Effectiveness of escape rooms in nursing education: A systematic review.

This study examines the effect of escape room-based learning on critical thinking, problem-solving and clinical decision-making skills in nursing education. Educational escape rooms have emerged as an innovative and interactive teaching method in nursing education. They offer a dynamic approach that...

Descripción completa

Detalles Bibliográficos
Publicado en:Nurse Education Today Vol. 151
Autores principales: Köse, Asena, Özcan, Serpil
Formato: research systematic review Journal Article
Publicado: Elsevier B.V. Aug2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185082060&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 185082060
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        02606917
        8IS
      jtl: Nurse Education Today
      issn: 02606917
      maglogo: N
    pubinfo:
      dt: Aug2025
      vid: 151
      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
    artinfo:
      ui:
        185082060
        185082060
        185082060
        10.1016/j.nedt.2025.106745
        185082060
      ppct: 1
      formats:
      tig:
        atl: Effectiveness of escape rooms in nursing education: A systematic review.
      aug:
        au:
          Köse, Asena
          Özcan, Serpil
        affil: Department of Fundamental of Nursing, Ataturk University, Erzurum, Turkey
      sug:
        subj:
          Education, Nursing
          Critical Thinking
          Problem Solving
          Decision Making, Clinical
          Nursing Skills
          Skill Acquisition
          Learning Methods
          Games
          Outcomes of Education
          Human
          Systematic Review
          Teaching Methods
          Diffusion of Innovation
          PubMed
          Cochrane Library
          Checklists
          Motivation
          Student Satisfaction
          Self-Efficacy
          Digital Technology
          Virtual Reality
          Augmented Reality
          Communication Skills
          Teamwork
          Clinical Reasoning
          Student Experiences
      ab: This study examines the effect of escape room-based learning on critical thinking, problem-solving and clinical decision-making skills in nursing education. Educational escape rooms have emerged as an innovative and interactive teaching method in nursing education. They offer a dynamic approach that enhances critical thinking, problem-solving, teamwork, and applying theoretical knowledge in a safe and engaging environment. Systematic review. A structured search was performed in Pubmed, Scopus, Cochrane Library, Google Scholar, Web of Science, Science Direct, and ULAKBIM. The databases were searched with the keywords "nursing students," "escape game," and "escape room" and were combined with Boolean connectors (and, or). In this systematic review, only studies conducted with nursing students or nurses with a randomized controlled trial (RCT) or quasi-experimental research design were published in English or Turkish, and whose full text was accessible were included. The Joanna Briggs Institute, MetaAnalysis of Statistics Assessment and Review Instruments (JBI-MAStARI), was used to assess the quality of studies. Two independent reviewers conducted selection and critical appraisal. N = 14 interventional studies up to November 2024 were included (n = 2 Randomized Clinical Trials and n = 12 quasi-experimental designs). The samples of 12 of the reviewed studies consisted entirely of nursing students. The sample of 1 study consisted of nurses, and 1 study consisted of nursing and pharmacy students. In most of the reviewed studies, escape room interventions significantly improved nursing students' clinical decision-making, critical thinking, and problem-solving skills. It was also found to positively affect students' motivation to learn, satisfaction, and retention of information. After implementing the escape rooms method, the students' average scores significantly increased. This method effectively improves students' knowledge, skills, critical thinking, motivation, satisfaction, self-efficacy, problem-solving, and clinical judgment skills. Integrating the escape room method with digital technologies such as virtual reality (VR) and augmented reality (AR) is suggested to extend interactive learning experiences. • Escape rooms significantly improve nursing students' and nurses' knowledge, critical thinking, problem-solving, clinical judgment, and self-efficacy. • This interactive, game-based learning strategy boosts motivation and satisfaction while fostering teamwork and communication skills in nursing education. • A review of 14 studies, including RCTs and quasi-experimental designs, confirms the effectiveness and adaptability of escape rooms for diverse nursing topics and training.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N