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Currently submitted to: JMIR Serious Games

Date Submitted: May 20, 2019
Open Peer Review Period: May 23, 2019 - Jul 18, 2019
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Escape Rooms as a method of clinical evaluation in Nursing Students: A quasi-experimental study

  • Verónica V. Márquez-Hernández; 
  • Lorena Gutierrez-Puertas; 
  • Pablo Roman; 
  • Miguel J. Rodríguez-Arrastia; 
  • Carmen Ropero-Padilla; 
  • Guadalupe Molina-Torres


Gamification has been shown to be a positive learning tool for its use among nursing students, but there are currently no studies available about its possible implementation in the evaluation of nursing students’ clinical skills.


The aim of this study was to understand the gameful experience and satisfaction of nursing students in the evaluation of their clinical skills using an escape room, as opposed to the traditional method of objective structured clinical evaluation.


A quasi-experimental study was carried out on 237 nursing students divided randomly into a control group (n=120) and an experimental group (n=117). The participants completed a questionnaire about their knowledge and then the experimental group also filled out a questionnaire about their game experience and their satisfaction with the game.


The finding showed higher than average scores in all the dimensions of the Gameful Experience Scale, except in the dimension of negative effects. Regarding satisfaction, the highest scores were found in the dimensions of activity duration (3.51±0.66); the organisers’ attentiveness to students (3.60±0.61) and applicability of content to their training (3.50±0.58). As for the final evaluation, statistically significant differences were found between both groups (U=759.500; Z=-11.878; p<0.05), and the experimental group had a final average score of 9.59±0.36, while the control group’s was 7.46±1.36.


Escape rooms are a useful tool used for evaluation of nursing students as opposed to objective structured clinical evaluation.


Please cite as:

Márquez-Hernández VV, Gutierrez-Puertas L, Roman P, Rodríguez-Arrastia MJ, Ropero-Padilla C, Molina-Torres G

Escape Rooms as a method of clinical evaluation in Nursing Students: A quasi-experimental study

JMIR Preprints. 20/05/2019:14765

DOI: 10.2196/preprints.14765


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