Comparative Effectiveness of Simulation versus Serious Game for Training Nursing Students in Cardiopulmonary Resuscitation: A Randomized Control Trial

Background. The proper implementation of cardiopulmonary resuscitation (CPR) is crucial in saving patients. Purpose. This study was aimed at evaluating the difference in educating nursing students on CPR when using the traditional simulation training with a mannequin versus a more novel serious game...

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Main Authors: Zahra Farsi, Mahdieh Yazdani, Samantha Butler, Maryam Nezamzadeh, Jila Mirlashari
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Computer Games Technology
Online Access:http://dx.doi.org/10.1155/2021/6695077
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author Zahra Farsi
Mahdieh Yazdani
Samantha Butler
Maryam Nezamzadeh
Jila Mirlashari
author_facet Zahra Farsi
Mahdieh Yazdani
Samantha Butler
Maryam Nezamzadeh
Jila Mirlashari
author_sort Zahra Farsi
collection DOAJ
description Background. The proper implementation of cardiopulmonary resuscitation (CPR) is crucial in saving patients. Purpose. This study was aimed at evaluating the difference in educating nursing students on CPR when using the traditional simulation training with a mannequin versus a more novel serious game training on the smartphone platform. Methods. This randomized control trial was conducted in 2018-2019. Through purposive sampling, 56 nursing students were selected and randomly assigned to three groups: a simulation-based CPR training, CPR training using a serious game on the smartphone platform, and a control group that received no CPR training. Each student was evaluated pre- and posttraining on CPR knowledge and skill. Results. Both the simulation and serious game training groups increased CPR abilities two weeks after training. The control group did not show improvement in skill or knowledge of CPR. The simulation and serious game intervention groups demonstrated better scores on the knowledge questionnaire and on the CPR skill demonstration in comparison to the control group. However, the simulation group and the serious game group showed no significant difference in knowledge (9.55±2.81 vs. 7.77±2.46; p=0.065) or CPR skill demonstration (27.17±2.81 vs. 25.72±3.98; p=0.988). The overall scores for CPR knowledge did not meet minimum expectations (70% score) in either the simulation (47.75%) or serious game (38.85%) group. However, both groups demonstrated adequate CPR skill on demonstration (simulation 87.64% and serious game 83.06%). Conclusions. Both the simulation and serious game training groups were found to increase CPR skill. CPR training would likely benefit from a multimodal approach to education.
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spelling doaj-art-0745f1c2966b430c9324dbd6db5258782025-02-03T01:32:24ZengWileyInternational Journal of Computer Games Technology1687-70471687-70552021-01-01202110.1155/2021/66950776695077Comparative Effectiveness of Simulation versus Serious Game for Training Nursing Students in Cardiopulmonary Resuscitation: A Randomized Control TrialZahra Farsi0Mahdieh Yazdani1Samantha Butler2Maryam Nezamzadeh3Jila Mirlashari4Research and Community Health Departments, Faculty of Nursing, Aja University of Medical Sciences, Tehran, IranStudent Research Committee and Department of Critical Care Nursing, Faculty of Nursing, Aja University of Medical Sciences, Tehran, IranDepartment of Psychiatry, Harvard Medical School, Children’s Hospital Boston, Massachusetts, USADepartment of Military Nursing, Faculty of Nursing, Aja University of Medical Sciences, Tehran, IranWomen’s Health Research Institute, Department of OBGYN, University of British Columbia, CanadaBackground. The proper implementation of cardiopulmonary resuscitation (CPR) is crucial in saving patients. Purpose. This study was aimed at evaluating the difference in educating nursing students on CPR when using the traditional simulation training with a mannequin versus a more novel serious game training on the smartphone platform. Methods. This randomized control trial was conducted in 2018-2019. Through purposive sampling, 56 nursing students were selected and randomly assigned to three groups: a simulation-based CPR training, CPR training using a serious game on the smartphone platform, and a control group that received no CPR training. Each student was evaluated pre- and posttraining on CPR knowledge and skill. Results. Both the simulation and serious game training groups increased CPR abilities two weeks after training. The control group did not show improvement in skill or knowledge of CPR. The simulation and serious game intervention groups demonstrated better scores on the knowledge questionnaire and on the CPR skill demonstration in comparison to the control group. However, the simulation group and the serious game group showed no significant difference in knowledge (9.55±2.81 vs. 7.77±2.46; p=0.065) or CPR skill demonstration (27.17±2.81 vs. 25.72±3.98; p=0.988). The overall scores for CPR knowledge did not meet minimum expectations (70% score) in either the simulation (47.75%) or serious game (38.85%) group. However, both groups demonstrated adequate CPR skill on demonstration (simulation 87.64% and serious game 83.06%). Conclusions. Both the simulation and serious game training groups were found to increase CPR skill. CPR training would likely benefit from a multimodal approach to education.http://dx.doi.org/10.1155/2021/6695077
spellingShingle Zahra Farsi
Mahdieh Yazdani
Samantha Butler
Maryam Nezamzadeh
Jila Mirlashari
Comparative Effectiveness of Simulation versus Serious Game for Training Nursing Students in Cardiopulmonary Resuscitation: A Randomized Control Trial
International Journal of Computer Games Technology
title Comparative Effectiveness of Simulation versus Serious Game for Training Nursing Students in Cardiopulmonary Resuscitation: A Randomized Control Trial
title_full Comparative Effectiveness of Simulation versus Serious Game for Training Nursing Students in Cardiopulmonary Resuscitation: A Randomized Control Trial
title_fullStr Comparative Effectiveness of Simulation versus Serious Game for Training Nursing Students in Cardiopulmonary Resuscitation: A Randomized Control Trial
title_full_unstemmed Comparative Effectiveness of Simulation versus Serious Game for Training Nursing Students in Cardiopulmonary Resuscitation: A Randomized Control Trial
title_short Comparative Effectiveness of Simulation versus Serious Game for Training Nursing Students in Cardiopulmonary Resuscitation: A Randomized Control Trial
title_sort comparative effectiveness of simulation versus serious game for training nursing students in cardiopulmonary resuscitation a randomized control trial
url http://dx.doi.org/10.1155/2021/6695077
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