Clinical Decision-Making and Problem-Solving Skills in Nursing EducationNCT07774026
Mobile Game Simulation for Nursing Students' Decision-Making
A study testing Interactive Mobile Game-Based Simulation Educational Program in people with Clinical Decision-Making and Problem-Solving Skills in Nursing Education, run by Delta University for Science and Technology.
Trial summary
This study will test whether an interactive mobile game-based simulation program helps first-year nursing students improve their decision-making and problem-solving skills. Students will complete knowledge, decision-making, and problem-solving assessments before and after taking part in a 4-week program (8 sessions)… Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Clinical Decision-Making and Problem-Solving Skills in Nursing Education
- What is being tested?
- Interactive Mobile Game-Based Simulation Educational Program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 258 participants
- Where
- No sites listed yet
- Study dates
- 1 Sep 2026to 1 Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- First-year nursing students at the Faculty of Nursing, Delta University for Science and Technology.
- Students who voluntarily consent to participate in the study.
- Students who are willing and able to use the mobile application.
Who cannot join
- Students who have previously participated in a similar mobile game-based or simulation-based educational program.
- Students with any condition that prevents them from using a smartphone/mobile application.
- Students who fail to complete the pre-test, the educational program, or the post-test.
- Students who withdraw consent during the study.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: An Interactive Mobile Game-Based Simulation Educational Program for Enhancing Decision-Making and Problem-Solving Among Nursing Students: A Quasi-Experimental Study
This study will test whether an interactive mobile game-based simulation program helps first-year nursing students improve their decision-making and problem-solving skills. Students will complete knowledge, decision-making, and problem-solving assessments before and after taking part in a 4-week program (8 sessions) that uses mobile game scenarios to practice clinical decisions in a safe, simulated setting. The results will show whether this type of training is more effective than traditional teaching methods for building these skills.
Read the detailed description
This is a quasi-experimental, single-group, pretest-posttest study conducted at the Faculty of Nursing, Delta University for Science and Technology. The study tests three hypotheses: that participation in the program will significantly increase students' knowledge scores, clinical decision-making scores, and problem-solving scores from pre-test to post-test. The educational intervention progresses through four phases: assessment, planning, implementation, and evaluation. Outcomes will be measured using a researcher-developed knowledge questionnaire, the Clinical Decision-Making in Nursing Scale (CDMNS), and the Problem-Solving Inventory (PSI), administered at baseline, immediately after program completion, and again two months later.
- Being tested
- Interactive Mobile Game-Based Simulation Educational Program
- Keywords
- mobile game-based learning, simulation, nursing education, clinical decision-making, problem-solving, nursing students
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Interactive Mobile Game-Based Simulation Educational ProgramBehavioural
An interactive mobile game-based simulation educational program designed to enhance nursing students' clinical decision-making, knowledge about mobile game-based simulation, and problem-solving skills. The program will be implemented over 4 weeks through 8 sessions, twice per week, with each session lasting 2 hours. The program includes educational content, clinical scenarios, scenario-based decision-making, problem-solving activities, small group discussions, scenario debriefing, and hands-on use of the mobile application.
| Study group | Role | What they receive |
|---|---|---|
| Nursing Students Receiving Mobile Game-Based Simulation Program | Experimental | First-year nursing students who receive the interactive mobile game-based simulation educational program over 4 weeks (8 sessions), twice per week, with each session lasting 2 hours. Assessments will be conducted at baseline, immediately after completion of the program, and 2 months after program completion. Receives: Behavioral: Interactive Mobile Game-Based Simulation Educational Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Clinical Decision-Making Score
Clinical decision-making will be assessed using the Clinical Decision-Making in Nursing Scale (CDMNS). The scale consists of 40 items classified into four subscales: search for alternatives or options, canvassing of objectives and values, evaluation and re-evaluation of consequences, and search for information and unbiased assimilation of new information. Items are rated on a five-point Likert scale, with total scores ranging from 40 to 200. Higher scores indicate more positive clinical decision-making.
Measured: Baseline (before the educational program), immediately after completion of the program, and 2 months after program completion.
Change in Problem-Solving Score
Problem-solving will be assessed using the Problem-Solving Inventory (PSI). The inventory consists of 32 items classified into three subscales: problem-solving confidence, approach-avoidance style, and personal control. Items are rated on a six-point Likert scale, with reverse scoring for negative items. Total scores range from 32 to 192, with lower scores indicating more positive problem-solving perception.
Measured: Baseline (before the educational program), immediately after completion of the program, and 2 months after program completion.
Secondary outcomes (1)
Change in Knowledge Score about Mobile Game-Based Simulation
Measured using a researcher-developed questionnaire assessing students' knowledge of mobile game-based simulation, including its definition, development, advantages/disadvantages, technical requirements, and impact on nursing education. Scored 0 for incorrect and 1 for correct answers; classified as satisfactory (≥60%) or unsatisfactory (<60%).
Measured: Measured at baseline (before program), immediately after program completion (week 4), and 2 months after program completion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Aug 2026
- Study start1 Sep 2026 (estimated)
- Primary completion1 Oct 2026 (estimated)
- Study completion1 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Clinical Decision-Making and Problem-Solving Skills in Nursing EducationStudies of the same condition, open and under way.
- 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
- Not applicable
- Intervention model
- Single group
- Model description
- A single group of nursing students receives the mobile game-based simulation program, with outcomes measured before and after the intervention (pretest-posttest design), and again at 2-month follow-up.
- Masking
- None (open label)
- Enrolment
- 258 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Delta University for Science and Technology
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Mona Ahmed Gabr, PHD, Principal investigator, Delta University for Science and Technology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07774026
- Sponsor's protocol ID
- DFM-IRB 00012367-26-07-022
- Status last verified
- Aug 2026
- First submitted
- 15 Aug 2026
- Last updated
- 20 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared with other researchers.
Publications
Hwang, G. J., & Chang, C. Y. (2023). Facilitating decision-making performances in nursing treatments: A contextual digital game-based flipped learning approach. Interactive Learning Environments, 31(1), 156-171.
Study at a glance
From the registry record, last updated by the sponsor on 20 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Interactive Mobile Game-Based Simulation Educational Program for Enhancing Decision-Making and Problem-Solving Among Nursing Students: A Quasi-Experimental Study
- ClinicalTrials.gov ID
- NCT07774026
- Acronym / sponsor ID
- DFM-IRB 00012367-26-07-022
- Keywords
- mobile game-based learning, simulation, nursing education, clinical decision-making, problem-solving, nursing students
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 258 participants (estimated)
- Lead sponsor
- Delta University for Science and TechnologyUniversity, hospital or other
- Study start
- 1 Sep 2026 (estimated)
- Primary completion
- 1 Oct 2026 (estimated)
- Study completion
- 1 Dec 2026 (estimated)
- First posted
- 19 Aug 2026 (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 will test whether an interactive mobile game-based simulation program helps first-year nursing students improve their decision-making and problem-solving skills. Students will complete knowledge, decision-making, and problem-solving assessments before and after taking part in a 4-week program (8 sessions) that uses mobile game scenarios to practice clinical decisions in a safe, simulated setting. The results will show whether this type of training is more effective than traditional teaching methods for building these skills.
Detailed description
This is a quasi-experimental, single-group, pretest-posttest study conducted at the Faculty of Nursing, Delta University for Science and Technology. The study tests three hypotheses: that participation in the program will significantly increase students' knowledge scores, clinical decision-making scores, and problem-solving scores from pre-test to post-test. The educational intervention progresses through four phases: assessment, planning, implementation, and evaluation. Outcomes will be measured using a researcher-developed knowledge questionnaire, the Clinical Decision-Making in Nursing Scale (CDMNS), and the Problem-Solving Inventory (PSI), administered at baseline, immediately after program completion, and again two months later.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- A single group of nursing students receives the mobile game-based simulation program, with outcomes measured before and after the intervention (pretest-posttest design), and again at 2-month follow-up.
| Arm | Type | Receives |
|---|---|---|
| Nursing Students Receiving Mobile Game-Based Simulation Program | Experimental | Behavioral: Interactive Mobile Game-Based Simulation Educational ProgramFirst-year nursing students who receive the interactive mobile game-based simulation educational program over 4 weeks (8 sessions), twice per week, with each session lasting 2 hours. Assessments will be conducted at baseline, immediately after completion of the program, and 2 months after program completion. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- First-year nursing students at the Faculty of Nursing, Delta University for Science and Technology.
- Students who voluntarily consent to participate in the study.
- Students who are willing and able to use the mobile application.
Key exclusion criteria (4 listed)
- Students who have previously participated in a similar mobile game-based or simulation-based educational program.
- Students with any condition that prevents them from using a smartphone/mobile application.
- Students who fail to complete the pre-test, the educational program, or the post-test.
- Students who withdraw consent during the study.
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 |
|---|---|---|
| Interactive Mobile Game-Based Simulation Educational ProgramAn interactive mobile game-based simulation educational program designed to enhance nursing students' clinical decision-making, knowledge about mobile game-based simulation, and problem-solving skills. The program will be implemented over 4 weeks through 8 sessions, twice per week, with each session lasting 2 hours. The program includes educational content, clinical scenarios, scenario-based decision-making, problem-solving activities, small group discussions, scenario debriefing, and hands-on use of the mobile application. | Behavioural | Nursing Students Receiving Mobile Game-Based Simulation Program |
Primary outcome
Change in Clinical Decision-Making Score
Time frame: Baseline (before the educational program), immediately after completion of the program, and 2 months after program completion.
Clinical decision-making will be assessed using the Clinical Decision-Making in Nursing Scale (CDMNS). The scale consists of 40 items classified into four subscales: search for alternatives or options, canvassing of objectives and values, evaluation and re-evaluation of consequences, and search for information and unbiased assimilation of new information. Items are rated on a five-point Likert scale, with total scores ranging from 40 to 200. Higher scores indicate more positive clinical decision-making.
Change in Problem-Solving Score
Time frame: Baseline (before the educational program), immediately after completion of the program, and 2 months after program completion.
Problem-solving will be assessed using the Problem-Solving Inventory (PSI). The inventory consists of 32 items classified into three subscales: problem-solving confidence, approach-avoidance style, and personal control. Items are rated on a six-point Likert scale, with reverse scoring for negative items. Total scores range from 32 to 192, with lower scores indicating more positive problem-solving perception.
1 secondary outcome
Change in Knowledge Score about Mobile Game-Based Simulation
Time frame: Measured at baseline (before program), immediately after program completion (week 4), and 2 months after program completion
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Aug 2026.
- BackgroundHwang, G. J., & Chang, C. Y. (2023). Facilitating decision-making performances in nursing treatments: A contextual digital game-based flipped learning approach. Interactive Learning Environments, 31(1), 156-171.
- Individual participant dataSharing planned: No. Individual participant data will not be shared with other researchers.
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.
Mona Ahmed Gabr, PHD principal investigator
Delta University for Science and Technology
Questions about this trial
What is this clinical trial studying?
A study testing Interactive Mobile Game-Based Simulation Educational Program in people with Clinical Decision-Making and Problem-Solving Skills in Nursing Education, run by Delta University for Science and Technology.
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 3 inclusion and 4 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: opening soon, as of the sponsor's last update on 20 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Mona Ahmec Gabr, PHD (00201097898593, mona.gabr@deltauniv.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Clinical Decision-Making Score (time frame: Baseline (before the educational program), immediately after completion of the program, and 2 months after program completion.). 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 NCT07774026, which also lists 1 linked publication.
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 20 Aug 2026.