GamificationNCT05644015
The Use of Escape Room Game in Nursing Students' Learning About Parenteral Drug Administration.
A study testing escape room game in people with Gamification, run by Sakarya University at 1 site in Turkey (Türkiye).
Trial summary
This study was conducted as a randomized controlled experimental design with a pretest-posttest control group in order to determine the effect of the education given to nursing students with the escape room game on the students' learning of parenteral drug administration. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Gamification
- What is being tested?
- escape room game
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 72 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 25 May 2022to 15 Jun 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Enrolling for the first time in Nursing Fundamentals II Course,
- Being willing to participate in the research
Who cannot join
- Having a high school, associate or undergraduate degree in a health-related field,
- It is the inability to use the Turkish language effectively.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of the Education Given With the Escape Room Game on the Learning of Parenteral Drug Administration by Nursing Students.
This study was conducted as a randomized controlled experimental design with a pretest-posttest control group in order to determine the effect of the education given to nursing students with the escape room game on the students' learning of parenteral drug administration. 72 students enrolled in Nursing Fundamentals II Course in the Spring Semester of 2021-2022 Academic Year at Gazi University Faculty of Health Sciences Nursing Department were included in this study. The students were divided into two groups, 36 control and 36 experimental, by randomization method. Written permission was obtained from the ethics committee and the institution in order to conduct the study. Data were collected with "Descriptive Characteristics Form", "Parenteral drug administration Knowledge Test", "Parenteral drug administration Checklists" and "Game Evaluation Form". The first knowledge (pre-test) and skills (Objective structured clinical exam=OSCE) were measured after the parenteral drug administration theoretical course and the skill course in the laboratory were given to the sample group. The sample group was assigned to the experimental and control groups according to the first knowledge and skill measurements. The experimental group played the escape room game in groups of 4 each. The control group was given the right to work independently in the laboratory. The game was played once in the experimental group. Then, the final knowledge (post-test) and final skills (OSCE) of the experimental and control groups were measured. Independent sample t test, chi-square test, Pearson correlation test and dependent sample t test were used to evaluate the data.
Read the detailed description
First of all, after the theoretical course of parenteral drug administration was explained to the students in the control and experimental groups by the researchers, the course was applied on model patients in the skill laboratory of the faculty. Then, the knowledge and skills of both the experimental and control groups were measured. The knowledge of the students was measured by the knowledge test prepared by the researchers. The skills of the students were evaluated with the OSCE exam by using a checklist by instructors other than the researchers. Afterwards, the 'escape room' game was played by the researchers in the skill laboratory of the faculty with the experimental group. The control group, on the other hand, was given the right to work independently in the faculty's skill laboratory to perform the skills related to the subject. After the game, the knowledge and skills of both the experimental and control groups were measured again. The knowledge of the students was measured by the knowledge test prepared by the researchers. The skills of the students were evaluated with the OSCE exam by using a checklist by instructors other than the researchers. The game was played once with the experimental group. For the game, the experimental group (36) was divided into 9 groups of 4 people each. In the game, each student was expected to perform the related skill of the patient (model patient) in the related patient room in the skill laboratory, and to perform the activities (puzzle, puzzle, etc.) in the patient rooms together as a group.
Escape room game is a type of social game that requires groups of four to ten people to work together based on solving a series of puzzles to escape from a locked room. Although the escape room game is a social game, it has been used in education and training in the last few years. The game features puzzles that students must solve in a limited time to open the box by placing a set of locks on a closed box. Participants work together to find and solve clues around the room to unlock each of the locks.
Preparation of the escape room:
Gazi University Faculty of Health Sciences nursing basics skills laboratory has been transformed into an escape room. In order for the first year students to gain knowledge and skills about parenteral drug applications and reach their learning goals, four patient rooms in which parenteral drug administration skills are practiced in clinical order were created in the skill laboratory and made ready for the escape room game. In order for students to perform activities and skills related to the subject; locked chest box, number coded chest lock, stopwatch, blackboard, whistle, materials to be used in puzzle making, colored paper and cardboard, etc., on which activity questions are processed. Along with the materials, the medical materials (injector, sharps-drilling waste box, cotton, gloves, etc.) that the students will use while performing their parenteral drug administration skills were provided by the researchers.
In each patient room, model patient, patient bed, arm-hip model, bedside unit, bedside table, bedside table; nurse file and related activities developed by the researchers were placed. Curtains and screens were used to separate each patient bed from each other in order to create a patient room layout. The treatment car, which will be used to prepare the treatment of the patients, was placed in an area suitable for the skill laboratory by placing the necessary materials inside. In addition, a locked box and a whiteboard were placed in a suitable area in the middle of the skills lab. In this way, a clinical environment was created and the escape room was made ready. Escape room game rules were created by the researchers in order to determine the game limits and for the participants to understand the game easily.
- Conditions
- Gamification
- Being tested
- escape room game
- Keywords
- Escape room, Gamification, Nursing education
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
escape room gameOther
Escape room game is a live action team based game where players discover clues, solve puzzles and complete tasks in one or more rooms to accomplish a specific goal (usually by escaping the room) in limited time.
| Study group | Role | What they receive |
|---|---|---|
| experimental group (play group) | Experimental | The experimental group played the escape room game. The experimental group played the game once in total. Receives: Other: escape room game |
| control group | No intervention | No intervention was made in the control group. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Measuring the knowledge level of the sample group
The knowledge levels of all students participating in the study were measured with the 'parenteral drug administration knowledge test'.
The students (n:72) participating in the study were randomly assigned to the experimental (n:36) and control (n:36) groups according to their knowledge levels.
Measured: two days before randomization
Measuring the skill levels of the sample group
The skill levels of all students participating in the study were measured with 'parenteral drug administration checklists'.
Measured: two days before randomization
Secondary outcomes (2)
measuring the knowledge levels of the experimental and control groups
After playing the escape room game, the knowledge level of the experimental group was measured with the 'parenteral drug administration knowledge test'.
The knowledge level of the control group was measured with the 'parenteral drug administration knowledge test'.
Measured: two weeks after starting the intervention (post escape room game)
measuring the skills of the experimental and control groups
skills of the experimental group after playing the escape room game measured with the 'parenteral drug administration checklist'. The skills of the control group were measured with the 'parenteral drug administration checklist'.
Measured: two weeks after starting the intervention (post escape room game)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Dec 2022
- Study start25 May 2022
- Primary completion28 May 2022
- Study completion15 Jun 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for GamificationStudies of the same condition, open and under way.
- More trials run by Sakarya UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 72 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sakarya University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Nurhan Aktaş, Principal investigator, researcher
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05644015
- Sponsor's protocol ID
- Health Sciences
- Status last verified
- Dec 2022
- First submitted
- 17 Nov 2022
- Last updated
- 9 Dec 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Darby W, Bergeron P, Brown N, DeFoor M, Jones B. Escape Room Relay Race: "Go for the Gold" in Formative Assessment. J Nurs Educ. 2020 Nov 1;59(11):646-650. doi: 10.3928/01484834-20201020-09.
PubMed 33119778Roman P, Rodriguez-Arrastia M, Molina-Torres G, Marquez-Hernandez VV, Gutierrez-Puertas L, Ropero-Padilla C. The escape room as evaluation method: A qualitative study of nursing students' experiences. Med Teach. 2020 Apr;42(4):403-410. doi: 10.1080/0142159X.2019.1687865. Epub 2019 Nov 18.
PubMed 31738615
Study at a glance
From the registry record, last updated by the sponsor on 9 Dec 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of the Education Given With the Escape Room Game on the Learning of Parenteral Drug Administration by Nursing Students.
- ClinicalTrials.gov ID
- NCT05644015
- Acronym / sponsor ID
- Health Sciences
- Conditions
- Gamification
- Keywords
- Escape room, Gamification, Nursing education
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 72 participants (actual)
- Lead sponsor
- Sakarya UniversityUniversity, hospital or other
- Study start
- 25 May 2022 (actual)
- Primary completion
- 28 May 2022 (actual)
- Study completion
- 15 Jun 2022 (actual)
- First posted
- 9 Dec 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was conducted as a randomized controlled experimental design with a pretest-posttest control group in order to determine the effect of the education given to nursing students with the escape room game on the students' learning of parenteral drug administration. 72 students enrolled in Nursing Fundamentals II Course in the Spring Semester of 2021-2022 Academic Year at Gazi University Faculty of Health Sciences Nursing Department were included in this study. The students were divided into two groups, 36 control and 36 experimental, by randomization method. Written permission was obtained from the ethics committee and the institution in order to conduct the study. Data were collected with "Descriptive Characteristics Form", "Parenteral drug administration Knowledge Test", "Parenteral drug administration Checklists" and "Game Evaluation Form". The first knowledge (pre-test) and skills (Objective structured clinical exam=OSCE) were measured after the parenteral drug administration theoretical course and the skill course in the laboratory were given to the sample group. The sample group was assigned to the experimental and control groups according to the first knowledge and skill measurements. The experimental group played the escape room game in groups of 4 each. The control group was given the right to work independently in the laboratory. The game was played once in the experimental group. Then, the final knowledge (post-test) and final skills (OSCE) of the experimental and control groups were measured. Independent sample t test, chi-square test, Pearson correlation test and dependent sample t test were used to evaluate the data.
Detailed description
First of all, after the theoretical course of parenteral drug administration was explained to the students in the control and experimental groups by the researchers, the course was applied on model patients in the skill laboratory of the faculty. Then, the knowledge and skills of both the experimental and control groups were measured. The knowledge of the students was measured by the knowledge test prepared by the researchers. The skills of the students were evaluated with the OSCE exam by using a checklist by instructors other than the researchers. Afterwards, the 'escape room' game was played by the researchers in the skill laboratory of the faculty with the experimental group. The control group, on the other hand, was given the right to work independently in the faculty's skill laboratory to perform the skills related to the subject. After the game, the knowledge and skills of both the experimental and control groups were measured again. The knowledge of the students was measured by the knowledge test prepared by the researchers. The skills of the students were evaluated with the OSCE exam by using a checklist by instructors other than the researchers. The game was played once with the experimental group. For the game, the experimental group (36) was divided into 9 groups of 4 people each. In the game, each student was expected to perform the related skill of the patient (model patient) in the related patient room in the skill laboratory, and to perform the activities (puzzle, puzzle, etc.) in the patient rooms together as a group.
Escape room game is a type of social game that requires groups of four to ten people to work together based on solving a series of puzzles to escape from a locked room. Although the escape room game is a social game, it has been used in education and training in the last few years. The game features puzzles that students must solve in a limited time to open the box by placing a set of locks on a closed box. Participants work together to find and solve clues around the room to unlock each of the locks.
Preparation of the escape room:
Gazi University Faculty of Health Sciences nursing basics skills laboratory has been transformed into an escape room. In order for the first year students to gain knowledge and skills about parenteral drug applications and reach their learning goals, four patient rooms in which parenteral drug administration skills are practiced in clinical order were created in the skill laboratory and made ready for the escape room game. In order for students to perform activities and skills related to the subject; locked chest box, number coded chest lock, stopwatch, blackboard, whistle, materials to be used in puzzle making, colored paper and cardboard, etc., on which activity questions are processed. Along with the materials, the medical materials (injector, sharps-drilling waste box, cotton, gloves, etc.) that the students will use while performing their parenteral drug administration skills were provided by the researchers.
In each patient room, model patient, patient bed, arm-hip model, bedside unit, bedside table, bedside table; nurse file and related activities developed by the researchers were placed. Curtains and screens were used to separate each patient bed from each other in order to create a patient room layout. The treatment car, which will be used to prepare the treatment of the patients, was placed in an area suitable for the skill laboratory by placing the necessary materials inside. In addition, a locked box and a whiteboard were placed in a suitable area in the middle of the skills lab. In this way, a clinical environment was created and the escape room was made ready. Escape room game rules were created by the researchers in order to determine the game limits and for the participants to understand the game easily.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| experimental group (play group) | Experimental | Other: escape room gameThe experimental group played the escape room game. The experimental group played the game once in total. |
| control group | No intervention | –No intervention was made in the control group. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Enrolling for the first time in Nursing Fundamentals II Course,
- Being willing to participate in the research
Key exclusion criteria (2 listed)
- Having a high school, associate or undergraduate degree in a health-related field,
- It is the inability to use the Turkish language effectively.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| escape room gameEscape room game is a live action team based game where players discover clues, solve puzzles and complete tasks in one or more rooms to accomplish a specific goal (usually by escaping the room) in limited time. | Other | experimental group (play group) |
Primary outcome
Measuring the knowledge level of the sample group
Time frame: two days before randomization
The knowledge levels of all students participating in the study were measured with the 'parenteral drug administration knowledge test'. The students (n:72) participating in the study were randomly assigned to the experimental (n:36) and control (n:36) groups according to their knowledge levels.
Measuring the skill levels of the sample group
Time frame: two days before randomization
The skill levels of all students participating in the study were measured with 'parenteral drug administration checklists'.
2 secondary outcomes
measuring the knowledge levels of the experimental and control groups
Time frame: two weeks after starting the intervention (post escape room game)
measuring the skills of the experimental and control groups
Time frame: two weeks after starting the intervention (post escape room game)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Dec 2022.
- Results publication: PubMed 33119778Darby W, Bergeron P, Brown N, DeFoor M, Jones B. Escape Room Relay Race: "Go for the Gold" in Formative Assessment. J Nurs Educ. 2020 Nov 1;59(11):646-650. doi: 10.3928/01484834-20201020-09.
- Results publication: PubMed 31738615Roman P, Rodriguez-Arrastia M, Molina-Torres G, Marquez-Hernandez VV, Gutierrez-Puertas L, Ropero-Padilla C. The escape room as evaluation method: A qualitative study of nursing students' experiences. Med Teach. 2020 Apr;42(4):403-410. doi: 10.1080/0142159X.2019.1687865. Epub 2019 Nov 18.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nurhan Aktaş principal investigator
researcher
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing escape room game in people with Gamification, run by Sakarya University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Measuring the knowledge level of the sample group (time frame: two days before randomization). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05644015, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Dec 2022.