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Effects of Virtual Reality on Anxiety, Stress, and Work Performance in ICU Nurses

NCT ID: NCT07097519

Last Updated: 2025-07-31

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

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-01

Study Completion Date

2025-05-31

Brief Summary

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Intensive care unit (ICU) nurses often experience high levels of stress and anxiety due to the emotional demands of caring for critically ill patients. These psychological burdens can negatively affect their job performance and the quality of care they provide. Recent studies suggest that immersive virtual reality (IVR) technology may help reduce stress and improve professional performance among healthcare workers. However, no study to date has specifically evaluated the effects of IVR on ICU nurses' anxiety, stress, and job performance.

This study aims to evaluate whether an IVR application can reduce anxiety and stress levels while enhancing the job performance of ICU nurses. By introducing a clinical intervention based on virtual reality, the research seeks to explore its potential as a practical tool in improving nurses' well-being and work effectiveness in high-pressure environments. The findings will contribute to understanding the clinical applicability of IVR as a stress-reduction and performance-enhancement method in intensive care settings.

Detailed Description

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This study investigates the impact of an immersive virtual reality (IVR) intervention on the anxiety, stress, and professional performance of registered nurses working in intensive care units (ICUs). ICU nurses frequently face emotionally demanding situations, including end-of-life care, which can lead to elevated stress and anxiety levels. These psychological challenges have been associated with decreased job performance and compromised quality of patient care.

Technological innovations, particularly in virtual reality, offer promising solutions for mental health support and professional development in healthcare. IVR has been used successfully in various healthcare settings to reduce stress, improve coping strategies, and enhance performance. Despite this, no study has yet specifically examined its effect on ICU nurses.

In this randomized controlled trial, participants will be assigned to either an intervention group using the IVR application or a control group receiving standard care. The IVR experience is designed to promote relaxation, reduce psychological strain, and reinforce professional competencies through immersive scenarios. Outcome measures will include validated scales for anxiety, stress, and job performance, collected before and after the intervention.

The ultimate goal of this study is to assess the clinical applicability of IVR technology in supporting ICU nurses' mental well-being and work performance, offering a novel approach to workforce resilience in critical care settings.

Conditions

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Stress Performance Immersive Virtual Reality Intensive Care (ICU) Nurse

Keywords

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Job Performance Immersive Virtual Reality Intensive Care Nursing

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This study uses a single-group, prospective, interventional, pre-test-post-test design. All participants receive the same immersive virtual reality (IVR) intervention without a comparison or control group. The intervention consists of regular use of a commercially available VR exergame (Beat Saber) for a minimum of 10 minutes per session over an 8-week period. Measurements are taken at three time points (baseline, mid-intervention, and post-intervention) using validated scales for anxiety, stress, job performance, and satisfaction. This model allows assessment of within-subject changes over time in response to the VR-based stress management and performance-enhancement intervention.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

This study does not involve masking. It is an open-label, single-group intervention, and both participants and researchers are aware of the intervention being administered. Therefore, no additional parties are masked.

Study Groups

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Immersive Virtual Reality Intervention for ICU Nurses

Participants in this arm are registered nurses working in an intensive care unit who receive an immersive virtual reality (IVR) intervention. The intervention involves the use of a VR exergame (Beat Saber) through Oculus Quest 2 headsets. Nurses engage in VR sessions for a minimum of 10 minutes per day across 8-16 clinical workdays over an 8-week period. The intervention is designed to reduce anxiety and stress levels and enhance job performance. Outcome measures include anxiety, stress, individual job performance, and satisfaction ratings collected pre- and post-intervention.

Group Type EXPERIMENTAL

Immersive Virtual Reality (IVR)

Intervention Type OTHER

This intervention involves the use of a high-end immersive virtual reality (IVR) application through the Oculus Quest 2 headset. Nurses participate in a rhythm-based exergame, Beat Saber, for at least 10 minutes per session, during 8-16 clinical shifts over an 8-week period. The game engages users in physical movement to music, requiring whole-body coordination and providing visual, auditory, and haptic feedback. The intervention aims to reduce stress and anxiety and enhance job performance among ICU nurses by providing an immersive, engaging, and therapeutic experience within the clinical environment.

Interventions

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Immersive Virtual Reality (IVR)

This intervention involves the use of a high-end immersive virtual reality (IVR) application through the Oculus Quest 2 headset. Nurses participate in a rhythm-based exergame, Beat Saber, for at least 10 minutes per session, during 8-16 clinical shifts over an 8-week period. The game engages users in physical movement to music, requiring whole-body coordination and providing visual, auditory, and haptic feedback. The intervention aims to reduce stress and anxiety and enhance job performance among ICU nurses by providing an immersive, engaging, and therapeutic experience within the clinical environment.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Willing to voluntarily participate in the study
* Currently employed as a nurse in the Anesthesia and Reanimation Intensive Care Unit
* Has been working in the unit for at least 3 months
* Able and available to use the virtual reality (VR) application for a minimum of 10 minutes per day
* Willing to use the VR application on 8 to 16 clinical workdays during the 8-week intervention period

Exclusion Criteria

* Any condition that prevents communication, completing questionnaires, or participating in measurements
* Physical limitations that prevent movement (e.g., amputation, joint restriction)
* Health problems that interfere with VR use, including chronic pain, hearing or vision loss, migraine, vertigo, nausea, epilepsy, claustrophobia, head injuries, or psychiatric treatment
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Istanbul University - Cerrahpasa

OTHER

Sponsor Role lead

Responsible Party

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Merve BEKE

Phd, Nurse Educator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Oncology Hospital

Ankara, Yenimahalle, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2025-292

Identifier Type: -

Identifier Source: org_study_id