The effect of game-based scenario writing on the clinical reasoning of internship nursing students in cardiovascular emergencies and critical care units

محفوظ في:
التفاصيل البيبلوغرافية
الحاوية / القاعدة:BMC Medical Education vol. 25 (2025), p. 1
المؤلف الرئيسي: Antikchi, Mahnaz
مؤلفون آخرون: Heydari, Sara, Bakhshi, Fatemeh
منشور في:
Springer Nature B.V.
الموضوعات:
الوصول للمادة أونلاين:Citation/Abstract
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024 7 |a 10.1186/s12909-025-07079-w  |2 doi 
035 |a 3201523143 
045 2 |b d20250101  |b d20251231 
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100 1 |a Antikchi, Mahnaz 
245 1 |a The effect of game-based scenario writing on the clinical reasoning of internship nursing students in cardiovascular emergencies and critical care units 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundNurses’ failure to properly apply clinical reasoning (CR) can result in diagnostic errors especially in cardiac emergencies and critical care that compromise patient care and threaten patient safety. Therefore, nursing education must employ appropriate teaching approaches, particularly throughout internships, to enhance students’ CR skills.AimThis study aimed to assess the effect of game-based scenario writing on the CR of internship nursing students in cardiac emergencies and critical care units.MethodsAn unblinded, randomized, controlled trial with a parallel control group was conducted with 82 nursing students who were experiencing cardiac emergencies and critical care internships from June to September 2023. The participants were randomly assigned to either the intervention group (n = 41), which received game-based scenario writing in the two phases of the pre-internship and internship periods, or the control group (n = 41), which received routine internship training. Data were collected at baseline and the end of the internship course, and the instruments included participants’ characteristics, a CR test, and a satisfaction questionnaire.ResultsAt the end of the cardiac emergencies and critical care internship course, compared with the control group, the intervention group presented a significant increase in CR (12.30 ± 3.6, 14.57 ± 3.9, p < 0.05). Within-group Comparison of pre-test and post-test CR scores only showed a significant increase in the intervention group (p = < 0.001).ConclusionsThe current study’s findings support the argument that the gamified scenario-writing method can be an effective and dynamic learning method. It appears that employing this approach in nursing education could potentially enhance the CR of nursing students during their internship courses. Therefore, applying this method is recommended to nursing educators, especially for cardiac emergencies and critical care unit internship courses. 
651 4 |a Iran 
653 |a Internships 
653 |a Emergency medical care 
653 |a Software 
653 |a Nursing education 
653 |a Writing 
653 |a Nurses 
653 |a Skills 
653 |a Clinical competence 
653 |a Patients 
653 |a Knowledge 
653 |a Nursing care 
653 |a Clinical decision making 
653 |a Methods 
653 |a Gamification 
653 |a Learning 
653 |a Critical care 
653 |a Medical students 
653 |a Computer Simulation 
653 |a Learning Activities 
653 |a Competence 
653 |a Instructional Innovation 
653 |a Control Groups 
653 |a Inferences 
653 |a Addition 
653 |a Prior Learning 
653 |a Sample Size 
653 |a Internship Programs 
653 |a Educational Innovation 
653 |a Medical Education 
653 |a Nursing Students 
653 |a Cooperative Learning 
653 |a Decision Making Skills 
653 |a Information Processing 
653 |a Educational Environment 
653 |a College Science 
653 |a Game Based Learning 
653 |a Educational Facilities Improvement 
653 |a Educational Games 
653 |a Educational Principles 
700 1 |a Heydari, Sara 
700 1 |a Bakhshi, Fatemeh 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3201523143/abstract/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3201523143/fulltext/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3201523143/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch