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Updated: May 23, 2025

The use of Biofeedback in Clinical Virtual Reality: The INTREPID Project
Published on: November 12, 2009
Using Virtual Reality to Improve Nurses Response to Stressful Situations in the Clinical Environment
Suzanne Knight1, Leah Shever-Doletzky, Paul Edick
1Author Affiliations: Educational Nurse Specialist (Dr Knight), Director of Nursing Research, Quality and Innovation (Dr Shever-Doletzky), Staff Nurse (Dr Edick), former Chief Nurse Executive (Dr May), University of Michigan Health of Michigan Medicine.
Purpose:
This study examines the use of an immersive virtual reality (VR) experience to reduce burnout by building nurses' confidence and skill to deal with stressful situations at work.
Background:
Stress and burnout are linked to higher turnover and nurses leaving the profession. During the study, nurses engaged in a stressful workplace scenario, learned about mindfulness, and practiced relaxation using a VR headset.
Methods:
A prospective, quantitative, intervention design measured perceived knowledge, confidence, and stress levels and system usability. Wilcoxon signed-rank test and descriptive frequencies were used.
Results:
Of the 85 nurse participants, there was a significant difference between the preactivity and postactivity confidence, perceived knowledge about managing stress at work, and their stress levels. Findings demonstrated an acceptable usability level.
Conclusion:
The study demonstrates a significant impact from VR technology on nurse wellness. VR is an efficient/effective activity to implement and is easily replicated across healthcare settings.
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