Trial reportBMC medical education2020
Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration: a randomized study in nursing students.
Trial report in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparative Value of a Serious Game and a Traditional Teaching Method to Improve Clinical Reasoning Skills Necessary to Detect Patient Deterioration: A Randomized Study in Nursing Students
Evaluating TESLA-G, a Gamified, Telegram-delivered, Quizzing Platform for Surgical Education in Medical Students: a Protocol for a Pilot Randomised Controlled Trial
Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- A Systematic Review and Meta-Analysis of the Effect of Gamified Clinical Skill Learning on Learning Outcomes in Undergraduate Nursing Education.The journal of nursing research : JNR · 2026Pooled it
- Game-thinking; utilizing serious games and gamification in nursing education - a systematic review and meta-analysis.BMC medical education · 2025Pooled it
- Learning Outcomes of Immersive Technologies in Health Care Student Education: Systematic Review of the Literature.Journal of medical Internet research · 2022Pooled it
- Effectiveness of game-based learning in mental health nursing education on self-directed learning and academic self-efficacy among nursing students.BMC medical education · 2026Article
- Simulation-Based Education Versus Traditional Teaching for Nursing Students: A Systematic Review.Health science reports · 2026Review
- Serious Games in Nursing Education: Scoping Review of Applications, Effectiveness, and Future Directions.JMIR serious games · 2026Review
- Metaverse enabled virtual reality and simulation training for medical education review.iScience · 2026Review
- Article
- AI Virtual Human-Augmented Game-Based Teaching to Enhance Emotional Intelligence in Nursing Students: Protocol for a Single-Group Pretest-Posttest Action Research Study.JMIR research protocols · 2025Article
- Effectiveness of a Gamification-Based Intervention for Learning a Structured Handover System Among Undergraduate Nursing Students: A Quasi-Experimental Study.Nursing reports (Pavia, Italy) · 2025Article
- Games to Improve the Clinical Skills of Nursing Students: Systematic Review of Current Evidence.Asian/Pacific Island nursing journal · 2025Review
- Extended reality and computer-based simulation for teaching situational awareness in undergraduate health professions education: a scoping review.Advances in simulation (London, England) · 2025Article
- Simulation-Based Learning Supported by Technology to Enhance Critical Thinking in Nursing Students: Scoping Review.Journal of medical Internet research · 2025Article
- Bridging theory and practice: a scoping review protocol on gamification's impact in clinical reasoning education.BMJ open · 2024Article
- Exploring dialogue in virtual simulation in nursing education - An observational study.PEC innovation · 2024Article
- A Serious Game for Enhancing Rescue Reasoning Skills in Tactical Combat Casualty Care: Development and Deployment Study.JMIR formative research · 2024Article
- A comparison between the impacts of lecture and game based teaching on moral sensitivity among nursing students.Journal of medical ethics and history of medicine · 2024Article
- Teaching Strategies for Developing Clinical Reasoning Skills in Nursing Students: A Systematic Review of Randomised Controlled Trials.Healthcare (Basel, Switzerland) · 2023Review
- Exploring facilitation in virtual simulation in nursing education: A scoping review.PEC innovation · 2023Article
- Description and rules of a new card game to learn clinical reasoning in musculoskeletal physiotherapy.The Journal of manual & manipulative therapy · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly detection and response to patient deterioration influence patient prognosis. Nursing education is therefore essential. The objective of this randomized controlled trial was to compare the respective educational value of simulation by gaming (SG) and a traditional teaching (TT) method to improve clinical reasoning (CR) skills necessary to detect patient deterioration.
methodsIn a prospective multicenter study, and after consent, 2nd year nursing students were randomized into two groups: Simulation by gaming "SG": the student played individually with a serious game consisting of 2 cases followed by a common debriefing with an instructor;Traditional Teaching "TT": the student worked on the same cases in text paper format followed by a traditional teaching course with a PowerPoint presentation by an instructor. CR skill was measured by script concordance tests (80 SCTs, score 0-100) immediately after the session (primary outcome) and on month later. Other outcomes included students' satisfaction, motivation and professional impact.
resultsOne hundred forty-six students were randomized. Immediately after training, the SCTs scores were 59 ± 9 in SG group (n = 73) and 58 ± 8 in TT group (n = 73) (p = 0.43). One month later, the SCTs scores were 59 ± 10 in SG group (n = 65) and 58 ± 8 in TT group (n = 54) (p = 0.77). Global satisfaction and motivation were highly valued in both groups although significantly greater in the SG group (p < 0.05). The students declared that the training course would have a positive professional impact, with no difference between groups.
conclusionsIn this study assessing nursing student CR to detect patient deterioration, no significant educational difference (SCT), neither immediate nor 1 month later, was observed between training by SG and the TT course. However, satisfaction and motivation were found to be greater with the use of SG.
trial registrationClinicalTrials.gov; NCT03428269. Registered 30 january 2018.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.