The Effect of Emergency Escape Room Simulation on Students' Knowledge, Anxiety and Satisfaction Level

Effect of Emergency Escape Room Simulation on Students' Knowledge, Anxiety and Satisfaction Level: Randomized Controlled Study

This research is a randomized controlled study type. The population of the research consisted of a total of 40 students studying at the Hamidiye Nursing Faculty of the University of Health Sciences and taking the emergency nursing course in the 2023-2024 academic year. The sample consisted of nursing students who took this course in the same date range and agreed to participate in the research.

In this study, participants were divided into two equal groups: intervention (n=20) and control group (n=20) using a computer-based randomization method (https://www.random.org/). Due to the nature of the research, the participants and the principal investigator were not blinded, while the evaluator was blinded to the groups.

In addition to the traditional training method within the scope of emergency nursing training, an escape room application was applied to the intervention group after 14 weeks of emergency nursing training.

No intervention other than the traditional education method was applied to the control group within the scope of the 14-week emergency nursing education. In the traditional education, narration, question and answer, and discussion techniques were used in a powerpoint presentation containing visuals and text in the classroom environment.

Study Overview

• Status: Completed
• Conditions: Nursing Education
• Intervention / Treatment: Other: Excape room simulation

Detailed Description

This research is a randomized controlled study type. The population of the research consisted of a total of 40 students studying at the Hamidiye Nursing Faculty of the University of Health Sciences and taking the emergency nursing course in the 2023-2024 academic year. The sample consisted of nursing students who took this course in the same date range and agreed to participate in the research. In this study, participants were divided into two equal groups: intervention (n=20) and control group (n=20) using a computer-based randomization method (https://www.random.org/). Due to the nature of the research, the participants and the principal investigator were not blinded, while the evaluator was blinded to the groups. In addition to the traditional training method within the scope of emergency nursing training, an escape room application was applied to the intervention group after 14 weeks of emergency nursing training. No intervention other than the traditional training method was applied to the control group within the scope of the 14-week emergency nursing education. Data from the participants were collected through face-to-face interviews using the Personal Information Form, Emergency Nursing Knowledge Test, VAS Satisfaction Scale and State Anxiety Inventory. Participants were informed about the study before the application and filled out a Personal Information Form. Emergency Nursing Knowledge Test, VAS Satisfaction Scale, and State Anxiety Inventory were administered to both groups immediately before and immediately after the escape room simulation application. One week and one month after the application, the Knowledge Test was applied again to both groups. Data collection took approximately 30 minutes. Analysis of data will be performed using IBM SPSS Statistics, version 25.0 (IBM Corporation, Armonk, NY). Descriptive statistical methods such as percentage, mean, standard deviation and median will be used to evaluate the data, and the Kolmogorov-Smirnov distribution test will be used to examine normal distribution. Depending on the characteristics of the variables, chi-square test will be used for categorical data, t-test/Mann Whitney-U test, One-Way ANOVA/Kruskall Wallis tests will be used for measurement data, and Tukey's HSD test/Mann Whitney U test will be used to determine the differences between groups in these tests. Statistical significance will be evaluated at p<0.05 level.

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey, 34668
    • University of Health Sciences

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Volunteering to participate in the research
• Being a nursing student
• Having taken the Emergency Nursing course in the 2023-2024 academic year at the Faculty where the research will be conducted

Exclusion Criteria:

• Filling out data collection forms incompletely
• Wanting to leave the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Escape room simulation group; Intervention Group: In addition to the traditional training method within the scope of emergency nursing training, an escape room application was applied to this group after 14 weeks of emergency nursing training.	Other: Excape room simulation; Application of Research: Preparation and Implementation of the Escape Room The escape room game scenario prepared by the relevant faculty members consists of the subjects of Triage, Basic Life Support, Advanced Life Support and Traumas, which are included in the Emergency Nursing course curriculum. Students who will participate in the escape room game were given 30 minutes to solve the puzzles in the room, follow the clues, find the exit key and escape. To solve puzzles, unlock padlocks, and find specific objects in the escape room, students had to answer questions on Triage, Basic Life Support, Advanced Life Support, and Traumas and manage to exit the room in time.
No Intervention: Control group; Control Group: No intervention other than the traditional education method was applied to this group within the scope of the 14-week emergency nursing education. In the traditional education, narration, question and answer, and discussion techniques were used with a powerpoint presentation containing visuals and text in the classroom environment.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Knowledge level	The knowledge test, created by the researchers in line with the literature, consists of 20 questions that question the learning objectives of the Emergency Nursing course and the teaching outcomes of the escape room scenario. Each of the 20 questions asked to the students in the knowledge test was evaluated as 5 points.	5 minutes before and after intervention, 1 week and 1 month after the intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Satisfaction level	Visual Analogue Scale (VAS) was used to visualize students' satisfaction with emergency nursing education. Students evaluated themselves on a scale from 1 (very dissatisfied) to 10 (very satisfied) and marked their satisfaction on the visual scale.	5 minutes after intervention

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Anxiety level anxiety	The anxiety level of the students was measured with the State-Trait Anxiety Inventory.	5 minutes before and after intervention

Collaborators and Investigators

• Sponsor: Saglik Bilimleri Universitesi

Study record dates

Study Major Dates

• Study Start (Actual): March 6, 2024
• Primary Completion (Actual): May 25, 2024
• Study Completion (Actual): September 25, 2024

Study Registration Dates

• First Submitted: September 25, 2024
• First Submitted That Met QC Criteria: September 27, 2024
• First Posted (Actual): October 1, 2024

Study Record Updates

• Last Update Posted (Actual): October 1, 2024
• Last Update Submitted That Met QC Criteria: September 27, 2024
• Last Verified: September 1, 2024

More Information

Terms related to this study

• Keywords: Simulation; Emergency Nursing; Escape Room
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: 01.02.2024/124

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No