Evidence map›Paper›PMID 40197342›Full record

ArticleBMC medical education2025

5cardsgame, innovative comprehensive integrative puzzle to enhance clinical reasoning in surgical technologist students: a pre-experimental study.

Leila Sadati, Fatemeh Edalattalab, Rana Abjar, Sahar Karami, Niloofar Hajati

Abstract read
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Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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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

5 authors.

Leila SadatiDepartment of Operating Room, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran.ORCID https://orcid.org/0000-0002-3728-150X
Fatemeh EdalattalabIntensive Care Nursing, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran.ORCID https://orcid.org/0000-0003-2896-8083
Rana AbjarDepartment of Operating Room, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran.ORCID https://orcid.org/0000-0003-4837-8769
Sahar KaramiDepartment of Operating Room, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran.ORCID https://orcid.org/0000-0002-0556-9349
Niloofar HajatiDepartment of Operating Room, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran. N.hajati.75@gmail.com.ORCID https://orcid.org/0000-0001-7243-4500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical reasoning is essential for healthcare professionals to ensure patient safety. Various teaching and assessment methods, such as comprehensive integrative puzzles (CIP), have been developed to enhance clinical reasoning in medical education. This study implemented a modified CIP titled 5CardsGame to enhance and assess clinical reasoning in surgical technologist students.

methodThis pre-experimental study employed an interrupted time-series design. Thirty-six students were recruited using convenience sampling. The intervention, based on gamification principles and script theory, involved playing with color-coded cards related to five surgical procedures over six weeks, with three series of tests conducted biweekly. The mean correct card selection for each scenario and the time taken to complete them in the first test served as baseline criteria. Scores and times recorded in the subsequent two tests were used to compare learning progress and clinical reasoning skill improvement.

resultsThe mean score increased from 1.17 in the first test to 2.39 and 3.83 in the second and third tests, respectively. The mean completion time decreased from 14.67 min to 9.19 and 6.42 min. Paired comparisons revealed that the mean time reduction was significant across all three comparisons. Statistical analysis showed strong effect sizes for both score improvements and time reductions.

conclusionThe 5CardsGame significantly improved students' learning and clinical reasoning skills in surgical technology education. The game's ability to enhance both accuracy and speed of decision-making suggests its effectiveness in developing crucial competencies. Integration of this method into educational programs for surgical technologist students could potentially enhance their preparedness for professional practice.

Indexed as

Clinical CompetenceClinical ReasoningEducational MeasurementFemaleHumansMaleYoung AdultClinical reasoningComprehensive integrative puzzleEducationGamificationSurgical technologist

Identifiers

PMID40197342
PMCPMC11974189

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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.