Nursing EducationNCT06784856
Effects of AR-Based Education on PICC Care Knowledge, Clinical Reasoning, and Learning Engagement in Nurses
A study testing PICC AR APP and Classroom Teaching and Case Sharing in people with Nursing Education, run by Taoyuan General Hospital at 1 site in Taiwan.
Trial summary
The peripherally inserted central catheter (PICC) is the preferred venous access route for patients undergoing medium- to long-term infusion therapy. PICC insertion is a common clinical nursing procedure for intravenous infusion and drug administration. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Nursing Education
- What is being tested?
- PICC AR APP and Classroom Teaching and Case Sharing
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 157 participants
- Where
- 1 siteTaiwan
- Study dates
- 3 Aug 2024to 1 Nov 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Licensed Clinical Nurses Participants must hold a valid nursing license and be clinical nursing staff. Willingness to Participate Participants must be willing to participate and provide signed informed consent.
Who cannot join
- Incomplete Course Participation Participants who do not complete the full course will be excluded. Nurses Not Involved in PICC Care
- Nurses from units that do not perform PICC care, such as:
- Traditional Chinese medicine nurses. Delivery room nurses. Pediatric nurses. Anesthesia nurses. Post-anesthesia care unit (PACU) nurses. Operating room nurses.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effects of Augmented Reality Facilitated Education in Promoting PICC Care Knowledge, Clinical Reasoning and Learning Engagement Among Nurses
The peripherally inserted central catheter (PICC) is the preferred venous access route for patients undergoing medium- to long-term infusion therapy. PICC insertion is a common clinical nursing procedure for intravenous infusion and drug administration. However, due to its complexity and associated risks, it is crucial to assess the needs of clinical nursing staff in PICC care and to develop appropriate educational training programs. This study aims to explore the development of a novel online "Augmented Reality (AR) Scenario-Based Gamification-Assisted Teaching" intervention to enhance nurses' competence in PICC care, improving patient care quality and treatment outcomes.
This study investigates the effectiveness of AR scenario-based gamification in improving nursing staff's cognitive knowledge, clinical reasoning skills, and learning engagement in PICC care. The study employs a block randomization trial design, involving nurses from a regional hospital in northern Taiwan. The educational intervention includes classroom instruction on PICC clinical care and complication management, combined with the "PICC AR Exploration APP," which leverages interactive gaming elements within a digital learning platform.
Through scenario-based gamified teaching, learners address situational problems and select appropriate interventions, enhancing knowledge and clinical reasoning skills. The teaching program offers benefits such as flexibility for repeated practice, cost efficiency, and high portability, making it a promising approach for PICC care training and the prevention and management of catheter-related complications.
Read the detailed description
Background:
With advancements in medical technology and an aging population, peripherally inserted central catheters (PICC) have become a key method for long-term intravenous therapy. As clinical demand for PICC increases, nursing staff must have strong knowledge and clinical reasoning skills to reduce catheter-related complications. However, traditional PICC training is limited by time, space, and a lack of situational diversity, making it less effective for clinical education. Augmented Reality (AR) has been introduced into medical education to provide interactive learning environments that enhance nursing skills and clinical judgment. The "PICC AR Exploration" app provides continuous training for clinical staff, effectively improving their PICC care knowledge and clinical reasoning.
Purpose:
The purpose of this study is to evaluate the effectiveness of the "PICC AR Exploration" app in enhancing nurses' knowledge of PICC care and their clinical reasoning skills.
Method:
This study adopted a block randomization design, recruiting clinical nurses from a regional teaching hospital in northern Taiwan. The experimental group received classroom teaching combined with the "PICC AR Exploration" app, while the control group received classroom teaching and case sharing. Study tools included a PICC care knowledge scale, a clinical reasoning scale, and a learning engagement scale, with assessments conducted before the intervention, after the intervention, and six weeks post-intervention.
Expected Outcome:
The study aims to determine the effectiveness of AR-assisted teaching in enhancing nurses' PICC care knowledge, clinical reasoning skills, and engagement in learning, contributing to improved patient care quality and treatment outcomes.
- Conditions
- Nursing Education
- Being tested
- PICC AR APP, Classroom Teaching and Case Sharing
- Keywords
- PICC care AR teaching Clinical reasoning Learning engagement Nursing education
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PICC AR APPOther
Also called PICC AR Exploration APP
This study utilized Vuforia software and Unity 2022 LTS as the primary development platforms to create an AR-Enhanced and Game-Assisted Teaching curriculum. The designed "PICC AR Exploration APP" was developed for both iOS and Android platforms. The PICC-related content was based on the 8th Edition of the Infusion Therapy Standards of Practice published by the Infusion Nurses Society (INS) in 2021 and the 2022 Clinical Guidelines for Vascular Access Devices.
The required items for PICC care procedures were photographed and used to create 3D object elements and animations for developing AR scenarios and interactive gaming elements. The design and content of the "PICC AR Exploration APP" are described as follows:
Game Design Concept:
The "PICC AR Exploration APP" includes a learning unit system and a quiz unit system:
Learning Unit System Content:
Topic 1: Updates to guidelines and an introduction to clinical applications. Topic 2: PICC catheter care, dressing change steps, and techni
Classroom Teaching and Case SharingOther
Introduction to Updated CVAD-PICC Guidelines and Clinical Applications
PICC Catheter Care Management of Common PICC-Related Complications Case Sharing on PICC Complication Management: Researchers
| Study group | Role | What they receive |
|---|---|---|
| Experimental Group | Experimental | Introduction to Updated CVAD-PICC Guidelines and Clinical Applications
PICC Catheter Care Management of Common PICC-Related Complications Utilization of "Augmented Reality-Assisted Teaching - PICC AR Exploration APP" Interactive Online Gaming: Participants engage directly with a scenario-based game focused on PICC care, progressing through challenges within the game. Receives: Other: PICC AR APP |
| Control Group | Placebo comparator | Classroom Teaching and Case Sharing Introduction to Updated CVAD-PICC Guidelines and Clinical Applications
PICC Catheter Care Management of Common PICC-Related Complications Case Sharing on PICC Complication Management: Researchers Receives: Other: Classroom Teaching and Case Sharing |
What is being measured
The primary outcome is the main question the study is designed to answer.
PICC care Knowledge scale、Clinical Reasoning Scale
Primary Outcome Measures:
PICC Care Knowledge Scale Description: This scale measures participants' knowledge of PICC care. Time Frame: Baseline, immediately post-intervention, 6 weeks post-intervention. Clinical Reasoning Scale Description: This scale evaluates participants' clinical reasoning skills related to PICC care.
Time Frame: Baseline, immediately post-intervention, 6 weeks post-intervention. Learning Engagement Scale Description: Measures participants' engagement levels during the learning process.
Time Frame: Immediately post-intervention.
Measured: 6months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jan 2025
- Study start3 Aug 2024
- Primary completion1 Nov 2024
- Study completion1 Nov 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Nursing EducationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 157 participants (actual)
Sponsor and investigators
- Lead sponsor
- Taoyuan General Hospital
- Sponsor type
- Other government
- Responsible party
- Principal investigator, tygh backup, Taoyuan General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06784856
- Sponsor's protocol ID
- TYGH112093
- Status last verified
- Jan 2025
- First submitted
- 17 Dec 2024
- Last updated
- 20 Jan 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effects of Augmented Reality Facilitated Education in Promoting PICC Care Knowledge, Clinical Reasoning and Learning Engagement Among Nurses
- ClinicalTrials.gov ID
- NCT06784856
- Acronym / sponsor ID
- TYGH112093
- Conditions
- Nursing Education
- Keywords
- PICC care AR teaching Clinical reasoning Learning engagement Nursing education
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 157 participants (actual)
- Lead sponsor
- Taoyuan General HospitalOther government
- Study start
- 3 Aug 2024 (actual)
- Primary completion
- 1 Nov 2024 (actual)
- Study completion
- 1 Nov 2024 (actual)
- First posted
- 20 Jan 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The peripherally inserted central catheter (PICC) is the preferred venous access route for patients undergoing medium- to long-term infusion therapy. PICC insertion is a common clinical nursing procedure for intravenous infusion and drug administration. However, due to its complexity and associated risks, it is crucial to assess the needs of clinical nursing staff in PICC care and to develop appropriate educational training programs. This study aims to explore the development of a novel online "Augmented Reality (AR) Scenario-Based Gamification-Assisted Teaching" intervention to enhance nurses' competence in PICC care, improving patient care quality and treatment outcomes.
This study investigates the effectiveness of AR scenario-based gamification in improving nursing staff's cognitive knowledge, clinical reasoning skills, and learning engagement in PICC care. The study employs a block randomization trial design, involving nurses from a regional hospital in northern Taiwan. The educational intervention includes classroom instruction on PICC clinical care and complication management, combined with the "PICC AR Exploration APP," which leverages interactive gaming elements within a digital learning platform.
Through scenario-based gamified teaching, learners address situational problems and select appropriate interventions, enhancing knowledge and clinical reasoning skills. The teaching program offers benefits such as flexibility for repeated practice, cost efficiency, and high portability, making it a promising approach for PICC care training and the prevention and management of catheter-related complications.
Detailed description
Background:
With advancements in medical technology and an aging population, peripherally inserted central catheters (PICC) have become a key method for long-term intravenous therapy. As clinical demand for PICC increases, nursing staff must have strong knowledge and clinical reasoning skills to reduce catheter-related complications. However, traditional PICC training is limited by time, space, and a lack of situational diversity, making it less effective for clinical education. Augmented Reality (AR) has been introduced into medical education to provide interactive learning environments that enhance nursing skills and clinical judgment. The "PICC AR Exploration" app provides continuous training for clinical staff, effectively improving their PICC care knowledge and clinical reasoning.
Purpose:
The purpose of this study is to evaluate the effectiveness of the "PICC AR Exploration" app in enhancing nurses' knowledge of PICC care and their clinical reasoning skills.
Method:
This study adopted a block randomization design, recruiting clinical nurses from a regional teaching hospital in northern Taiwan. The experimental group received classroom teaching combined with the "PICC AR Exploration" app, while the control group received classroom teaching and case sharing. Study tools included a PICC care knowledge scale, a clinical reasoning scale, and a learning engagement scale, with assessments conducted before the intervention, after the intervention, and six weeks post-intervention.
Expected Outcome:
The study aims to determine the effectiveness of AR-assisted teaching in enhancing nurses' PICC care knowledge, clinical reasoning skills, and engagement in learning, contributing to improved patient care quality and treatment outcomes.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental Group | Experimental | Other: PICC AR APPIntroduction to Updated CVAD-PICC Guidelines and Clinical Applications PICC Catheter Care Management of Common PICC-Related Complications Utilization of "Augmented Reality-Assisted Teaching - PICC AR Exploration APP" Interactive Online Gaming: Participants engage directly with a scenario-based game focused on PICC care, progressing through challenges within the game. |
| Control Group | Placebo comparator | Other: Classroom Teaching and Case SharingClassroom Teaching and Case Sharing Introduction to Updated CVAD-PICC Guidelines and Clinical Applications PICC Catheter Care Management of Common PICC-Related Complications Case Sharing on PICC Complication Management: Researchers |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Licensed Clinical Nurses Participants must hold a valid nursing license and be clinical nursing staff. Willingness to Participate Participants must be willing to participate and provide signed informed consent.
Key exclusion criteria (3 listed)
- Incomplete Course Participation Participants who do not complete the full course will be excluded. Nurses Not Involved in PICC Care
- Traditional Chinese medicine nurses. Delivery room nurses. Pediatric nurses. Anesthesia nurses. Post-anesthesia care unit (PACU) nurses. Operating room nurses.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PICC AR APPAlso: PICC AR Exploration APPThis study utilized Vuforia software and Unity 2022 LTS as the primary development platforms to create an AR-Enhanced and Game-Assisted Teaching curriculum. The designed "PICC AR Exploration APP" was developed for both iOS and Android platforms. The PICC-related content was based on the 8th Edition of the Infusion Therapy Standards of Practice published by the Infusion Nurses Society (INS) in 2021 and the 2022 Clinical Guidelines for Vascular Access Devices. The required items for PICC care procedures were photographed and used to create 3D object elements and animations for developing AR scenarios and interactive gaming elements. The design and content of the "PICC AR Exploration APP" are described as follows: Game Design Concept: The "PICC AR Exploration APP" includes a learning unit system and a quiz unit system: Learning Unit System Content: Topic 1: Updates to guidelines and an introduction to clinical applications. Topic 2: PICC catheter care, dressing change steps, and techni | Other | Experimental Group |
| Classroom Teaching and Case SharingIntroduction to Updated CVAD-PICC Guidelines and Clinical Applications PICC Catheter Care Management of Common PICC-Related Complications Case Sharing on PICC Complication Management: Researchers | Other | Control Group |
Primary outcome
PICC care Knowledge scale、Clinical Reasoning Scale
Time frame: 6months
Primary Outcome Measures: PICC Care Knowledge Scale Description: This scale measures participants' knowledge of PICC care. Time Frame: Baseline, immediately post-intervention, 6 weeks post-intervention. Clinical Reasoning Scale Description: This scale evaluates participants' clinical reasoning skills related to PICC care. Time Frame: Baseline, immediately post-intervention, 6 weeks post-intervention. Learning Engagement Scale Description: Measures participants' engagement levels during the learning process. Time Frame: Immediately post-intervention.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jan 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing PICC AR APP and Classroom Teaching and Case Sharing in people with Nursing Education, run by Taoyuan General Hospital at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
PICC care Knowledge scale、Clinical Reasoning Scale (time frame: 6months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jan 2025.