Comparing Mixed Reality, Video-Based, and Instructor-Led Training for Nasogastric Tube Insertion in Nursing Students

Summary

This study explores how nursing students learn to insert a nasogastric tube (NGT), a common but potentially risky clinical procedure. The goal is to compare three different teaching methods:

Mixed Reality (MR) glasses with virtual instructions Video-based learning Traditional instructor-led training

The study investigates which method leads to better learning outcomes, how usable the technologies are, and how students experience MR in their learning.

Participants will be first-year nursing students with no prior experience in NGT insertion. They will be randomly assigned to one of the three training methods, complete the procedure, and answer questionnaires about their performance and experience. Six months later, they will repeat the procedure to assess long-term learning.

Conditions

• Education, Nursing Students
• Clinical Competence
• Teaching Innovation
• Nasogasrtic Tube Insertion
• User Experience
• Teaching Method

Interventions

DEVICE

Mixed Reality NGT Training

Participants use Meta Quest 3 mixed reality glasses with a stepwise instructional application developed in CTRL Studio. The application provides interactive virtual guidance for nasogastric tube (NGT) insertion. Students receive technical familiarization before practice. Content is standardized and identical to other groups.

DEVICE

Video-Based NGT Training

Participants watch a video of the NGT insertion procedure recorded from the operator's point of view using a head-mounted, voice-controlled smart camera. The video is identical to the MR and instructor-led groups and can be replayed during practice. No verbal guidance is provided during the procedure.

BEHAVIORAL

Instructor-Led NGT Training

Participants receive classroom-based instruction including theoretical slides and a live demonstration of the NGT insertion procedure. Students practice individually on a manikin under teacher supervision. The teacher answers questions but does not provide step-by-step coaching.

Sponsors & Collaborators

• Turku University of Applied Sciences

  collaborator UNKNOWN

• University of Turku

  lead OTHER

Principal Investigators

• Marika Leppänen, Doctoral Researcher · University of Turku, Department of Nursing Science

• Heli Virtanen, Professor · University of Turku, Department of Nursing Science

• Minna Kyttälä, Professor · University of Turku, Department of Education

• Teijo Lehtonen, Doctor of Science (Technology) · University of Turku, Department of Computing

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2025-02-12

Primary Completion

2027-04-30

Completion

2027-04-30

Countries

• Finland

Study Locations