Evidence map›Paper›PMID 37004310›Full record

ArticleJournal of pediatric nursing

Gamification educational intervention improves pediatric nurses' comfort and speed drawing up code-dose epinephrine.

Caitlin E King, Amanda Kells, Lindsay Trout, Alison Yirinec, Shouhao Zhou, Adrian D Zurca

Abstract read
In one paragraph

Article in Journal of pediatric nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Perspectives of Australian healthcare professionals towards gamification in practice.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025
    Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Caitlin E KingPenn State Children's Hospital, 500 University Dr., Hershey, PA 17033, United States of America.
Amanda KellsPenn State Children's Hospital, 500 University Dr., Hershey, PA 17033, United States of America. Electronic address: akells@pennstatehealth.psu.edu.
Lindsay TroutPenn State Children's Hospital, 500 University Dr., Hershey, PA 17033, United States of America. Electronic address: ltrout1@pennstatehealth.psu.edu.
Alison YirinecPenn State College of Medicine, 500 University Dr., Hershey, PA 17033, United States of America. Electronic address: ayirinec@pennstatehealth.psu.edu.
Shouhao ZhouPenn State School of Public Health Sciences, Division of Biostatistics and Bioinformatics, 700 HMC Crescent Road, Hershey, PA 17033, United States of America. Electronic address: szhou1@phs.psu.edu.
Adrian D ZurcaPenn State Children's Hospital, 500 University Dr., Hershey, PA 17033, United States of America. Electronic address: azurca@pennstatehealth.psu.edu.

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
A novel use of web-based software to efficiently triage pre-surgical patients basR44TR000045 · NCATS · MEDSLEUTH, INC. · PI KALAMAS, ALICIA GRUBER · 2012 to 2012
$546k
NCATS NIH HHS R44 TR000045NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

purposeDrawing up weight-based doses of epinephrine is a vital skill for pediatric nurses; however, non-intensive care unit (ICU) nurses may not routinely perform this skill and may not be as efficient or comfortable doing so during pediatric resuscitations. This study aimed to evaluate the impact of a gamification program on non-ICU pediatric nurses' knowledge and skills regarding epinephrine for pediatric cardiac arrest. DESIGN AND

methodsComfort and time to draw up three doses of epinephrine during out-of-ICU in-hospital pediatric cardiac arrest were measured pre- and post- a gamification-centered educational intervention.

resultsNursing comfort improved from 2.93 ± 1.90 to 6.68 ± 1.46 out of 10 (mean difference 3.6 +/- 2.1, p < 0.001). Overall time to draw up three doses of epinephrine decreased after the intervention by an average of 27.1 s (p = 0.019). The number of nurses who could complete the task in under 2 min improved from 23% to 59% (p = 0.031).

conclusionsAt baseline few non-ICU nurses could draw up multiple weight-based doses of epinephrine in under two minutes. A gamification simulation-based educational intervention improved pediatric non-ICU nurses' comfort and speed drawing up epinephrine. PRACTICE IMPLICATIONS: Wide-spread implementation of gamification-centered educational initiatives could result in faster epinephrine administration and improved mortality rates from in-hospital pediatric cardiac arrest.

Indexed as

Heart ArrestNursesNurses, PediatricChildClinical CompetenceEpinephrineGamificationHumansEpinephrineGamificationNurse educationPediatric resuscitationSimulation education

Identifiers

PMID37004310
PMCPMC10330122

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Registered trials

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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.