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Background:
Delirium is an acute mental status change characterized by confusion, fluctuating symptoms, and inattention. It affects 11%-40% of hospitalized elderly patients and over 80% of mechanically ventilated ICU patients. Early detection and intervention are crucial in preventing adverse outcomes. The Confusion Assessment Method for the ICU (CAM-ICU) has been widely adopted in Taiwan for delirium screening. However, nurses' knowledge and skills in delirium assessment remain insufficient.
Objective:
This study aims to evaluate the effectiveness of a spherical video-based virtual reality (SVVR) training system in improving nurses' delirium assessment and management skills.
Methods:
A parallel-group randomized controlled trial will be conducted. Participants (nurses aged 20-65) will be recruited via social media and screened for eligibility. They will be randomly assigned to:
Intervention group: SVVR-based delirium training using a head-mounted display. Control group: Standard video-based training via YouTube. Pre- and post-intervention assessments will measure delirium knowledge, attitudes, assessment skills, learning motivation, and technology acceptance. Quantitative data will be analyzed using SPSS (Version 25) with t-tests, ANOVA, and chi-square tests. Qualitative data will be analyzed using thematic analysis.
Expected Outcome:
This study will determine whether immersive VR training enhances nurses' delirium management skills more effectively than conventional video training.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VR group | Experimental |
| |
| Video group | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| use 360 degree VR training | Device | Participants will use Virtual Reality (VR) training |
|
| Measure | Description | Time Frame |
|---|---|---|
| Chinese Version of Nurse's Assessment Ability Questionnaire in Delirium Subtypes | VR group will get high score in assessment ability of Delirium Subtypes | 20 mins |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tri-Service General Hospital | Taipei | Taiwan |
If other relevant researchers need it, we will consider sharing the relevant information.
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| Type | Date | Date Unknown |
|---|---|---|
| Release | May 10, 2026 | |
| Reset | Jun 4, 2026 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| May 10, 2026 | Jun 4, 2026 |
| ID | Term |
|---|---|
| D003693 | Delirium |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |