Escape Room for Patient Safety Training in Nursing Students

NCT07179367 | Completed

• 1 other identifier: 24/286
• Study Type: interventional
• Target: 95
• Locations: 1 country
• Sites: 1

Brief Summary

Ensuring patient safety is a cornerstone of nursing practice, and its foundation is established during nursing education. This study aims to empower senior nursing students to develop self-efficacy in patient safety practices through the "Escape Room" teaching method. The study was conducted with senior nursing students from February to May 2024. Data were collected using the Student Information Form, Patient Safety Self-Efficacy Questionnaire, and Satisfaction with Training Methods Scale. The escape room was structured in three phases-prebriefing, simulation, and debriefing-following INACSL standards. The average age of the participants was 23.5, and 43.5% had previously completed an elective course on patient safety. Analyses revealed that students spent the most time, averaging 2.59 minutes, in the room dedicated to information questions. The average self-efficacy score before the intervention was 61.26, which increased to 71.32 after the intervention, and participants reported a high level of satisfaction. The study's findings indicate that patient safety-themed escape room training significantly enhances students' self-efficacy in patient safety, as well as their overall satisfaction and motivation.

Conditions

Patient Safety; Nursing Education

Keywords

Patient safety, escape room, nursing education, teaching methods

Outcome Measures

Primary Outcomes (1)

• Patient Safety Self-Efficacy

  Primary Outcome Measure: Change in nursing students' patient safety self-efficacy scores from pre-test to post-test, measured by the Patient Safety Self-Efficacy Questionnaire (range: 0-75; higher scores indicate higher self-efficacy

  From baseline (pre-test, immediately before the escape room intervention) to post-test (immediately after the debriefing session, same day)."

Secondary Outcomes (1)

• Satisfaction with Training Methods Scale

  Immediately after completion of the escape room intervention (same day)

Study Arms (1)

escape room training group

EXPERIMENTAL

This group consisted of fourth-year nursing students who received a patient safety-themed escape room training intervention. The simulation was structured in three phases: prebriefing, escape room activity, and debriefing. During prebriefing, students were oriented to the simulation environment and informed about patient safety principles. The escape room simulation consisted of three rooms designed according to INACSL standards, including scenarios on medication safety, maternal-infant care, and intensive care. Each room contained a mix of knowledge-based and skill-based tasks. After the simulation, a structured debriefing session was conducted using the PEARLS method to promote reflective learning. The intervention aimed to improve students' self-efficacy in patient safety practices and their satisfaction with the training method.

Other: Escape Room-Based Teaching Method on Patient Safety

Interventions

Escape Room-Based Teaching Method on Patient Safety OTHER

Intervention Description: This intervention is a patient safety-themed escape room simulation specifically designed for nursing students. The activity consists of three phases structured in accordance with INACSL standards: pre-briefing, escape room simulation, and post-briefing assessment. Working in small groups, students solve knowledge- and skill-based patient safety tasks in three different rooms (patient safety, mother-baby room, and adult intensive care unit). Correct answers ensure progress, while post-briefing assessment using the PEARLS method supports reflection and learning. Unlike traditional teaching, this innovative method emphasizes teamwork, active participation, and experiential learning to increase self-efficacy and satisfaction with patient safety practices.

escape room training group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being 18 years of age or older
• Being a fourth-year nursing student at the Faculty of Nursing
• Completion of all data collection forms in full
• Volunteering to participate in the study

You may not qualify if:

• Staying in the escape room for more than 6 minutes in each room
• Not providing informed consent

Sponsors & Collaborators

• Fenerbahce University: lead

Study Sites (1)

Hamidiye Faculty of Nursing, University of Health Sciences

Istanbul, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: This study used a quasi-experimental, single-group pretest-posttest design. All participants received an escape room-based patient safety training, structured in three phases: prebriefing, simulation, and debriefing. Outcome measures were collected before and after the training.

Study Record Dates

• First Submitted: September 11, 2025
• First Posted: September 17, 2025
• Study Start: February 5, 2024
• Primary Completion: May 15, 2024
• Study Completion: May 15, 2024
• Last Updated: September 23, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)