## Protocol Section
### Identification Module
**NCT ID:** NCT06413394

**Brief Title:** Virtual Reality, Empathy and Environmental Ethics.

**Official Title:** The Effect of Virtual Reality Supported Environmental Ethics Approaches Education on Nurse's Empathy and Environmental Ethics Awareness Levels

#### Organization Study ID Info
**ID:** ArdahanUniversiserhatduzenci01
#### Organization
**Class:** OTHER
**Full Name:** Ardahan University
### Status Module
#### Completion Date
**Date:** 2023-06-15

**Type:** ACTUAL

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2024-05-21

**Type:** ACTUAL

**Last Update Submit Date:** 2024-05-20

**Overall Status:** COMPLETED

#### Primary Completion Date
**Date:** 2023-04-30

**Type:** ACTUAL

#### Start Date
**Date:** 2022-10-01

**Type:** ACTUAL

**Status Verified Date:** 2024-05

#### Study First Post Date
**Date:** 2024-05-14
**Type:** ACTUAL
**Study First Submit Date:** 2024-05-09
**Study First Submit QC Date:** 2024-05-13
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER

**Name:** Ardahan University

#### Responsible Party

**Type:** SPONSOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

**Oversight Has DMC:** False

### Description Module

**Brief Summary:** Environmental ethics is a sub-branch of ethics that determines moral values and principles towards the environment. It is the common responsibility of all humanity to improve and protect the environment/nature and to hand it over to the next generations. For this reason, every segment of society should have environmental ethics awareness. Empathy is an important concept in raising awareness of environmental ethics. It is stated that the awareness of environmental ethics is also developed in people who have developed empathy skills. For this reason, it is recommended to create training programs that enable people to develop their empathy skills. The formation and establishment of environmental ethics awareness in people can prevent the occurrence of environmental problems. This can be achieved by providing an effective environmental education. Technological developments such as virtual reality can be used in environmental education. Virtual reality technologies are called empathy machines as they create a sense of presence in users. For this reason, the perception of presence in virtual reality and being included in the narrative are effective in developing empathy in the person. It is stated that the perspectives acquired in virtual reality develop empathy and encourage behaviors in favor of society in a few weeks. Virtual reality technologies are useful for us researchers, both in terms of developing empathy towards environmental problems and creating awareness of environmental ethics as an educational tool. For this reason, in this study, the effect of virtual reality supported environmental education on nurses' empathy and environmental ethics awareness levels was tried to be examined with a quasi-experimental research.

**Detailed Description:** RESEARCH DESIGN This research is a three-arm randomized controlled experimental study conducted prospectively to compare the effect of virtual reality-supported environmental education on nurses' environmental ethics approaches and empathy levels.

LOCATION AND CHARACTERISTICS OF THE STUDY This research was conducted at a State Hospital located in a province in the Eastern Anatolia Region between 01.10.2022 and 31.04.2023. The hospital consists of primary adult intensive care, secondary adult intensive care, secondary neonatal intensive care, six-bedded wards, operating theatre service, emergency department, palliative care unit, dialysis unit, and outpatient care service. The working hours of the hospital are organized in two shifts, 08.00-16.00 and 16.00-08.00, or 24 hours (full day).

POPULATION AND SAMPLE SELECTION The research was conducted with 91 nurses who volunteered to participate from among 101 nurses working at a State Hospital in a province in the Eastern Anatolia Region between 01.10.2022 and 31.04.2023. The total sample size was calculated as 90 (n=90) using G-POWER program with .4 (Cohen) effect size, 92% power, and .05 error margin based on percentage measurement values of the methods to be studied obtained from literature review (Faul et al., 2007). Considering possible losses, 33 nurses were planned to be included in each group, and randomization was performed over 91 nurses. None of the nurses included in the study met the exclusion criteria, and the study was concluded with 91 nurses.

Inclusion Criteria for the Sample

* Being a nurse working at the relevant State Hospital
* Volunteering to participate in the research
* Not having received virtual reality-supported environmental education before

Exclusion Criteria for the Sample

* Not being a nurse working at the relevant State Hospital
* Not volunteering to participate in the research
* Having received virtual reality-supported environmental education before

Criteria for Withdrawal from the Sample

* Being absent at any time during the research process
* Not completing the environmental education

Dependent and Independent Variables of the Study The main independent variable of the study is virtual reality-supported environmental education. Other sub-variables are data obtained through the "Nurse Introduction Form" and the "Empathy Level Determination Scale." The dependent variable of the study is data obtained through the "Environmental Ethics Approaches Scale."

FORMS AND SCALES USED IN DATA EVALUATION The "Nurse Introduction Form," "Empathy Level Determination Scale," and "Environmental Ethics Approaches Scale" were used in the study

### Conditions Module

**Conditions:**

- Virtual Reality

### Design Module

#### Design Info

**Observational Model:** COHORT

**Time Perspective:** PROSPECTIVE

#### Enrollment Info

**Count:** 91

**Type:** ACTUAL

**Study Type:** OBSERVATIONAL

### Arms Interventions Module

#### Arm Group 1

**Description:** virtual reality supported environmental education group

**Intervention Names:**

- Other: environmental education

**Label:** Virtual reality supported environmental education group

#### Arm Group 2

**Description:** the group that will not receive virtual reality-supported environmental education

**Intervention Names:**

- Other: environmental education

**Label:** The group that will not receive virtual reality-supported environmental education

#### Arm Group 3

**Description:** control group

**Label:** Control group

### Interventions

#### Intervention 1

**Arm Group Labels:**

- The group that will not receive virtual reality-supported environmental education

- Virtual reality supported environmental education group

**Description:** environmental education

**Name:** environmental education

**Type:** OTHER

### Outcomes Module

#### Primary Outcomes

**Description:** Scale for environmental ethics approaches pre-test

**Measure:** Scale for Environmental Ethics Approaches

**Time Frame:** 15/11/2022-31/12/2022

**Description:** Scale for environmental ethics approaches post-test

**Measure:** Scale for Environmental Ethics Approaches

**Time Frame:** 16/02/2023-28/03/2023

**Description:** Adaptation of Empathy Quotient (EQ) Scale pre-test

**Measure:** Adaptation of Empathy Quotient (EQ) Scale

**Time Frame:** 15/11/2022-31/12/2022

**Description:** Adaptation of Empathy Quotient (EQ) Scale post-test

**Measure:** Adaptation of Empathy Quotient (EQ) Scale

**Time Frame:** 16/02/2023-28/03/2023

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

* Nurses working in ardahan state hospital

Exclusion Criteria:

* Nurses not working in ardahan state hospital

**Healthy Volunteers:** True

**Sampling Method:** NON_PROBABILITY_SAMPLE

**Sex:** ALL

**Standard Ages:**

- CHILD

- ADULT

- OLDER_ADULT

**Study Population:** Nurses

### Contacts Locations Module

#### Locations

**Location 1:**

**City:** Ardahan

**Country:** Turkey

**Facility:** Ardahan Devlet Hastanesi

**State:** Centrium

**Zip:** 75000

#### Overall Officials

**Official 1:**

**Affiliation:** Ardahan University

**Name:** Bahanur Malak Akgün

**Role:** PRINCIPAL_INVESTIGATOR

### IPD Sharing Statement Module

**Description:** gender, total working time, age, marital status

**IPD Sharing:** NO

## Derived Section

### Misc Info Module

- Version Holder: 2024-05-31
