Evidence map›Paper›PMID 39989032›Full record

ArticleNursing in critical care2025

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.

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

Abstract readClinical Trial Protocol
In one paragraph

Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Neonatal Critical Care Nursing.Nursing in critical care · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Saumil DesaiNeonatal Intensive Care Unit, Perth Children's Hospital, Nedlands, Western Australia, Australia.ORCID 0000-0001-5183-3385
Gayatri Athalye-JapeSchool of Medicine, The University of Western Australia, Crawley, Western Australia, Australia.
Sarah BottcherNeonatal Intensive Care Unit, Perth Children's Hospital, Nedlands, Western Australia, Australia.
Catherine CampbellNeonatal Intensive Care Unit, Perth Children's Hospital, Nedlands, Western Australia, Australia.
Debbie ChiffingsNeonatal Intensive Care Unit, Perth Children's Hospital, Nedlands, Western Australia, Australia.
Elizabeth NathanDepartment of Biostatistics, The University of Western Australia, Crawley, Western Australia, Australia.
Ali FardinpourDesign Services, Wise Realities, Perth, Western Australia, Australia.
Lindsay KinnairdCAHS IT and Digital Health, Child and Adolescent Health Service, Perth Children's Hospital, Nedlands, Western Australia, Australia.
Max BulsaraDepartment of Biostatistics, University of Notre Dame, Fremantle, Western Australia, Australia.
Shripada RaoNeonatal Intensive Care Unit, Perth Children's Hospital, Nedlands, Western Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth 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.

aimTo report on the safety and feasibility of VR immersion experience in busy tertiary NICU HCPs. STUDY

designTen 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.

resultsAnalyses 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.

conclusionsVR 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.

Indexed as

FatigueHealth PersonnelOccupational StressStress, PsychologicalVirtual RealityWorkloadAdultFeasibility StudiesFemaleHumansIntensive Care Units, NeonatalMaleRandomized Controlled Trials as TopicSurveys and Questionnairesfeasibilityhealth care professionalsstress reductionstudy protocolvirtual reality

Identifiers

PMID39989032
PMCPMC11848232

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.