Evidence map›Paper›PMID 42682951›Full record

ArticleDigital health

Working under pressure: How virtual reality and psychoeducation shape stress and moral distress responses in nurses.

Karisa Parkington, Marianne Rouleau-Tang, Amit Bhat, Josh Martin, Alice Rueda, Bazen Gashaw Teferra, Yuqing Liu, Martin Ivanov, Benjamin C Darnell, Lindsay Beavers and 12 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

22 authors.

Karisa ParkingtonInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-5886-0228
Marianne Rouleau-TangInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Amit BhatInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Josh MartinInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Alice RuedaInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Bazen Gashaw TeferraInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Yuqing LiuDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Martin IvanovInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Benjamin C DarnellMassachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, MA, USA.
Lindsay BeaversAllan Waters Family Simulation Program, Unity Health Toronto, Toronto, ON, Canada.
Douglas M CampbellAllan Waters Family Simulation Program, Unity Health Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-7046-0959
Andrei TorresMaxSIMhealth Group, Ontario Tech University, Oshawa, ON, Canada.ORCID https://orcid.org/0000-0003-2334-1919
Wendy LouDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Anthony NazarovMacDonald Franklin OSI Research Centre, Lawson Health Research Institute, London, ON, Canada.
Andrea R AshbaughSchool of Psychology, University of Ottawa, Ottawa, ON, Canada.
Brett LitzMassachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, MA, USA.
Rakesh JetlyInstitute of Mental Health Research, University of Ottawa, Ottawa, ON, Canada.
Gillian StrudwickCentre for Addiction & Mental Health, Toronto, ON, Canada.
Adam DubrowskiMaxSIMhealth Group, Ontario Tech University, Oshawa, ON, Canada.
Bill KapralosMaxSIMhealth Group, Ontario Tech University, Oshawa, ON, Canada.
Sridhar KrishnanDepartment of Electrical, Computer, and Biomedical Engineering, Toronto Metropolitan University, Toronto, ON, Canada.
Venkat BhatInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-8768-1173

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Nurses face high levels of stress, particularly in high-pressure environments, such as hospitals. Digital interventions, including virtual reality (VR), offer promising avenues for educating frontline workers, monitoring momentary distress, and delivering evidence-based stress-reduction programs. Objectives: This study examined: (1) the tolerability, realism, and utility of a VR simulation for eliciting and monitoring stress among nurses; (2) within- (repeated measures) and between- (demographics) participant differences in stress and moral distress responses throughout the VR simulation and across runs; (3) knowledge retention of psychoeducation content; and (4) perceived success and helpfulness of stress-reduction strategies. Methods: Nursing professionals ( Results: The VR simulation elicited distinct non-linear trajectories of acute stress and moral distress across simulation checkpoints and runs. The intervention was well-tolerated with low cybersickness (VRSQ: Conclusion: Our hospital-based immersive VR simulation is a feasible and ethically sound method for inducing and monitoring stress and moral distress in nurses. Findings underscore the importance of triangulating self-report and objective measures to assess intervention effectiveness and inform future digital health education strategies.

Indexed as

Dunning-Kruger effectfrontline healthcare workersMIOS-4moral distressnursespsychoeducation interventionstresssubjective units of distress scale (SUDS)virtual reality (VR)

Identifiers

PMID42682951
PMCPMC13530541

What OpenQuestion holds

Textmetadata
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.