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Escape room simulation improved knowledge and satisfaction while reducing anxiety in nursing students compared to traditional educationEscape room simulations improved nursing student knowledge and satisfaction in a small study

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Key Takeaway
Consider escape room simulations as a potentially effective educational tool for nursing students, though further research is needed.

This randomized controlled trial evaluated the impact of an escape room simulation intervention on emergency nursing education among 40 students at a university in Istanbul. Participants were assigned to either the escape room simulation group or a control group receiving traditional education methods. Assessments were conducted immediately after the education session, one week later, and one month later to evaluate changes in knowledge, anxiety, and satisfaction.

Results indicated that knowledge levels were significantly higher in the intervention group compared to the control group at all follow-up points, with a p-value of less than 0.001. Similarly, satisfaction levels were significantly higher in the intervention group than in the control group (p < 0.001). Regarding anxiety, no significant difference was observed between the two groups before and after the education. However, within the intervention group specifically, anxiety levels were significantly reduced after the training (p < 0.001).

No adverse events, serious adverse events, discontinuations, or specific tolerability issues were reported for either group. The study did not report specific effect sizes or absolute numbers for the outcomes, relying instead on statistical significance to describe the differences. The authors noted that the small sample size and the specific institutional setting are key limitations that may affect the applicability of the results.

The practice relevance suggests that while the escape room simulation intervention showed promise in improving educational outcomes, it is recommended that this approach be investigated in more studies within nursing education to confirm these findings before widespread adoption.

This study looked at whether escape room simulations could help nursing students learn emergency care better than standard teaching methods. Forty students from a nursing faculty in Istanbul were split into two groups: one used the escape room simulation, and the other received traditional education. Measurements were taken immediately after the training, one week later, and one month later.

The students in the simulation group scored significantly higher on knowledge tests than those in the control group. They also reported higher satisfaction with their learning experience. Additionally, the simulation group showed a significant reduction in anxiety levels after the training, while the control group did not show a similar change in anxiety.

No safety concerns were reported, and no students stopped the program due to side effects. However, because this study involved only 40 students from a single university, the findings are preliminary. More research is needed to confirm if these benefits hold true in other settings before this method becomes a standard part of nursing education everywhere.

What this means for you:
A small study suggests escape room simulations may improve nursing student knowledge and satisfaction, but larger trials are needed.

Study Details

Study typeRct
EvidenceLevel 2
Follow-up0.2 mo
PublishedApr 2026
View Original Abstract ↓
BACKGROUND: The aim of this study is to determine the effect of escape room simulation intervention on the knowledge, anxiety, and satisfaction levels of students in emergency nursing education. METHODS: This randomized controlled study was conducted with 40 students studying at the nursing faculty of a university in Istanbul. The students in the intervention group ( = 20) were given an escape room simulation intervention related to emergency nursing education. The students in the control group ( = 20) were not given any intervention other than the traditional education method. Data were collected using the Knowledge Test, State Anxiety Scale, and Visual Analog Scale for satisfaction. RESULTS: The knowledge level of the students in the intervention group measured immediately after the education ( = 0.003), 1 week after the education ( < 0.001), and 1 month after the education ( < 0.001) was found to be significantly higher than that of the control group. While no significant difference was found in anxiety levels before and after the education between the groups, a significant difference was found in anxiety levels before and after the training in the intervention group ( < 0.001). The satisfaction level measured immediately after the education was found to be significantly higher in the intervention group than in the control group ( < 0.001). CONCLUSION: This study show that escape room simulation increased emergency nursing knowledge and satisfaction and reduced anxiety levels of the students. It is recommended that escape room simulation intervention be used in more studies in nursing education. The study was registered on ClinicalTrials.gov.tr with the number NCT06619119.
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