# Acceptance of Virtual Reality Simulation Training for Stoma Care by Healthcare Providers: A Pilot Questionnaire Study After Viewing Prototype Imagings

## TL;DR

Healthcare providers, especially non-WOC nurses, showed strong interest in using VR simulations for stoma care training, finding it as effective as standard methods.

## Contribution

A novel VR training system for stoma care was developed and shown to be well-accepted, particularly by non-specialist nurses.

## Key findings

- Over 90% of participants viewed VR simulation training as applicable in clinical settings.
- Non-WOC nurses showed significantly higher interest in using the VR system compared to WOC nurses.
- Healthcare providers found the VR training experience acceptable and comparable to standard care.

## Abstract

Objectives: Educational simulation systems using virtual reality (VR) with head-mounted devices are spreading into the medical field. We developed an innovative training system whereby experienced ostomates can share their proficient stoma self-care techniques with novice ostomates through VR simulations, enabling anytime, anywhere learning. We examined the questionnaire study to assess the acceptance of VR simulation training for stoma care by healthcare providers.

Methods: This study was conducted for the participants, nurses, and doctors, at the 39th Kyushu Stoma Rehabilitation Research Meeting with the organizer’s permission. We created two VR simulation prototypes from the perspective of ostomates and caregivers using modeled stomas. We conducted a qualitative study through a questionnaire with healthcare professionals regarding their experiences of viewing VR videos.

Results: The study included 20 (52.6%) nurses certified in wound, ostomy, and continence (WOC) care, 16 (42.1%) non-WOC nurses, and two (5.3%) medical doctors. Over 90% of participants showed a positive inclination towards the practical application of the system in clinical settings for both scenarios. A significantly higher number of nurses in the non-WOC nurse group expressed a definite interest in using the imaging from the ostomate’s perspective versus that in the WOC nurse group (81.3% vs. 40%, P=0.013).

Conclusions: From this survey, we concluded that the respondents felt a VR training system was a positive experience, to say it is acceptable means that it was as good as the standard of care. ​​​​​​Particularly, non-WOC nurses, with fewer opportunities in stoma care compared to WOC nurses, showed stronger interest in practically implementing this innovative training system.