The purpose of this study is to develop and evaluate AI-based virtual reality teaching resources aimed at enhancing nursing students' competencies in assessing, communicating with, and managing patients experiencing auditory hallucinations. Specifically, this study seeks to improve the ability of nursing students to effectively assess auditory hallucinations, facilitate better communication with patients experiencing such disturbances, and strengthen their skills in managing these symptoms through the implementation of virtual reality-based educational scenarios.
Nursing students who are about to undertake their psychiatry practicum.
Those who are willing to join the study and sign the consent form.
Those who are willing to bring a smartphone to connect with VR360 and watch the video.
Those who are willing to use their smartphone for research purposes (a smartphone will be provided by the research team if needed).
Individuals with hearing or vision impairments
Parallel
AR/VR technology-based training
BehavioralStudents will receive AR/VR Technology and OSCE in a Virtual Clinical Environment to learn how to assess and manage patients with auditory hallucination. The course was designed as a diverse and interactive learning experience, integrating a virtual clinical environment for auditory hallucinations with the application of Objective Structured Clinical Examination (OSCE). The practicum lasts approximately 15 days, with 8 hours per day. The teaching activities of the course will be held 5 times on days 4, 6, 8, 10, and 12 of the practicum. Additionally, students will have access to the AR/VR materials for self-practice during the practicum.
traditional vedio and discussion group
BehavioralStudents will receive a traditional course on auditory hallucination assessment, which includes watching educational videos and participating in a general discussion group on auditory hallucinations. The practicum lasts approximately 15 days, with 8 hours per day. The teaching activities of the traditional course will be held 5 times on days 4, 6, 8, 10, and 12 of the practicum.
Auditory Hallucination Situational Involvement and Empathy
To assess the impact of the intervention on empathy, Schutte and Stilinović's (2017) method was used, employing the Situational Scale of Empathetic Responses (SSER) with 15 items. These are divided into two categories: ① Empathic Perspective Taking (7 items) and ② Empathic Concern (8 items). Participants imagined interacting with a person hearing voices and rated the items on a 5-point Likert scale, from \'strongly disagree\' (1) to \'strongly agree\' (5). Higher scores indicate greater empathy in auditory hallucination scenarios.
OSCE Evaluation Form for Auditory Hallucination Assessment and Intervention
This form is part of the \"Application of AR/VR Technology and OSCE in a Virtual Clinical Environment\" teaching practice project. Both the experimental and control groups will watch videos; however, the control group will watch standard videos, while the experimental group will use AR/VR technology within a virtual clinical environment. Both groups will be assessed using OSCE combined with the virtual clinical environment. The evaluation form, developed by the researcher, will undergo content validity review by experts once the videos are completed. Different versions of the virtual clinical environment and OSCE assessment will be used before and after the intervention. The study plans to develop four different versions, all of which will be reviewed by experts and piloted.
Self-Assessment Questionnaire on Confidence in Auditory Hallucination Assessment and Intervention
This section consists of a self-designed questionnaire by the researcher, primarily aimed at measuring students\' confidence levels before and after the implementation of the teaching intervention. It includes 7 items and serves as a simple assessment tool.
Nursing Students' Knowledge, Attitudes, and Perceived Empathy Toward Auditory Hallucinations
This assessment tool, developed by Mawson (2014), consists of 11 items related to statements about knowledge, attitudes, and empathy toward auditory hallucinations. Nursing students are asked to respond to these statements using a 5-point Likert scale, with responses ranging from \"strongly agree\" (5) to \"strongly disagree\" (1). These statements remain unchanged in the questionnaire.
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