GamificationNCT06451926
Educational Escape Room Game and Nursing Students
A study testing Escape room game in people with Gamification, run by Şırnak Üniversitesi at 1 site in Turkey (Türkiye).
Trial summary
This study will be conducted to determine the effect of educational escape room teaching on nursing students' skills in calculating intravenous drug dosage and applying fluid therapy. The research was planned in a pretest-posttest and retest randomized controlled experimental design with a control group. 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
- 120 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 13 May 2024to 28 Jul 2024
- 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
- Volunteering to participate in the research,
- Being a first year nursing student,
- Being a fourth year nursing student
- First-year nursing students must be enrolled in the Fundamentals of Nursing II course,
- Fourth year nursing students must have taken the Fundamentals of Nursing II course,
Who cannot join
- Not participating in the training program,
- Not wanting to continue research,
- Incomplete filling of data collection tools,
- Incorrect filling of data collection tools,
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Kafkas University Faculty of Health Sciences
Kars, Centre/Kars, 36000/36100
About this study
Official title: The Effect of Educational Escape Room Instruction on Nursing Students' Intravenous Drug Dose Calculation and Fluid Therapy Application Skills
This study will be conducted to determine the effect of educational escape room teaching on nursing students' skills in calculating intravenous drug dosage and applying fluid therapy. The research was planned in a pretest-posttest and retest randomized controlled experimental design with a control group.
This study will be conducted in the Spring Term of the 2023-2024 Academic Year at Kafkas University, Faculty of Health Sciences, Department of Nursing. 1st year and 4th year nursing students will be included in the sample of the research.
Read more
Power analysis was performed to determine the number of people to be included in the study. The power of the test was calculated with the G*Power 3.1 program. Students will be divided into two groups, control and experimental, by randomization method. A total of 120 students were planned to be included in the study: 30 experimental and 30 control students for the first grade, and 30 experimental and 30 control students for the fourth grade.
In order to conduct the research, written permissions were obtained from the ethics committee and the institution where the study would be conducted.
The data of the research will be collected with the "Introductory Information Form-IIF", "Intravenous Drug Dosage Calculation and Fluid Therapy Application Knowledge Test-IVKT" (min:0-max:100), "Intravenous Drug Dosage Calculation and Fluid Therapy Application Skill Checklists-IVSC" (min:0-max:242) and "Game Evaluation Form-GEF" (min:26-max:130). Increasing the score obtained from data collection tools means that knowledge and skills increase.Data collection tools were presented to expert opinion for content validity. Content validity indexes were calculated and it was determined that the instruments were usable. The entire sample group will be given training on intravenous drug dose calculation and fluid therapy application. During the training, the subject will be supported by question-answer technique. Then, initial knowledge (pre-test) and initial skill (pre-test) will be measured with an objective structured clinical exam and scores will be calculated. According to the pre-test knowledge and skill scores, students from both grade levels will be assigned to experimental and control groups. The experimental group will play the escape room game in teams of five people according to the prepared educational escape room game plan. During this process, the control group will be given the right to work independently in the laboratory. The experimental group will play the educational escape room game once, and then the final knowledge (post-test) and final skills (objective structured clinical exam) of the experimental and control groups will be measured. Each student in the experimental group will be asked to fill out the game evaluation form.
In evaluating the data, parametric or non-parametric tests will be used to determine whether the research data show a normal distribution or not. Correlation will be made to determine the relationship between pretest and posttest knowledge tests and objective structured clinical exam scores. Regression analysis will also be performed if necessary, based on the analysis results of the research data.
Read the detailed description
In the sample group, the first knowledge (pre-test) scores will be measured after the training of intravenous drug dose calculation and fluid therapy application training and question-answer. First skill (pre-test) scores will be measured with objective structured clinical exam.
Students' skills will be evaluated by independent observers other than researchers, using checklists, through the objective structured clinical exam exam. Then, students will be assigned to experimental and control groups by randomization according to their initial knowledge and skill scores.
The "educational escape room" game prepared by researchers in the faculty's nursing skills laboratory will be played to the experimental groups once on different days. Then, the "Game Evaluation Form-GEF" will be applied to the experimental groups. In this process, the control group will be given the right to work independently in another skill laboratory of the faculty to perform the relevant skills.
After the educational escape room game, the final knowledge of both the experimental and control groups will be measured again (post-test). All students' skills will then be measured by independent observers through the objective structured clinical exam (post-test). Two weeks after the post-test, the knowledge and skill (objective structured clinical exam) scores of the students will be measured.
Experimental groups will play the educational escape room game once. The game will take place in a total of three rooms. In each room, there are a total of five patient scenarios that will require students to perform different skills individually and a total of five game activities (puzzles, jigsaws, etc.) to be performed by the team. They will enter the rooms in order, each student will perform the skill in the scenario for which they are responsible, and then they will perform the game activity they need to perform as a team. After each game event they will receive a number code needed to escape the clinic. They will finish the game by opening the five number codes they obtained in this way and the locked box with the number code.
Educational escape room game is a type of game in which groups of four to ten people work together and learn to complete some game activities in order to escape from a locked room in a limited time period. This game, in which students use communication, collaboration and critical thinking skills while learning, has recently begun to be used frequently in the field of education and training.
- Conditions
- Gamification
- Being tested
- Escape room game
- Keywords
- Escape Room,, Nursing Students,, Drug Dosage Calculation,, Fluid Therapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Escape room gameOther
Educational escape rooms are live action games where teams use content knowledge to complete tasks and puzzles to reach a final goal, such as escaping from a room or completing a final puzzle
| Study group | Role | What they receive |
|---|---|---|
| Experimental | Experimental | escape room game (play group):The experimental group will play the educational escape room game. The experimental group will play the game once in total. Receives: Other: Escape room game |
| Control | No intervention | The control group will not receive any intervention. |
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 who will participate in the study will be measured with the 'Intravenous Drug Dose Calculation and Fluid Therapy Application Knowledge Test'.
Measured: Pre-test data will be collected in the first week of implementation (before randomization).
Measuring the skill levels of the sample group
The skill levels of all students who will participate in the study will be measured with 'Intravenous Drug Dose Calculation and Fluid Therapy Application Skill Checklists.
Measured: Pre-test data will be collected in the first week of implementation(before randomization).
Secondary outcomes (2)
Measurement of knowledge levels of experimental and control groups
The experimental group will play the educational escape room game once and then the final knowledge (post-test) of the experimental and control groups will be measured with the 'Intravenous Drug Dose Calculation and Fluid Therapy Application Knowledge Test'.
Measured: Post-test data will be collected after the educational escape game in the second week of the application (post escape room game).
Measuring the skills of the experimental and control groups
The experimental group will play the educational escape room game once and then the final knowledge (post-test) of the experimental and control groups will be measured with the 'Intravenous Drug Dose Calculation and Fluid Therapy Application Skill Checklists'.
Measured: Post-test data will be collected after the educational escape game in the second week of the application (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 posted11 Jun 2024
- Study start13 May 2024
- Primary completion11 Jun 2024
- Study completion28 Jul 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for GamificationStudies 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
- Randomised
- Intervention model
- Parallel groups
- Model description
- experimental group
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 120 participants (actual)
Sponsor and investigators
- Lead sponsor
- Şırnak Üniversitesi
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hursit Fidan, Şırnak Üniversitesi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06451926
- Sponsor's protocol ID
- Şırnak University
- Status last verified
- May 2025
- First submitted
- 13 May 2024
- Last updated
- 21 May 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Educational Escape Room Instruction on Nursing Students' Intravenous Drug Dose Calculation and Fluid Therapy Application Skills
- ClinicalTrials.gov ID
- NCT06451926
- Acronym / sponsor ID
- Şırnak University
- Conditions
- Gamification
- Keywords
- Escape Room,, Nursing Students,, Drug Dosage Calculation,, Fluid Therapy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 120 participants (actual)
- Lead sponsor
- Şırnak ÜniversitesiUniversity, hospital or other
- Study start
- 13 May 2024 (actual)
- Primary completion
- 11 Jun 2024 (actual)
- Study completion
- 28 Jul 2024 (actual)
- First posted
- 11 Jun 2024 (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 be conducted to determine the effect of educational escape room teaching on nursing students' skills in calculating intravenous drug dosage and applying fluid therapy. The research was planned in a pretest-posttest and retest randomized controlled experimental design with a control group.
This study will be conducted in the Spring Term of the 2023-2024 Academic Year at Kafkas University, Faculty of Health Sciences, Department of Nursing. 1st year and 4th year nursing students will be included in the sample of the research.
Power analysis was performed to determine the number of people to be included in the study. The power of the test was calculated with the G*Power 3.1 program. Students will be divided into two groups, control and experimental, by randomization method. A total of 120 students were planned to be included in the study: 30 experimental and 30 control students for the first grade, and 30 experimental and 30 control students for the fourth grade.
In order to conduct the research, written permissions were obtained from the ethics committee and the institution where the study would be conducted.
The data of the research will be collected with the "Introductory Information Form-IIF", "Intravenous Drug Dosage Calculation and Fluid Therapy Application Knowledge Test-IVKT" (min:0-max:100), "Intravenous Drug Dosage Calculation and Fluid Therapy Application Skill Checklists-IVSC" (min:0-max:242) and "Game Evaluation Form-GEF" (min:26-max:130). Increasing the score obtained from data collection tools means that knowledge and skills increase.Data collection tools were presented to expert opinion for content validity. Content validity indexes were calculated and it was determined that the instruments were usable. The entire sample group will be given training on intravenous drug dose calculation and fluid therapy application. During the training, the subject will be supported by question-answer technique. Then, initial knowledge (pre-test) and initial skill (pre-test) will be measured with an objective structured clinical exam and scores will be calculated. According to the pre-test knowledge and skill scores, students from both grade levels will be assigned to experimental and control groups. The experimental group will play the escape room game in teams of five people according to the prepared educational escape room game plan. During this process, the control group will be given the right to work independently in the laboratory. The experimental group will play the educational escape room game once, and then the final knowledge (post-test) and final skills (objective structured clinical exam) of the experimental and control groups will be measured. Each student in the experimental group will be asked to fill out the game evaluation form.
In evaluating the data, parametric or non-parametric tests will be used to determine whether the research data show a normal distribution or not. Correlation will be made to determine the relationship between pretest and posttest knowledge tests and objective structured clinical exam scores. Regression analysis will also be performed if necessary, based on the analysis results of the research data.
Detailed description
In the sample group, the first knowledge (pre-test) scores will be measured after the training of intravenous drug dose calculation and fluid therapy application training and question-answer. First skill (pre-test) scores will be measured with objective structured clinical exam.
Students' skills will be evaluated by independent observers other than researchers, using checklists, through the objective structured clinical exam exam. Then, students will be assigned to experimental and control groups by randomization according to their initial knowledge and skill scores.
The "educational escape room" game prepared by researchers in the faculty's nursing skills laboratory will be played to the experimental groups once on different days. Then, the "Game Evaluation Form-GEF" will be applied to the experimental groups. In this process, the control group will be given the right to work independently in another skill laboratory of the faculty to perform the relevant skills.
After the educational escape room game, the final knowledge of both the experimental and control groups will be measured again (post-test). All students' skills will then be measured by independent observers through the objective structured clinical exam (post-test). Two weeks after the post-test, the knowledge and skill (objective structured clinical exam) scores of the students will be measured.
Experimental groups will play the educational escape room game once. The game will take place in a total of three rooms. In each room, there are a total of five patient scenarios that will require students to perform different skills individually and a total of five game activities (puzzles, jigsaws, etc.) to be performed by the team. They will enter the rooms in order, each student will perform the skill in the scenario for which they are responsible, and then they will perform the game activity they need to perform as a team. After each game event they will receive a number code needed to escape the clinic. They will finish the game by opening the five number codes they obtained in this way and the locked box with the number code.
Educational escape room game is a type of game in which groups of four to ten people work together and learn to complete some game activities in order to escape from a locked room in a limited time period. This game, in which students use communication, collaboration and critical thinking skills while learning, has recently begun to be used frequently in the field of education and training.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- experimental group
| Arm | Type | Receives |
|---|---|---|
| Experimental | Experimental | Other: Escape room gameescape room game (play group):The experimental group will play the educational escape room game. The experimental group will play the game once in total. |
| Control | No intervention | –The control group will not receive any intervention. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (5 listed)
- Volunteering to participate in the research,
- Being a first year nursing student,
- Being a fourth year nursing student
- First-year nursing students must be enrolled in the Fundamentals of Nursing II course,
- Fourth year nursing students must have taken the Fundamentals of Nursing II course,
Key exclusion criteria (4 listed)
- Not participating in the training program,
- Not wanting to continue research,
- Incomplete filling of data collection tools,
- Incorrect filling of data collection tools,
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 gameEducational escape rooms are live action games where teams use content knowledge to complete tasks and puzzles to reach a final goal, such as escaping from a room or completing a final puzzle | Other | Experimental |
Primary outcome
Measuring the knowledge level of the sample group
Time frame: Pre-test data will be collected in the first week of implementation (before randomization).
The knowledge levels of all students who will participate in the study will be measured with the 'Intravenous Drug Dose Calculation and Fluid Therapy Application Knowledge Test'.
Measuring the skill levels of the sample group
Time frame: Pre-test data will be collected in the first week of implementation(before randomization).
The skill levels of all students who will participate in the study will be measured with 'Intravenous Drug Dose Calculation and Fluid Therapy Application Skill Checklists.
2 secondary outcomes
Measurement of knowledge levels of experimental and control groups
Time frame: Post-test data will be collected after the educational escape game in the second week of the application (post escape room game).
Measuring the skills of the experimental and control groups
Time frame: Post-test data will be collected after the educational escape game in the second week of the application (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 21 May 2025.
- Individual participant dataSharing planned: No
Related trials for Gamification
Enrolling by invitation
Impact of a Playful Family Education Strategy With ICT on Childhood Obesity Prevention
Pediatric Obesity, Childhood Obesity
Active, not recruiting
PREWELL Digital Well-being Promotion Intervention With the BitHabit App
General Mental Health and Well-Being, Mental Disorders
Not yet recruiting
Generative AI and Gamified Simulation-Based Train-the-Trainer Basic Life Support Training for High School Teachers in Vietnam
Cardiac Arrest, Cardiopulmonary Resuscitation
Not yet recruiting
Gamified Home-Based Core Neuromuscular Training for Chronic Low Back Pain
Low Back Pain, Core Muscles
Enrolling by invitation
Investigation of a Patient Support Intervention for Statin Medication Adherence
Medication Adherence
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.
The record lists no contact. Use the official record to reach the sponsor.
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 Şırnak Üniversitesi 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 5 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: finished, as of the sponsor's last update on 21 May 2025. 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: Pre-test data will be collected in the first week of implementation (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?
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 21 May 2025.