ARCS-Based Escape Room Education and Medication Skills in Nursing Students

NCT07410013 | Not Yet Recruiting

• 1 other identifier: ARCS-ER-MED-2026
• Study Type: interventional
• Target: 110
• Locations: 0 countries
• Sites: N/A

Brief Summary

This randomized controlled trial aims to evaluate the effect of an ARCS-based escape room educational intervention on nursing students' medication administration knowledge, clinical skills, and learning motivation. Medication administration errors represent a major threat to patient safety, and nursing students must develop safe medication practices early in their education through effective and engaging instructional approaches. The study will be conducted with first-year undergraduate nursing students enrolled in a Fundamentals of Nursing course at a public university. Participants will be randomly assigned to either an intervention group or a control group. Both groups will receive standard theoretical instruction and laboratory-based training on medication administration. In addition, the intervention group will participate in an ARCS-based escape room activity designed to reinforce medication administration competencies. The escape room intervention will be structured according to Keller's ARCS Motivation Model (Attention, Relevance, Confidence, Satisfaction) and will include scenario-based learning stations focusing on oral medication administration and parenteral medication administration operationalized as subcutaneous and intravenous routes. Each station will require students to apply medication safety principles, clinical decision-making, and procedural skills within a time-limited, team-based game environment. Primary outcomes will include medication administration knowledge and clinical skill performance assessed using a structured knowledge test and objective structured clinical examination (OSCE). Learning motivation will be evaluated as a secondary outcome using a validated motivation scale based on the ARCS model. Assessments will be conducted at baseline and after completion of the educational intervention. The findings of this study are expected to provide evidence regarding the effectiveness of ARCS-based escape room education as an innovative, student-centered instructional strategy for improving medication administration competencies and learning motivation among nursing students.

Conditions

Medication Administration Skills in Nursing Students

Keywords

Nursing students; Medication administration; Escape room education; ARCS motivation model; Randomized controlled trial

Outcome Measures

Primary Outcomes (3)

• Intravenous Catheter Insertion Skill Score

  Medication administration skill related to intravenous catheter insertion will be assessed using a structured observational checklist (score range: 0-42). Each procedural step is scored dichotomously (0 = not performed/incorrect; 1 = correctly performed). Higher scores indicate better clinical performance.

  From baseline to immediately after the intervention

• Intravenous Fluid Therapy Initiation Skill Score

  Intravenous fluid therapy initiation skills will be assessed using a structured observational checklist (score range: 0-50). Each procedural step is scored dichotomously (0 = not performed/incorrect; 1 = correctly performed). Higher scores indicate better clinical performance.

  From baseline to immediately after the intervention

• Intravenous Bolus Medication Administration Skill Score

  Intravenous bolus medication administration via IV catheter will be assessed using a structured observational checklist (score range: 0-34). Each procedural step is scored dichotomously (0 = not performed/incorrect; 1 = correctly performed). Higher scores indicate better clinical performance.

  From baseline to immediately after the intervention

Secondary Outcomes (1)

• Motivation Toward Instructional Materials

  From baseline to immediately after the intervention

Study Arms (2)

ARCS-Based Escape Room Education

EXPERIMENTAL

Nursing students receive an ARCS-based escape room educational intervention designed to improve medication administration skills.

Behavioral: ARCS-Based Escape Room Education

Standard Education

NO INTERVENTION

Nursing students receive standard medication administration education according to the existing curriculum.

Interventions

ARCS-Based Escape Room Education BEHAVIORAL

A simulation-based educational intervention structured according to the ARCS motivation model and delivered through an escape room format to enhance medication administration skills.

ARCS-Based Escape Room Education

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being a first-year student Taking the Basic Principles and Practices in Nursing course for the first time Voluntarily participating in the study..

You may not qualify if:

• Being a graduate of a health vocational high school Not participating in theoretical and laboratory training Not completing data collection forms; and Wanting to withdraw from the study.

Sponsors & Collaborators

• Gözde ÖZARAS ÖZ: lead

Central Study Contacts

Gözde ÖZARAS ÖZ, PhD

CONTACT

+905323495280; gozdeozaras@karatekin.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Dr. Lecturer

Model Details: This study was designed as a pre-test-post-test, randomized controlled trial with a control group.

Study Record Dates

• First Submitted: February 7, 2026
• First Posted: February 13, 2026
• Study Start: February 1, 2026
• Primary Completion: March 1, 2026
• Study Completion: April 1, 2026
• Last Updated: February 19, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share