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| ID | Type | Description | Link |
|---|---|---|---|
| 2025/2658 | Other Identifier | Karabük University Non-Interventional Clinical Research Ethics Committee |
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The aim of this study was to evaluate the impact of a skills training program-conducted using augmented reality (AR) and 3D model technologies-on first-year nursing students' knowledge, skills, anxiety, and satisfaction, as well as the retention of learning, regarding the correct identification of the injection site and the application of the correct technique for intramuscular (IM) injections in the deltoid (VG) region. The hypotheses of the study are as follows:
H1: There is a difference in knowledge scores regarding the administration of intramuscular injections into the ventrogluteal region between the AR group and the control group.
H2: There is a difference in skill scores regarding the administration of intramuscular injections into the ventrogluteal region between the AR and control groups.
H3: There is a difference in state anxiety scores regarding the administration of intramuscular injections into the ventrogluteal region between the AR and control groups.
H4: There is a difference in satisfaction scores regarding training methods for intramuscular injection into the ventrogluteal region between the AR and the control group.
H5: There is a difference in knowledge scores regarding intramuscular injection into the ventrogluteal region between the 3D Model group and the control group.
H6: There is a difference in skill scores regarding intramuscular injection into the ventrogluteal region between the 3D Model group and the control group.
H7: There is a difference in state anxiety scores regarding intramuscular injection into the ventrogluteal region between the 3D Model group and the control group.
H8: There is a difference in satisfaction scores regarding training methods for intramuscular injection into the ventrogluteal region between the 3D Model group and the control group.
H9: There is a difference in retention scores regarding knowledge of intramuscular injection into the ventrogluteal region between the AR and control groups.
H10: There is a difference in retention scores regarding knowledge of intramuscular injection into the ventrogluteal region between the 3D Model and control groups.
H11: There is a difference in skill retention scores regarding the application of intramuscular injection into the ventrogluteal region between the AR and the control group.
H12: There is a difference in skill retention scores regarding the application of intramuscular injection into the ventrogluteal region between the 3D Model and the control group.
After providing theoretical training to the entire group, the researcher will randomly assign participants and have them practice using the AR, a 3D hip model, and a traditional model. After four weeks, the researcher will assess retention.
One of the most common routes nurses use to administer medications is the intramuscular injection. The literature recommends the ventrogluteal region as the safest site for intramuscular injections. However, this site is not widely used in clinical practice, leading to patients experiencing numerous complications related to intramuscular injections. For this reason, it is considered important to teach nursing students-who will become the nurses of the future-how to perform intramuscular injections into the ventrogluteal region using the correct technique. This way, nursing students will be able to administer medications safely when they begin their careers. Based on this perspective, it was believed that integrating technology into educational processes could facilitate more effective and student-centered learning. To integrate technology into educational processes, it was decided to use an AR-enabled 3D-printed hip model. Since intramuscular injection training in the ventrogluteal region is taught in the Fundamentals of Nursing course, first-year nursing students were included in the study. This research is a randomized controlled trial using AR and 3D modeling technologies.The study will be conducted with first-year nursing students during the spring semester of the 2025-2026 academic year.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Augmented Reality Group | Experimental | The AR software was developed by a computer engineer using the Unity 3D program. The researcher provided the developer with images of the ventrogluteal region and demonstrated the steps for performing an intramuscular injection into the ventrogluteal region via video. The developed AR software was ported to the Meta Quest 3 headset, which supports both virtual reality and augmented reality. With the Meta Quest 3 headset, students will be able to view virtual images in a real-world environment and perform the procedure using their hands. |
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| 3D Model Group | Experimental | A 3D scanner and a Creality K2 Plus 3D printer located at the Iron and Steel Institute of Karabük University were used. First, the hip model located in the Anatomy Laboratory of the Faculty of Medicine at Karabük University was scanned using the 3D scanner's Blue Laser mode. Subsequently, the 3D model of the scanned hip was processed using 3D software on a computer to define dimensions, create the injection site, and determine the print slices, thereby designing the final pre-print configuration. The model was printed in four parts using the Creality K2 Plus 3D Printer and assembled to create the final model. The left side of the 3D hip model was designed to display anatomical structures for regional training, while the right side was designed to accommodate an injection port for IM injections into the VG region. |
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| Control group | No Intervention | In accordance with traditional educational methods, students will perform an intramuscular injection into the ventrogluteal region using the model in the laboratory, following the step-by-step procedure. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Augmented Reality Group | Device | Students in this group will perform intramuscular injections into the ventrogluteal region using a Meta Quest 3 headset via an augmented reality-based training application |
| Measure | Description | Time Frame |
|---|---|---|
| Ventrogluteal Region Intramuscular Injection Skill Checklist Score | Assessment of students' performance in administering intramuscular injections into the ventrogluteal region using a standardized skill assessment checklist.Assessment will be conducted by marking "applied" (2 points), "partially applied" (1 point), or "not applied" (0 points) for each step the student performs. The total score obtainable from the Ventrogluteal Region Intramuscular Injection Skills Checklist ranges from 0 to 64. | Immediately after the intervention and 4 weeks after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Ventrogluteal Region Intramuscular Injection Knowledge Test Score | Assessment of students' theoretical knowledge using a structured knowledge test.The knowledge test is a multiple-choice test consisting of 32 questions with five options each. Each question on the knowledge test is worth 1 point. The possible score on the test ranges from 0 to 32.Baseline measurement will be used to assess group comparability after randomization. |
| Measure | Description | Time Frame |
|---|---|---|
| Ventrogluteal Region Intramuscular Injection Knowledge Test Score | Evaluation of the retention of knowledge 4 weeks after the intervention.The Ventrogluteal Region Intramuscular Injection Knowledge Test will be administered.The knowledge test is a multiple-choice instrument consisting of 32 items, each with five response options. Each item is scored as 1 point. The total score ranges from 0 to 32. Higher scores indicate a higher level of students' knowledge regarding ventrogluteal intramuscular injection. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Meltem KAYA, PhD Candidate | Karabuk University | Principal Investigator |
| Birgul CERIT, Professor | Abant Izzet Baysal University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karabuk University | Karabük | Merkez | 78000 | Turkey (Türkiye) |
Due to ethical considerations and institutional data protection policies, individual participant data will not be shared.
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It is a randomized controlled trial.
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Since the researcher will be the one performing the random assignment, they have been blinded. The students could not be blinded because they will be using the traditional method, AR, and 3D models. However, the statistician who will analyze the results will be blinded.
| 3D Model Group | Device | Students in this group will perform intramuscular injections into the ventrogluteal region using a 3D hip model. The model will be used as visual and tactile learning tools during the training process. |
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| Baseline (before theoretical training and randomization), immediately after the intervention, and 4 weeks after the intervention |
| State Anxiety Scale score | Measurement of students' anxiety levels using an anxiety assessment scale.The State Anxiety Scale consists of 20 items, and the possible scores range from 20 to 80. On the State Anxiety Scale, participants rate their responses on a four-point scale ranging from "Not at all" (1) to "Completely" (4).An increase in the score obtained from the scale indicates higher levels of anxiety, whereas a decrease indicates lower levels of anxiety. | Immediately after the theoretical training session and immediately after the intervention session |
| Satisfaction Survey Score for Teaching Methods | Evaluation of students' satisfaction with the educational method using a satisfaction questionnaire.The five-point Likert-type scale consists of 16 items. The lowest possible score on the scale is 16, while the highest is 80.An increase in the score obtained from the scale indicates higher levels of satisfaction with the educational method, whereas a decrease in the score indicates lower levels of satisfaction. | Immediately after the intervention |
| 4 weeks after the intervention |
| Ventrogluteal Region Intramuscular Injection Skill Checklist Score | The Ventrogluteal Region Intramuscular Injection Skills Checklist will be used.The ventrogluteal intramuscular injection checklist consists of 32 steps. Each step is evaluated as follows: performed (2 points), partially performed (1 point), or not performed (0 points). The total possible score ranges from 0 to 64. A higher total score indicates a higher level of students' skill in performing ventrogluteal intramuscular injection. | 4 weeks after the intervention |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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