventions such as hypnosis have not yet been studied in this context. There is, however, an interest in studying hypnosis as a non-pharmacological intervention to reduce stress and improve emotional regulation. Indeed, the hypnotic process (promoting attentional and cognitive rest, redirecting attentional focus, reducing mental effort) is a resource activator. In order to combine individual and organizational support, the intervention must be offered in the workplace and during working hours, given the difficulty nurses have in extracting themselves from the service, the restricted break time and the acceptability of the virtual reality system. In a context where break time is short and precious, it is necessary to use a tool that adapts to these constraints. Virtual reality with the HypnoVR® tool meets these needs. This device acts as a restorative environment. It has already proven its effectiveness in the care of painful and stressed patients in critical situations. It has not yet been studied in the context of work-related stress in healthcare professionals, such as neonatal intensive care nurses. The protocol takes into account the results of studies reporting the effects associated with the use of virtual reality (VR).

Detailed Description

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Conditions

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Hypnosis Virtual Reality Therapy Stress Compassion Fatigue Compassion Satisfaction Emotions Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Neonatal Intensive Care Unit (NICU) Nurses (n = 42) will be randomly assigned to one of two conditions (control or Virtual Reality Hypnosis (VRH)). Each nurse will receive six 10-minute sessions of one of the techniques for 6 weeks (1 session per week).
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Control group

Participants are seated in a quiet area of the unit. The control group of 21 participants consists of a break with the following instructions and suggestions:

"Take advantage of this break, this time just for you, to recharge your batteries. Sit in this armchair and I suggest you think of something pleasant and comfortable".

Group Type ACTIVE_COMPARATOR

Control arm (SEQ):

Intervention Type OTHER

Restoration time

Participants are seated in a quiet area of the unit. The control group of 21 participants consists of a break with the following instructions and suggestions:

"Take advantage of this break, this time just for you, to recharge your batteries. Sit in this armchair and I suggest you think of something pleasant and comfortable".

VRH Group

The experimental group of 22 participants consists of a hypnosis intervention using a virtual reality device (HypnoVR®).

Participants are seated in a quiet area of the unit:

They choose a visual scenario from among 3 proposals, guaranteeing the conditions of a restorative environment. During each session, the same script (support mode) is spoken and the same music (serenity program with soothing tones) is associated with the script. Each participant is fitted with a virtual reality mask and a headset with active noise reduction.

Group Type EXPERIMENTAL

Virtual reality Hypnosis

Intervention Type DEVICE

The experimental group of 22 participants consists of a hypnosis intervention using a virtual reality device (HypnoVR®).

Participants are seated in a quiet area of the unit:

They choose a visual scenario from among 3 proposals, guaranteeing the conditions of a restorative environment. During each session, the same script (support mode) is spoken and the same music (serenity program with soothing tones) is associated with the script. Each participant is fitted with a virtual reality mask and a headset with active noise reduction.

Interventions

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Virtual reality Hypnosis

The experimental group of 22 participants consists of a hypnosis intervention using a virtual reality device (HypnoVR®).

Participants are seated in a quiet area of the unit:

They choose a visual scenario from among 3 proposals, guaranteeing the conditions of a restorative environment. During each session, the same script (support mode) is spoken and the same music (serenity program with soothing tones) is associated with the script. Each participant is fitted with a virtual reality mask and a headset with active noise reduction.

Intervention Type DEVICE

Control arm (SEQ):

Restoration time

Participants are seated in a quiet area of the unit. The control group of 21 participants consists of a break with the following instructions and suggestions:

"Take advantage of this break, this time just for you, to recharge your batteries. Sit in this armchair and I suggest you think of something pleasant and comfortable".

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Nurse
* Regularly work in a neonatal intensive care unit
* Be of legal age and not opposed to participating in research
* Fluency in French

Exclusion Criteria

* Age \< 18
* Refusal to participate
* Current anticonvulsant or psychotropic treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Rennes 2

OTHER

Sponsor Role collaborator

CARESP: Cellule d'animation régionale en soins palliatifs

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Estelle MICHINOV, PhD

Role: STUDY_DIRECTOR

University of Rennes 2

Locations

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RENNES

Rennes, Brittany Region, France

Site Status

Countries

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France

References

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Nukarinen, T., Istance, H. O., Rantala, J., Mäkelä, J., Korpela, K., Ronkainen, K., Surakka, V., & Raisamo, R. (2020). Physiological and Psychological Restoration in Matched Real and Virtual Natural Environments. Extended Abstracts of the 2020 CHI Conference on Human Factors in Computing Systems, 1-8. https://doi.org/10.1145/3334480.3382956

Reference Type RESULT

Asadollah F, Nikfarid L, Sabery M, Varzeshnejad M, Hashemi F. The Impact of Loving-Kindness Meditation on Compassion Fatigue of Nurses Working in the Neonatal Intensive Care Unit: A Randomized Clinical Trial Study. Holist Nurs Pract. 2023 Jul-Aug 01;37(4):215-222. doi: 10.1097/HNP.0000000000000590.

Reference Type RESULT
PMID: 37335149 (View on PubMed)

Boselli, E. (2018). Intérêt du monitorage du tonus parasympathique relatif par Analgesia/Nociception Index (ANI) chez les patients anesthésiés ou conscients. Douleurs : Évaluation - Diagnostic - Traitement, 19(5), 205-210. https://doi.org/10.1016/j.douler.2018.07.008

Reference Type RESULT

Bresesti I, Folgori L, De Bartolo P. Interventions to reduce occupational stress and burn out within neonatal intensive care units: a systematic review. Occup Environ Med. 2020 Aug;77(8):515-519. doi: 10.1136/oemed-2019-106256. Epub 2020 Mar 4.

Reference Type RESULT
PMID: 32132183 (View on PubMed)

Figley, C. R. (Éd.). (2015). Compassion fatigue : Coping with secondary traumatic stress disorder in those who treat the traumatized. Routledge.

Reference Type RESULT

Jess G, Pogatzki-Zahn EM, Zahn PK, Meyer-Friessem CH. Monitoring heart rate variability to assess experimentally induced pain using the analgesia nociception index: A randomised volunteer study. Eur J Anaesthesiol. 2016 Feb;33(2):118-25. doi: 10.1097/EJA.0000000000000304.

Reference Type RESULT
PMID: 26266775 (View on PubMed)

Kaplan, S. (1995). The restorative benefits of nature : Toward an integrative framework. Journal of environmental psychology, 15(3), 169-182.

Reference Type RESULT

Joinson C. Coping with compassion fatigue. Nursing. 1992 Apr;22(4):116, 118-9, 120. No abstract available.

Reference Type RESULT
PMID: 1570090 (View on PubMed)

Liang, L., Gobeawan, L., Lau, S.-K., Lin, E. S., & Ang, K. K. (2024). Urban Green Spaces and Mental Well-Being : A Systematic Review of Studies Comparing Virtual Reality versus Real Nature. Future Internet, 16(6), Article 6. https://doi.org/10.3390/fi16060182

Reference Type RESULT

Ruysschaert, N. (2009). (Self) hypnosis in the prevention of burnout and compassion fatigue for caregivers : Theory and induction. Contemporary Hypnosis (John Wiley & Sons, Inc.), 26(3), 159-172. https://doi.org/10.1002/ch.382

Reference Type RESULT

Touloudi E, Hassandra M, Galanis E, Goudas M, Theodorakis Y. Applicability of an Immersive Virtual Reality Exercise Training System for Office Workers during Working Hours. Sports (Basel). 2022 Jun 29;10(7):104. doi: 10.3390/sports10070104.

Reference Type RESULT
PMID: 35878115 (View on PubMed)

Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988 Jun;54(6):1063-70. doi: 10.1037//0022-3514.54.6.1063.

Reference Type RESULT
PMID: 3397865 (View on PubMed)

Wong JQH, Charles JS, Mok HT, Tan TSZ, Amin Z, Ng YPM. Experiences of healthcare personnel with death in the neonatal intensive care unit: a systematic review of qualitative studies. Arch Dis Child Fetal Neonatal Ed. 2023 Nov;108(6):617-622. doi: 10.1136/archdischild-2023-325566. Epub 2023 May 17.

Reference Type RESULT
PMID: 37197908 (View on PubMed)

Zhang YY, Zhang C, Han XR, Li W, Wang YL. Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative meta-analysis. Medicine (Baltimore). 2018 Jun;97(26):e11086. doi: 10.1097/MD.0000000000011086.

Reference Type RESULT
PMID: 29952947 (View on PubMed)

Singer T, Klimecki OM. Empathy and compassion. Curr Biol. 2014 Sep 22;24(18):R875-R878. doi: 10.1016/j.cub.2014.06.054.

Reference Type RESULT
PMID: 25247366 (View on PubMed)

Ruiz-Fernandez MD, Perez-Garcia E, Ortega-Galan AM. Quality of Life in Nursing Professionals: Burnout, Fatigue, and Compassion Satisfaction. Int J Environ Res Public Health. 2020 Feb 15;17(4):1253. doi: 10.3390/ijerph17041253.

Reference Type RESULT
PMID: 32075252 (View on PubMed)

Boselli E, Musellec H, Bernard F, Guillou N, Hugot P, Augris-Mathieu C, Diot-Junique N, Bouvet L, Allaouchiche B. EFFECTS OF CONVERSATIONAL HYPNOSIS ON RELATIVE PARASYMPATHETIC TONE AND PATIENT COMFORT DURING AXILLARY BRACHIAL PLEXUS BLOCKS FOR AMBULATORY UPPER LIMB SURGERY:A Quasiexperimental Pilot Study. Int J Clin Exp Hypn. 2018 Apr-Jun;66(2):134-146. doi: 10.1080/00207144.2018.1421355.

Reference Type RESULT
PMID: 29601275 (View on PubMed)

Related Links

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Other Identifiers

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HYPNOVR - NEONAT

Identifier Type: -

Identifier Source: org_study_id

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