This teaching development aims to enhance the clinical reasoning and empathy of nursing students in nursing students in smoking cessation training. The evaluation aims to assess the feasibility and efficacy of virtual reality (VR) video-based learning for enhancing self-efficacy in delivering smoking cessation intervention. The proposed study is 2-arm, waitlist-control, pragmatic randomized controlled trial (RCT) (allocation ratio 1:1), by comparing the self-efficacy and performance of clinical reasoning between nursing students who are provided VR videos of a smoker's real-life scenario and reading materials (intervention group) and those who are only provided the same reading materials (control). Individual randomization will be used. All participants will be given a group assignment and expected to complete the assignment by the end of the tutorial. The group assignment and self-administered pre- and post-learning survey will be used for the teaching outcome evaluation.
The proposed study is 2-arm, waitlist-control, pragmatic randomized controlled trial (RCT) (allocation ratio 1:1), by comparing the self-efficacy and performance of clinical reasoning between nursing students who are provided VR videos of a smoker's real-life scenario and reading materials (intervention group) and those who are only provided the same reading materials (control). Individual randomization will be used. All participants will be given a group assignment and expected to complete the assignment by the end of the tutorial. The group assignment and self-administered pre- and post-learning survey will be used for the teaching outcome evaluation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
26
In the lecture room for the intervention group, participants in the intervention group will be given QR codes for viewing these online videos and VR cardboards, a web including photo hunt sections that allow viewers to find cues for smoking cessation treatment. They are asked to view these videos and photos with their own mobile phones.
A tutorial guide including description of the smokers' cases
Faculty of Medicine
Hong Kong, Hong Kong
Self-efficacy in delivering smoking cessation intervention
(1) Understand the quitting barriers of smokers barriers; (2) Design quit plan for smoking patients; (3) Prioritize interventions for smoking patients; (4) Educate smoking patients on essential tasks; (5) Overall confidence in the management of smoking patients; and (6) Overall competence in the management of smoking patients. Each item can be scored from 0 (not at all competent) to 10 (extremely competent).
Time frame: Before and after the tutorial (at 1-day)
Empathy in delivering smoking cessation intervention
(1) Show empathy to smoking patients; (2) Show care to smoking patients; (3) Being positive; (4) See things from smokers' perspective; (5) Can you show tender feeling for smokers? (0: Not at all, 5: half and half, 10: extremely); (6) Do you feel sorry for smokers who are unable to quit? (0: Not sorry at all, 5: half and half, 10: extremely sorry); (7) Do you feel sorry for smokers who do not want to quit? (0: Not sorry at all, 5: half and half, 10: extremely sorry); and (8) Do you feel annoyed if smokers ignore your cessation advice (0: Not annoyed at all, 5: half and half, 10: extremely annoyed). Each item can be scored from 0 (not at all competent) to 10 (extremely competent).
Time frame: Before and after the tutorial (at 1-day)
Lasater Clinical Judgment Rubric
(1) Effective noticing: Focused observation; (2) Effective noticing: Recognizing deviations from expected patterns; (3) Effective noticing: Information seeking; (4) Effective interpreting: Prioritizing data; (5) Effective interpreting: Making sense of data; (6) Effective responding: Well-planned intervention/flexibility; (7) Effective responding: Being skilful; (8) Effective reflecting: Evaluation/self-analysis. Each item can be scored from exemplary, accomplished, developing and beginning.
Time frame: After the tutorial (at 1-day)
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