Puzzle-Assisted Learning IV: Information Retention and Motivation

NCT07669311 | Completed

• 1 other identifier: ADU-SBE-GK-01
• Study Type: observational
• Target: 81
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effect of puzzle-based education on nursing students' knowledge level, knowledge retention, and learning motivation regarding safe intravenous therapy practices. Intravenous therapy is a common but complex clinical procedure that requires accurate knowledge and skills to ensure patient safety. Traditional teaching methods may not always be sufficient to support long-term learning and student motivation. Therefore, this study uses an interactive, game-based learning approach by integrating puzzles into the education process. Nursing students are randomly assigned to either a puzzle-based learning group or a traditional education group. The study seeks to determine whether game-based learning improves learning outcomes compared to conventional teaching methods.

Conditions

Safe Intravenous Therapy Practices in Nursing Students

Keywords

Nursing education Intravenous therapy, Game-based learning, Patient safety

Outcome Measures

Primary Outcomes (2)

• Intravenous Therapy Knowledge Score

  Knowledge regarding safe intravenous therapy practices assessed using a researcher-developed multiple-choice questionnaire. Higher scores indicate better knowledge.

  Baseline, 1 week after completion of the intervention, and 4 weeks after completion of the intervention

• Learning Motivation Score

  Learning motivation assessed using the Instructional Materials Motivation Survey (IMMS) and the Instructional Materials Motivation Scale (IMMS-SU). Higher scores indicate greater learning motivation.

  1 week after completion of the intervention

Secondary Outcomes (1)

• Knowledge Retention Score

  4 weeks after completion of the intervention

Study Arms (2)

Traditional education group

Puzzle-based education group

Behavioral: Puzzle-based intravenous therapy education

Interventions

Puzzle-based intravenous therapy education BEHAVIORAL

This intervention uses puzzle-based learning activities to teach safe intravenous therapy practices to nursing students. The puzzles are designed to reinforce knowledge, improve retention, and increase motivation compared to traditional teaching methods.

Puzzle-based education group

Eligibility Criteria

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

Study Population

The target population of the study consists of third-year students enrolled in the Department of Nursing, Faculty of Nursing, Aydın Adnan Menderes University (N = 290). The study sample is planned to include third-year nursing students registered in the Safe Medication Practices course during the Fall semester of the 2025-2026 academic year at Aydın Adnan Menderes University, Faculty of Nursing.

You may qualify if:

• Be a 3rd-year undergraduate nursing student
• Fully participate in the Safe Intravenous Therapy Practices training
• Be willing to participate in the study

You may not qualify if:

• Being unable to regularly attend the training sessions due to academic leave, health problems, or personal reasons

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Aydın Adnan Menderes University, Faculty of Nursing

Aydin, Efeler, 09020, Turkey (Türkiye)

Location

Related Publications (1)

• Kalkan, N., Güler, S., Bulut, H., & Ay, A. (2022). Views of students on the use of crossword and word search puzzle as a teaching technique in nursing education: A mixed-method study. Nurse Education Today, 113, 105542. https://doi.org/10.1016/j.nedt.2022.105542 Shawahna, R., & Jaber, M. (2020). Crossword puzzles improve learning of Palestinian nursing students about pharmacology of epilepsy: Results of a randomized controlled study. Nurse Education Today, 108, 107024. https://doi.org/10.1016/j.yebeh.2020.107024 Alexandrou, E., et al. (2018). Use of short peripheral intravenous catheters: Characteristics, management, and outcomes worldwide. Journal of Hospital Medicine, 22(30), 1-7. https://doi.org/10.12788/jhm.3039 Ergin Doğan, S., & Aslan, H. (2024). Hemşirelik eğitiminde kullanılan güncel öğretim yöntem ve teknikleri. Bingöl Üniversitesi Sağlık Dergisi, 5(1), 224-235. https://doi.org/10.58605/bingolsaglik.1448021 Tosun, Ö., İ. K., & Doğan, S. D. (2023). The effect of crossword puzzles on nursing students' learning of concepts related to pain management course: A randomized controlled trial. Nurse Education in Practice, 69, 103740. https://doi.org/10.1016/j.nepr.2023.103740

  BACKGROUND

Related Links

• Official clinical trials registry providing information on study protocols.
• Aydın Adnan Menderes University official website.

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 16, 2026
• First Posted: June 25, 2026
• Study Start: November 19, 2025
• Primary Completion: January 8, 2026
• Study Completion: January 8, 2026
• Last Updated: June 25, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)