The effect of game-based learning on the acquisition of intramuscular injection skills
Abstract
AIM: This study aims to determine the efficiency of game-based learning in nursing students' IMI skills training. BACKGROUND: Today, with the unstoppable development of digital technologies, the skills required by modern health services and the needs of nursing students have changed. For this reason, new teaching methods have been researched instead of traditional methods. Game-based learning will choose a dynamic learning environment for the use of game design elements in the acquisition of knowledge and the teaching of psychomotor skills, based on the theory of experimental learning while improving learning experiences with active student participation. However, its use in nursing education is limited. DESIGN: A pretest-posttest randomized controlled experimental study design was used. METHODS: The study was conducted at Ege University Faculty of Nursing in western Turkey. The sample size was determined through stratified randomization method and 135 nursing students participated in the study. Data were gathered by questionnaire method with the Student Descriptive Characteristics Form (SDCF), Intramuscular Injection Knowledge Form (IMIKF), Intramuscular Injection Implementation Checklist (IMIIC), Student Satisfaction and Confidence in Learning Scale (SSCLS) and Visual Comparison (Comfort) Scale (VCS). The chi-square test, the Mann-Whitney U test and the Brunner Langer method were performed in the SPSS 25.0 program. RESULTS: After the Intramuscular Injection Game-Based Learning Practice (IMIGBLP), the mean score of IMIICL (61±4.4) of the intervention group was significantly higher than the mean score of the control group (38±2.1) (p<0.05). The mean score of the students in the intervention group was determined to be significantly higher than the mean score of the control group (p<0.05). A significant difference was detected between the intervention and control group students in terms of their VCS scores after IMIGBLP (p<0.05). CONCLUSION: Considering the results of the study, it is recommended to use the game-based learning method in psychomotor skill training in nursing.
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Simulation‐based learning in nurse education: systematic review
Cant, R. P., & Cooper, S. J. (2010) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05240.x · Cited by 984 · see citing works
Cunningham, A. E., & Stanovich, K. E. (1991) · Journal of Educational Psychology · doi:10.1037/0022-0663.83.2.264 · Cited by 493 · see citing works
Patient safety and simulation-based medical education
Ziv, S. D. S. A. (2000) · Medical Teacher · doi:10.1080/01421590050110777 · Cited by 323 · see citing works
Bayram, S. B., & Caliskan, N. (2019) · Nurse Education Today · doi:10.1016/j.nedt.2019.05.010 · Cited by 184 · see citing works
Studying and Treating Schizophrenia Using Virtual Reality: A New Paradigm
Freeman, D. H. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn020 · Cited by 183 · see citing works
Schoening, A. M., Sittner, B. J., & Todd, M. J. (2006) · Nurse Educator · doi:10.1097/00006223-200611000-00008 · Cited by 169 · see citing works
Education About Hallucinations Using an Internet Virtual Reality System: A Qualitative Survey
Yellowlees, P., & Cook, J. N. (2006) · Academic Psychiatry · doi:10.1176/appi.ap.30.6.534 · Cited by 162 · see citing works
Tan, A. J. Q., Lee, C., Lin, P., Cooper, S., Lau, L., Wei, L.-C., & Liaw, S. Y. (2017) · Nurse Education Today · doi:10.1016/j.nedt.2017.04.027 · Cited by 152 · see citing works
Using a serious game to complement CPR instruction in a nurse faculty
Boada, I., Rodríguez, A., Garcia-Gonzalez, J. M., Olivet, J., Carreras, V., & Sbert, M. (2015) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2015.08.006 · Cited by 133 · see citing works
Cook, N. F., McAloon, T., O’Neill, P., & Beggs, R. (2011) · Nurse Education Today · doi:10.1016/j.nedt.2011.09.013 · Cited by 123 · see citing works
Student experiences and mentor views of the use of simulation for learning
Moule, P., Wilford, A., Sales, R., & Lockyer, L. (2008) · Nurse Education Today · doi:10.1016/j.nedt.2008.03.007 · Cited by 120 · see citing works
Nursing students’ experiential learning processes using an online 3D simulation game
Koivisto, J., Niemi, H., Multisilta, J., & Eriksson, E. (2015) · Education and Information Technologies · doi:10.1007/s10639-015-9453-x · Cited by 104 · see citing works
İsmailoğlu, E. G., & Zaybak, A. (2017) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000405 · Cited by 90 · see citing works
Evaluation of a 3D serious game for advanced life support retraining
Buttussi, F., Pellis, T., Vidani, A. C., Pausler, D., Carchietti, E., & Chittaro, L. (2013) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2013.05.007 · Cited by 89 · see citing works
The Use of Virtual Reality Computer Simulation in Learning Port-A Cath Injection
Tsai, S.-L., Chai, S.-K. D., Hsieh, L.-F., Lin, S., Taur, F., Sung, W.-H., & Doong, J. (2006) · Advances in Health Sciences Education · doi:10.1007/s10459-006-9025-3 · Cited by 70 · see citing works
Learning and Retention Using Virtual Reality in a Decontamination Simulation
Smith, S. J., Farra, S. L., Ulrich, D. L., Hodgson, E., Nicely, S., & Matcham, W. (2016) · Nursing Education Perspectives · doi:10.1097/01.nep.0000000000000035 · Cited by 68 · see citing works
Kuznar, K. A. (2007) · Teaching and learning in nursing · doi:10.1016/j.teln.2007.01.009 · Cited by 51 · see citing works
Simulation as a Strategy to Teach Clinical Pediatrics Within a Nursing Curriculum
Lambton, J., O'Neill, S. P., & Dudum, T. (2008) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2008.08.001 · Cited by 41 · see citing works
Karaçay, P., & Kaya, H. (2017) · Florence Nightingale Journal of Nursing · doi:10.17672/fnhd.53359 · Cited by 40 · see citing works
Vidal, V. L., Ohaeri, B. M., John, P., & Helen, D. (2013) · Journal of Infusion Nursing · doi:10.1097/nan.0b013e318243172f · Cited by 38 · see citing works
Atthill, S., Witmer, D., Luctkar‐Flude, M., & Tyerman, J. J. (2020) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2020.06.008 · Cited by 30 · see citing works
The use of simulation in nursing education
Woodward, S. (2013) · British Journal of Neuroscience Nursing · doi:10.12968/bjnn.2013.9.3.109 · Cited by 18 · see citing works
Tsai, S., Chai, S.-K. D., & Chuang, K. (2015) · Open Journal of Nursing · doi:10.4236/ojn.2015.57064 · Cited by 16 · see citing works
Sharma, B., Kumar, A., & Sarin, J. (2016) · International Journal of Health Sciences and Research · Cited by 16 · see citing works
Suggesting a Practical Theory to Oncology Nurses
Ebrahimpour, F., & Hoseini, A. S. S. (2018) · Journal of Palliative Care · doi:10.1177/0825859718763645 · Cited by 7 · see citing works
The Pediatric Procedural Holistic Comfort Assessment: A Feasibility Study
Bice, A. A., Pond, R. S., & Lutz, B. J. (2019) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2019.01.006 · Cited by 6 · see citing works
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Mendívil-Pérez, M., Choperena, A., Salas, V., Chocarro-Haro, M., & Oroviogoicoechea, C. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104300 · Cited by 20 · see citing works
Simulation‐Based Education Versus Traditional Teaching for Nursing Students: A Systematic Review
Shah, S., Khan, A., Maqbali, M. A. H. A., Syed, R., Khan, A., Ali, M. E., & Sinani, M. A. (2026) · Health Science Reports · doi:10.1002/hsr2.72731 · Cited by 4 · see citing works
Demirel, N., & Kaya, H. (2026) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000001482 · Cited by 1 · see citing works
Comparing Virtual Reality and Video-Based Learning for Subcutaneous Injection Competency
TAŞKIRAN, N., Türk, G., & Atiker, B. (2025) · Nurse Educator · doi:10.1097/nne.0000000000002061 · Cited by 1 · see citing works
Ertem, G. S., Ergün, S., Kaynak, S., & Bayram, H. Ç. (2026) · Nurse Education Today · doi:10.1016/j.nedt.2026.107312 · Cited by 1 · see citing works
Cho, I. Y., Cho, S., Im, M. Y., Jeong, H. J., Choi, J., Choi, I. H., & Kim, H. Y. (2026) · Child Health Nursing Research · doi:10.4094/chnr.2026.016 · Cited by 1 · see citing works
Impact of Station Technique on Nursing Students’ Injection Practice and Satisfaction
Avcı, M. (2026) · Sağlık Bilimleri Dergisi · doi:10.34108/eujhs.1703166
Learning through heritage: Effect size of traditional games in learning contexts
Hidayati, N., Mellisa, Ahmad, A. M., & Nurdiana, H. (2026) · Multidisciplinary Reviews · doi:10.31893/multirev.2026590
- Authors
- Gokalp, M. G., Yucel, S. C., & Yilmaz, O.
- Venue
- Nurse Education in Practice
- Publisher
- Elsevier BV
- Published
- 2025-01
- Volume
- 82
- Pages
- 104172
- ISSN
- 1471-5953 (ISSN-L)
- OpenAlex
- W4404367333
- Cited by
- 8
- References
- 27
- Citations by year
- 2026: 6 · 2025: 2
- FWCI
- 6.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nurse Education in Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Educational Games and Gamification
- Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- game-based learning, intramuscular injection, psychomotor skills training, nursing students, nursing education, skill acquisition, student self-confidence, student satisfaction
- MeSH terms
- Adult, Clinical Competence, Education, Nursing, Baccalaureate, Educational Measurement, Female, Humans, Injections, Intramuscular, Male, Surveys and Questionnaires, Students, Nursing, Turkey, Problem-Based Learning
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