The effects of virtual gaming simulation on nursing students' diagnosis, goal setting, and diagnosis prioritization: A randomized controlled trial
Abstract
Background Virtual gaming simulation is a 2D computer game used to enhance the knowledge and skills of nursing students.Objectives This research was conducted to investigate the effects of virtual gaming simulation on the nursing diagnosis, goal setting and diagnosis prioritization of first-year nursing students.Design Randomized controlled trial conducted between March and April 2022.Participants In this study, 102 first-year nursing students registered in Fundamentals of Nursing-II were included. The students were divided at random into two groups: control (n = 51) and intervention (n = 51).Method Data were collected using the descriptive characteristics form, nursing diagnosis, goal setting, diagnosis prioritization form, virtual evaluation simulation and virtual gaming simulation evaluation form. Didactic training in the nursing process was provided to all students in the classroom simultaneously. The day following the didactic training, the training scenario was explained to the control group in the classroom. On the same day, a simulation of the virtual training scenario developed for the intervention group was played in the computer lab. One week later, the control group completed the nursing diagnosis, goal setting and diagnosis prioritization form prepared for the evaluation scenario in the classroom and the intervention group played the virtual evaluation simulation that was developed based on the same case on the same day in the computer lab. Then, students' opinions regarding virtual gaming simulation were obtained.Results The findings showed that the mean scores of nursing diagnosis and goal-setting knowledge of the intervention group were significantly higher than those of the control group (p < 0.05), whereas there was no significant difference between the groups regarding the mean scores of diagnosis prioritization knowledge (p > 0.05).Conclusions Virtual gaming simulation increased the mean scores of nursing diagnosis and goal-setting knowledge of the students. Most of the students stated positive statements related to virtual gaming simulations.
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The mechanism is consistent with arguments that AI can facilitate convenience and performance while simultaneously undermining independent thought if not accompanied by reflective safeguards.
“Such a mechanism is consistent with arguments that AI can facilitate convenience and performance while simultaneously undermining independent thought if not accompanied by reflective safeguards [27, 30, 41].”
From From adoption to interaction: examining human-GenAI engagement patterns, ethical tensions, and educational trade-offs in nursing education (2026) · cites this paper as [41]
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- Authors
- Ordu, Y., & Çalışkan, N.
- Affiliations
- Çankırı Karatekin University (TR)
- Gazi University (TR)
- Corresponding author
- Ordu, Yadigar
- Venue
- Nurse Education in Practice
- Publisher
- Elsevier BV
- Published
- 2023-03
- Volume
- 68
- Pages
- 103593
- ISSN
- 1471-5953 (ISSN-L)
- OpenAlex
- W4322765930
- Cited by
- 41
- References
- 21
- Citations by year
- 2026: 15 · 2025: 12 · 2024: 8 · 2023: 6
- FWCI
- 7.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nurse Education in Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Gazi University (TDK-2021\u20137366)
- Topics
- Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
- Social Sciences › Psychology › Developmental and Educational Psychology › Educational Games and Gamification
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Keywords
- nursing students, nursing diagnosis, goal setting, nursing process, simulation-based training, first-year nursing students, nursing education
- MeSH terms
- Clinical Competence, Education, Nursing, Education, Nursing, Baccalaureate, Goals, Humans, Nursing Diagnosis, Students, Nursing, Video Games
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