3D Virtual Reality Smartphone Training for Chemotherapy Drug Administration by Non-oncology Nurses: A Randomized Controlled Trial
Chemotherapy agents are cytotoxic materials. Thus, there is a need for the operators to be familiar with the knowledge and procedures before operation. We conducted a randomized controlled trial investigating the effectiveness of an immersive 3D VR teaching of chemotherapy administration operated in...
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| Format: | Article |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.889125/full |
| _version_ | 1818204962479407104 |
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| author | Chin-Yun Wang Chin-Yun Wang Chi-Yu Lu Chi-Yu Lu Su-Yueh Yang Su-Yueh Yang Shu-Chun Tsai Shu-Chun Tsai Tsai-Wei Huang Tsai-Wei Huang Tsai-Wei Huang Tsai-Wei Huang |
| author_facet | Chin-Yun Wang Chin-Yun Wang Chi-Yu Lu Chi-Yu Lu Su-Yueh Yang Su-Yueh Yang Shu-Chun Tsai Shu-Chun Tsai Tsai-Wei Huang Tsai-Wei Huang Tsai-Wei Huang Tsai-Wei Huang |
| author_sort | Chin-Yun Wang |
| collection | DOAJ |
| description | Chemotherapy agents are cytotoxic materials. Thus, there is a need for the operators to be familiar with the knowledge and procedures before operation. We conducted a randomized controlled trial investigating the effectiveness of an immersive 3D VR teaching of chemotherapy administration operated in a smartphone coupled with a visual and audio device. We adopted a two-arm single-blind design and recruited 83 nurses, and they were randomized using a cluster approach. The VR group learned chemotherapy administration through VR, while the controlled group learned through document reading. The Knowledge and Attitude of Chemotherapy Administration (KACA) was administrated before the intervention, while the Objective Structured Clinical Examination (OSCE) and the Checklist of Action Accomplishment (CAA) were administrated one month after the intervention. The VR group scored higher than the controlled group in the CAA (95.69 ± 5.37 vs. 91.98 ± 9.31, p = 0.02) and the OSCE (73.07 ± 10.99 vs. 67.44 ±10.65, p = 0.02). Stepwise regression demonstrated that service years, an education level of undergraduate or above, and VR exposure contributed positively to the OSCE score (adjusted R2 = 0.194, p = 0.028). The use of VR improves the learning efficacy of chemotherapy administration in non-oncology nurses. We recommend using VR as a teaching tool for chemotherapy administration and other chemotherapy-related skills in a VR learning group with senior nurses with higher education levels as advisors. The study provides an approach to online training, especially during the COVID-19 pandemic. (CONSORT 2010 guidelines, registry number: NCT 04840732). |
| first_indexed | 2024-12-12T03:49:34Z |
| format | Article |
| id | doaj.art-bbaceb0e21304398ae3095bd4e3c5f39 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-12T03:49:34Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-bbaceb0e21304398ae3095bd4e3c5f392022-12-22T00:39:26ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-06-01910.3389/fmed.2022.8891258891253D Virtual Reality Smartphone Training for Chemotherapy Drug Administration by Non-oncology Nurses: A Randomized Controlled TrialChin-Yun Wang0Chin-Yun Wang1Chi-Yu Lu2Chi-Yu Lu3Su-Yueh Yang4Su-Yueh Yang5Shu-Chun Tsai6Shu-Chun Tsai7Tsai-Wei Huang8Tsai-Wei Huang9Tsai-Wei Huang10Tsai-Wei Huang11Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanCenter for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanCenter for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanCenter for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanCenter for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, TaiwanCochrane Taiwan, Taipei Medical University, Taipei, TaiwanChemotherapy agents are cytotoxic materials. Thus, there is a need for the operators to be familiar with the knowledge and procedures before operation. We conducted a randomized controlled trial investigating the effectiveness of an immersive 3D VR teaching of chemotherapy administration operated in a smartphone coupled with a visual and audio device. We adopted a two-arm single-blind design and recruited 83 nurses, and they were randomized using a cluster approach. The VR group learned chemotherapy administration through VR, while the controlled group learned through document reading. The Knowledge and Attitude of Chemotherapy Administration (KACA) was administrated before the intervention, while the Objective Structured Clinical Examination (OSCE) and the Checklist of Action Accomplishment (CAA) were administrated one month after the intervention. The VR group scored higher than the controlled group in the CAA (95.69 ± 5.37 vs. 91.98 ± 9.31, p = 0.02) and the OSCE (73.07 ± 10.99 vs. 67.44 ±10.65, p = 0.02). Stepwise regression demonstrated that service years, an education level of undergraduate or above, and VR exposure contributed positively to the OSCE score (adjusted R2 = 0.194, p = 0.028). The use of VR improves the learning efficacy of chemotherapy administration in non-oncology nurses. We recommend using VR as a teaching tool for chemotherapy administration and other chemotherapy-related skills in a VR learning group with senior nurses with higher education levels as advisors. The study provides an approach to online training, especially during the COVID-19 pandemic. (CONSORT 2010 guidelines, registry number: NCT 04840732).https://www.frontiersin.org/articles/10.3389/fmed.2022.889125/fullchemotherapyadministrationvirtual realityobjective structured clinical examinationOSCE |
| spellingShingle | Chin-Yun Wang Chin-Yun Wang Chi-Yu Lu Chi-Yu Lu Su-Yueh Yang Su-Yueh Yang Shu-Chun Tsai Shu-Chun Tsai Tsai-Wei Huang Tsai-Wei Huang Tsai-Wei Huang Tsai-Wei Huang 3D Virtual Reality Smartphone Training for Chemotherapy Drug Administration by Non-oncology Nurses: A Randomized Controlled Trial Frontiers in Medicine chemotherapy administration virtual reality objective structured clinical examination OSCE |
| title | 3D Virtual Reality Smartphone Training for Chemotherapy Drug Administration by Non-oncology Nurses: A Randomized Controlled Trial |
| title_full | 3D Virtual Reality Smartphone Training for Chemotherapy Drug Administration by Non-oncology Nurses: A Randomized Controlled Trial |
| title_fullStr | 3D Virtual Reality Smartphone Training for Chemotherapy Drug Administration by Non-oncology Nurses: A Randomized Controlled Trial |
| title_full_unstemmed | 3D Virtual Reality Smartphone Training for Chemotherapy Drug Administration by Non-oncology Nurses: A Randomized Controlled Trial |
| title_short | 3D Virtual Reality Smartphone Training for Chemotherapy Drug Administration by Non-oncology Nurses: A Randomized Controlled Trial |
| title_sort | 3d virtual reality smartphone training for chemotherapy drug administration by non oncology nurses a randomized controlled trial |
| topic | chemotherapy administration virtual reality objective structured clinical examination OSCE |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.889125/full |
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