Gamification in Nursing Education: An Integrative Literature Review

Abstract

The objective of this literature review and evaluation project was to determine what evidence exists on the use of interactive digital learning and gamification for adult learners in nursing, for the purpose of guiding a redesign of our organization's online clinical education courses. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses was used in the literature search, with the critical analysis and leveling of evidence. After determining the search terms, four electronic databases (PubMed, CINAHL, ERIC, and Cochrane) were searched with the guidance of a medical librarian. Eight reviewers participated, and an evidence-based practice specialist served as auditor. Twenty-three articles were included in the review, which revealed overall support for the gamification process with specific findings about optimizing the process. The review further suggested that interactive digital learning in the form of games, gamification, or scenario-based learning has a positive effect on learner engagement and satisfaction; however, none of the studies were able to quantify objective data about knowledge retention. Further research is needed to test different modalities that improve both learner engagement and knowledge retention. [ J Contin Educ Nurs . 2020;51(11):509–515.]

Usefulness of Digital Game-Based Learning in Nursing and Occupational Therapy Degrees: A Comparative Study at the University of Burgos

“…Regarding the impact of the use of DGBL on learning outcomes in this study, no significant differences were found in the occupational therapy undergraduate students and significant differences were found in the nursing undergraduate group. These findings support the findings of other research that there is no universal conclusion of the effects of DGBL on learning outcomes in students [41]. In addition, to obtain more information about students' perception on the effectiveness of DGBL in their learning process, a qualitative analysis was applied in this study [10].…”

“…This is an important indicator to check in future research, since it may be necessary to design personalized gamification activities depending on the type of student and the area of knowledge. The use of DGBL is a resource with important potential in the research of the teaching-learning process in virtual environments [41].…”

“…Analyzing the cognitive and metacognitive consequences of the use of gamification in students. Similarly, in another systematic review study by Malicki et al (2020) [41], it is evident that there are not enough studies addressing the relationship between the use of gamification and its impact on students learning outcomes.…”

The effectiveness of serious games designed for infection prevention and promotion of safe behaviors of senior nursing students during the COVID-19 pandemic

“…In this context, the acquisition of knowledge and skills of students about COVID-19 increases with interaction, further increasing with game mechanics 10 ; 13 . Moreover, insufficient information on COVID-19 management adversely affects the willingness among senior nursing students to participate in internships at contagious disease departments 5 ; 20 . Consequently, the development of an e-learning tool, such as a SGs, could support nursing students in the pandemic.…”

Gamification in education: A scientometric, content and co-occurrence analysis of systematic review and meta-analysis articles

“…of Article, Publication Type, and Language) Citation Database date No. of Article Publication Type Language Malicki et al, 2020 PubMed, CINAHL, ERIC, and Cochrane to 2018 23 articles Journal English Bai et al, 2019 ACM Digital Library, EBSCO, IEEE Xplore Digital Library, INSPEC, ProQuest, Scopus, Web of Science to 2018 13 articles Journal, conference proceedings English Huang et al, 2020 ACM Digital Library, ACS Publications, DOAJ, EBSCOhost, Gale Databases, HEINONLINE, IEEE Xplore Digital Library, LearnTechLib, NCBI Databases, Ovid, ProQuest, Sage Journals, ScienceDirect, SpringerLink, Taylor & Francis Online, Web of Science, Wiley Online Library, World Cat 2009-2018 Qualitative: 118 Quantitave: 30 Journal, Dissertation/thesis, Conference proceeding English Zainuddin et al, 2020 ScienceDirect, EBSCOhost Web, Emerald Insight, Taylor & Francis Online, Wiley Online Library and SpringerLink 2016-2019 46 articles Journal English Indriasari et al, 2020 ACM Digital Library, IEEE Xplore, ScienceDirect, Springer Link, Scopus, Web of Science Core Collection, and ERIC 2011-2018 39 articles Journal, conference proceedings, book chapter English Subhash & Cudney, 2018 Academic Search Complete, ACM Digital Library, Education Full Text, ASEM Digital Collection, IEEE Xplore, PsychINFO, and Scopus to September 2017 41 articles Journal English Ortiz-Roj...…”