Aim and objectives This study was conducted to determine the effect of showing images of the foetus to the pregnant women with the virtual reality glass during labour process on labour pain, childbirth perception and anxiety level. Background Virtual reality is an effective and inexpensive method that allows the creation of simulated scenarios in which it interacts with the virtual environment with multisensory stimuli. Design This is a randomised controlled experimental study. This study was conducted with the guidelines of Consolidated Standards of Reporting Trials (CONSORT). The study was enrolled in the Clinical Trials database (NCT04664114). Methods The study included 100 pregnant women (50 intervention group and 50 control group). Ultrasound images of the foetus were recorded on the 28th week of pregnancy of the women in the intervention group. These images were shown to the women with the virtual reality glass during labour process. Routine procedures were carried out for the women in the control group. The Visual Analog Scale (VAS) was applied to both groups when cervical dilatation was 4 cm and 9 cm. The Women's Perception for the Scale of Supportive Care Given During Labor (POBS) and the Perinatal Anxiety Screening Scale (PASS) were applied almost two hours after labour. Results The VAS scores of the women in the intervention group with 9 cm dilatation and their PASS mean scores were significantly lower than women in the control group while their POBS score were significantly higher (p < 0.01). Conclusion The results of this study show that showing images of the foetus to women with virtual reality decreased labour pain and anxiety level. Relevance to clinical practice It is known that supportive care given during labour is important both for the mother's and baby's health. Therefore, it is important that nurses and midwives, who spend the most time with women and provide the most support, reduce the pain and anxiety of the woman with nonpharmacological practices and make them feel positive feelings about delivery.

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ÖZAmaç: Araştırma; hemşirelerin özyeterlilik algıları ile problem çözme becerilerinin incelenmesi amacıyla tanımlayıcı-ilişki arayıcı bir çalışma olarak gerçekleştirildi. Yöntem: Araştırmanın evrenini, bir üniversite hastanesinde çalışan hemşireler örneklemini ise, evren içinden çalışmaya katılmayı kabul eden ve ulaşılabilen hemşireler oluşturdu (n=392). Çalışmanın verileri, "Hemşire Bilgi Formu", "Öz-Etkililik-Yeterlilik Ölçeği (ÖEYÖ)" ve "Problem Çözme Envanteri (PÇE)" ile toplandı. Bulgular: Çalışmaya katılan hemşirelerin yaş ortalamalarının 26,76±5,90 yıl, %67,3'ünün kadın, %52,0'sinin bekar, %52,3'nün sağlık meslek lisesi, %36,7'sinin lisans ve üzeri mezuniyet derecesine sahip, %4,6'sının lisansüstü mezunu olduğu saptandı. Ayrıca hemşirelerin serviste (%52,3), vardiya sistemine göre (%64,0), hemşire ünvanı ile (%93,9) ortalama 6,19±4,55 yıldır görev yaptığı belirlendi. Hemşirelerin ÖEYÖ puan ortalaması 86,93±12,76 ve PÇE puan ortalaması 93,32±22,24 olarak belirlendi ve aralarında istatistiksel açıdan negatif yönde, güçlü ve çok ileri düzeyde anlamlı bir ilişki olduğu saptandı (p≤0,01). Ayrıca öz-yeterlilik algısı üzerine etki oranına göre sırasıyla; problem çözme becerisi, mezuniyet sonrası problem çözme konusunda eğitim alma durumu ve mesleki ünvan problem çözme becerisine ise; mesleki deneyim süresi gibi bağımsız değişkenlerin istatistiksel açıdan ileri düzeyde anlamlı katkısının olduğu saptandı (p≤0,01). Sonuç: Hemşirelerin öz-yeterlilik algılarının iyi düzeyde; problem çözme becerilerinin orta düzeyde olduğu belirlendi. Ayrıca öz-yeterlilik algısı ile problem çözme becerisi arasında güçlü bir ilişkinin olduğu sonucuna varıldı. ABSTRACTObjective: This research study was performed as a descriptive and correlational analysis to investigate nurses' self-efficacy perceptions and problem solving abilities. Methods: The study population was composed of the nurses working in a university hospital, while the sampling consisted of those accepting to take part in the study (n=392). The data were collected through the "Nurses' Information Questionnaire", the "Self-Efficacy-Scale (SES)" and the "Problem Solving Inventory (PSI)". Results: It was determined that mean age of the nurses who participated in the study was 26.76±5.90 years and 67.3% of them were women. While 52.0% of them single, and 52.3% had graduated from vocational high school. Besides, 36.7% of them had undergraduate and higher education and 4.6% of them postgraduate education. It was also determined that 52.3% of the nurses were working in the service, 64.0% of them were serving according to the shift system under the title of nurse (93.9%) for a mean period of 6.19±4.55 years Mean SES and PSI scores of nurses' were 86.93±12.76 and 93.32±22.24, respectively. A statistically negative but strong and highly significant correlation was determined between the nurses' mean SES and PSI scores (p≤0.01). Besides, a statistically, and extremely significant contribution of independent variables in order of increasing effect rate to self-efficacy perception in...

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