Evidence map›Paper›PMID 42289722›Full record

ArticleBMC nursing2026

Effects of game-based learning and telesimulation methods on the knowledge, skills, motivations, and self-efficacy levels of nursing students in postpartum hemorrhage management: a randomized controlled trial.

Yeşim Çetinkaya Şen, Gülten Güvenç

Registry-linked trialAbstract read
In one paragraph

Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05323903 (The Effect of Game-Based Learning and Telesimulation Application on Nursing Students' Self-Efficacy in Knowledge, Skills, Motivation and Clinical Performance in Postpartum Hemorrhage Management), which is not on this map. Not yet cited in PubMed.

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0citing papers in PubMed
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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.

NCT05323903 nacompletednot on this map

The Effect of Game-Based Learning and Telesimulation Application on Nursing Students' Self-Efficacy in Knowledge, Skills, Motivation and Clinical Performance in Postpartum Hemorrhage Management

TypeinterventionalSponsorIstanbul Saglik Bilimleri UniversityRan2022 to 2022Enrolled164ConditionsPostpartum HemorrhageArmsTelesimulation, Kahoot Game
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Yeşim Çetinkaya ŞenDepartment of Elderly Care, Haymana Vocational School, University of Ankara, Ankara, Türkiye. ycsen@ankara.edu.tr.ORCID http://orcid.org/0000-0001-5195-9527
Gülten GüvençDepartment of Obstetrics and Gynecology Nursing, Gulhane Faculty of Nursing, University of Health Sciences Turkey, Ankara, Türkiye.ORCID http://orcid.org/0000-0002-8330-9497

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecently, new methods such as game-based learning, mobile learning, and telesimulation have been used in lessons. In this study, we aimed to evaluate the effects of game-based learning and telesimulation methods on the knowledge, skills, motivation, and self-efficacy levels of nursing students in postpartum hemorrhage management.

methodsThis randomized-controlled study comprised 177 nursing students who had attended an obstetrics and gynecology nursing course at a nursing department in Ankara, Türkiye. Participants were classified according to their grade point average and randomly assigned to four groups of equal size.

resultsAfter training, the knowledge, skill, motivation, and self-efficacy scores in postpartum bleeding management were higher in the groups where telesimulation (Group II), Game-based learning (Group III), and both methods were used together (Group IV) compared with the control group (Group I, p < 0.001). Group IV scores were significantly higher than the other two experimental groups on knowledge (85.5 ± 9.3), skill (19.2 ± 6.3), motivation (141.2 ± 18.7), and self-efficacy (84.5 ± 7.9) scales (p < 0.001).

conclusionTelesimulation and Game-based learning methods were more effective than virtual lecture for teaching postpartum hemorrhage management skills. However, during virtual lessons, combining telesimulation and Kahoot was more effective than all other methods.

trial registrationClinicalTrials.gov ID, NCT05323903, Retrospectively registered. Registered on April 5, 2022.

Indexed as

Cognitive skillsGame-based learningMotivationNursingPostpartum hemorrhageSelf-efficacyTelesimulation

Identifiers

PMID42289722
PMCPMC13491754

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Registered trials

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