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Effect of using virtual reality on fatigue and mental workload as key determinants of perceived stress in neonatal intensive care staff: A randomized controlled trial feasibility study and protocol.

作者信息

Desai Saumil, Athalye-Jape Gayatri, Bottcher Sarah, Campbell Catherine, Chiffings Debbie, Nathan Elizabeth, Fardinpour Ali, Kinnaird Lindsay, Bulsara Max, Rao Shripada

机构信息

Neonatal Intensive Care Unit, Perth Children's Hospital, Nedlands, Western Australia, Australia.

School of Medicine, The University of Western Australia, Crawley, Western Australia, Australia.

出版信息

Nurs Crit Care. 2025 Mar;30(2):e13249. doi: 10.1111/nicc.13249.


DOI:10.1111/nicc.13249
PMID:39989032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11848232/
Abstract

BACKGROUND: Health care professionals (HCPs) in neonatal intensive care units (NICUs) are prone to significant stress, leading to deleterious mental health effects. Recently, some studies have explored virtual reality (VR) immersion experience to mitigate these risks. However, these studies vary in clinical settings, design and mental health parameters. AIM: To report on the safety and feasibility of VR immersion experience in busy tertiary NICU HCPs. STUDY DESIGN: Ten eligible NICU HCPs without photosensitive epilepsy or cardiopulmonary disease participated. Participants underwent VR immersion (intervention arm; maximum of 15 min/session and 1 session/shift) during breaktimes in three consecutive shifts. They underwent a washout period, after which they completed 3 sessions as routine breaks (control arm) without VR experience. They completed pre-post break stress and survey questionnaires in both arms. RESULTS: Analyses comprised data from 28 VR immersion and 27 control arm sessions (nine participants completed three sessions in both arms and one participant completed one session in intervention arm only). All VR immersion sessions were 'really liked' (60.7%) or 'liked' (39.3%). As far as the usage of VR devices were concerned, majority were deemed to be 'really easy' (25%) or 'easy' (57.14%). Quality of VR environments were reported to be 'Excellent' (28.6%) or 'good' (60.71%) in majority of sessions. Experience of chosen VR environments were 'really liked' (46.42%) or 'liked' (50%). Most importantly, the impact of VR experience on enhancing the break was deemed to be 'Yes, a lot' (46.42%) or 'Yes, a bit' (39.28%) in most sessions. Participants reported 'very minor' side effects in three VR sessions, none requiring any therapeutic interventions. Rest of the sessions reported 'no' side effects. CONCLUSIONS: VR immersion experience is safe and feasible in busy HCPs in a tertiary NICU. Future recommendations would be to compare VR immersion experience with other well-being measures of staff. RELEVANCE TO CLINICAL PRACTICE: Virtual reality immersion experience could be utilized for stress reduction in NICU HCPs.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e73/11848232/6054b7422404/NICC-30-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e73/11848232/2283823235e6/NICC-30-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e73/11848232/b01ed398c69a/NICC-30-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e73/11848232/6054b7422404/NICC-30-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e73/11848232/2283823235e6/NICC-30-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e73/11848232/b01ed398c69a/NICC-30-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e73/11848232/6054b7422404/NICC-30-0-g001.jpg

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Effect of using virtual reality on fatigue and mental workload as key determinants of perceived stress in neonatal intensive care staff: A randomized controlled trial feasibility study and protocol.

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本文引用的文献

[1]
Addressing nursing shortages and patient safety using Maslow's hierarchy of needs.

Nursing. 2024-1-1

[2]
Virtual Reality Simulation for Suicide Risk Assessment Training: Prevalence of Adverse Effects.

Acad Psychiatry. 2024-2

[3]
Should Mindfulness for Health Care Workers Go Virtual? A Mindfulness-Based Intervention Using Virtual Reality and Heart Rate Variability in the Emergency Department.

Workplace Health Saf. 2023-4

[4]
Immersive Therapy for Improving Anxiety in Health Professionals of a Regional Hospital during the COVID-19 Pandemic: A Quasi-Experimental Pilot Study.

Int J Environ Res Public Health. 2022-8-9

[5]
"Room to Reflect": A Pilot Workplace Resiliency Intervention for Nurses.

Int J Environ Res Public Health. 2022-6-14

[6]
Effects of Classical Music Virtual Reality on Pediatric Healthcare Worker Compassion Fatigue.

J Nurs Adm. 2022-5-1

[7]
Virtual Reality for Health Care Professionals During a Pandemic: A Pilot Program.

J Prim Care Community Health. 2022

[8]
Virtual reality as a tool to promote wellbeing in the workplace.

Digit Health. 2022-3-4

[9]
Virtual reality during work breaks to reduce fatigue of intensive unit caregivers: A crossover, pilot, randomised trial.

Aust Crit Care. 2023-5

[10]
A tranquil virtual reality experience to reduce subjective stress among COVID-19 frontline healthcare workers.

PLoS One. 2022

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