Background/Objectives: This study aimed to evaluate the effects of artificial intelligence (AI)-assisted virtual reality (VR) applications on preoperative anxiety levels and vital signs in children undergoing endoscopy. Methods: A randomized controlled trial design was employed, including a total of 80 children aged 8–17 years (40 in the intervention group and 40 in the control group). Children in the intervention group were exposed to VR applications featuring space and underwater themes, while the control group received standard procedures. Anxiety levels were assessed using the “State-Trait Anxiety Inventory for Children (STAIC)”, and vital signs were evaluated through measurements of systolic and diastolic blood pressure, heart rate, temperature, and SpO₂. Results: VR applications significantly reduced anxiety scores in the intervention group (36.3 ± 1.9), while no significant changes were observed in the control group (45.4 ± 2.74) (p < 0.001). Regarding vital signs, more favorable outcomes were observed in the intervention group. Systolic blood pressure was measured as 89 ± 6.7 mmHg in the intervention group and 96.5 ± 10.5 mmHg in the control group (p < 0.001). Diastolic blood pressure was 60.8 ± 4.7 mmHg in the intervention group and 63.8 ± 6 mmHg in the control group (p < 0.05). Heart rate was recorded as 88.7 ± 10.1 bpm in the intervention group and 94.5 ± 14.8 bpm in the control group (p < 0.05). SpO₂ levels were 98 ± 1 in the intervention group and 96.2 ± 1.3 in the control group (p < 0.001). Conclusions: AI-assisted VR applications emerge as an effective non-pharmacological method for reducing preoperative anxiety and promoting physiological stability in children. This approach holds the potential to enhance pediatric experiences during invasive procedures such as endoscopy.

This study was conducted to examine the relationship between twenty-first century skills and career decision-making levels of nursing students. It is a descriptive study using the relational screening model. The research was conducted with 254 students studying in the nursing department of a state university. Data were collected with online survey forms using the Personal Information Form, 21st Century Skills Scale and Career Decision Scale. 254 students participated in the research. When the scores obtained from the scales and the class status of the students were examined, it was determined that the 21st Century Skills Scale differed in terms of the students' class status (p <0.05). In terms of 21st Century Skills and career decision-making level, the mean scores of 2nd grade, 3rd grade and 4th grade students were found to be similar. However, it was determined that the average score of 1st grade students was relatively lower than the average score of 2nd, 3rd and 4th grade students. A statistically significant relationship was found between the scales (p<0.05). This relationship was found to be 54.8% positive. It was determined that as the "Career Decision Scale" score increased, the "21st Century Skills Scale" score also increased. It is thought that providing students with 21st century skills in nursing education can contribute to their future career development. Keywords: 21st century skills, Nursing, Nursing students, Career decision making. Bu çalışma, hemşirelik bölümü öğrencilerinin yirmi birinci yüzyıl beceri ve kariyer kararı verme düzeyleri arasındaki ilişkinin incelenmesi amacıyla yapılmıştır. İlişkisel tarama modeli kullanılan tanımlayıcı bir çalışmadır. Araştırma, bir devlet üniversitesinin hemşirelik bölümünde öğrenim gören 254 öğrenciyle yürütülmüştür. Veriler, Kişisel Bilgi Formu, 21.Yüzyıl Beceri Ölçeği ve Kariyer Kararı Ölçeği kullanılarak, çevrimiçi oluşturulan anket formları ile toplanmıştır. Araştırmaya 254 öğrenci katılmıştır. Ölçeklerden elde edilen puanlar ile öğrencilerin sınıf durumu incelendiğinde, 21.Yüzyıl Becerileri Ölçeğinin, öğrencilerin sınıf durumu açısından farklılık gösterdiği belirlenmiştir (p<0.05). 21.Yüzyıl Becerileri ve kariyer karar verme düzeyi açısından bakıldığında, 2. sınıf, 3. sınıf ve 4. sınıf öğrencilerin puan ortalamaları benzer bulunmuştur. Ancak 1.sınıf öğrencilerin puan ortalaması 2. 3. ve 4. sınıfta yer alan öğrencilerin ortalamasından nispeten daha düşük olduğu tespit edilmiştir. Ölçekler arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur (p<0,05). Bu ilişkinin, %54,8’lik pozitif yönlü olduğu görülmüştür. “Kariyer Kararı Ölçeği” puanı arttıkça 21.Yüzyıl Becerileri Ölçeği” puanının da arttığı belirlenmiştir. Hemşirelik eğitiminde 21. Yüzyıl becerilerinin öğrencilere kazandırılmasının ileriki kariyer gelişimlerine katkı sağlayabileceği düşünülmektedir. Anahtar Kelimeler: 21. yüzyıl becerileri, Hemşirelik, Hemşirelik öğrencileri, Kariyer kararı verme.