Mobile Game Simulation for Nursing Students' Decision-Making

NCT07774026 | Not Yet Recruiting

• 1 other identifier: DFM-IRB 00012367-26-07-022
• Study Type: interventional
• Target: 258
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study will test whether an interactive mobile game-based simulation program helps first-year nursing students improve their decision-making and problem-solving skills. Students will complete knowledge, decision-making, and problem-solving assessments before and after taking part in a 4-week program (8 sessions) that uses mobile game scenarios to practice clinical decisions in a safe, simulated setting. The results will show whether this type of training is more effective than traditional teaching methods for building these skills.

Conditions

Clinical Decision-Making and Problem-Solving Skills in Nursing Education

Keywords

mobile game-based learning; simulation; nursing education; clinical decision-making; problem-solving; nursing students

Outcome Measures

Primary Outcomes (2)

• Change in Clinical Decision-Making Score

  Clinical decision-making will be assessed using the Clinical Decision-Making in Nursing Scale (CDMNS). The scale consists of 40 items classified into four subscales: search for alternatives or options, canvassing of objectives and values, evaluation and re-evaluation of consequences, and search for information and unbiased assimilation of new information. Items are rated on a five-point Likert scale, with total scores ranging from 40 to 200. Higher scores indicate more positive clinical decision-making.

  Baseline (before the educational program), immediately after completion of the program, and 2 months after program completion.

• Change in Problem-Solving Score

  Problem-solving will be assessed using the Problem-Solving Inventory (PSI). The inventory consists of 32 items classified into three subscales: problem-solving confidence, approach-avoidance style, and personal control. Items are rated on a six-point Likert scale, with reverse scoring for negative items. Total scores range from 32 to 192, with lower scores indicating more positive problem-solving perception.

  Baseline (before the educational program), immediately after completion of the program, and 2 months after program completion.

Secondary Outcomes (1)

• Change in Knowledge Score about Mobile Game-Based Simulation

  Measured at baseline (before program), immediately after program completion (week 4), and 2 months after program completion

Study Arms (1)

Nursing Students Receiving Mobile Game-Based Simulation Program

EXPERIMENTAL

First-year nursing students who receive the interactive mobile game-based simulation educational program over 4 weeks (8 sessions), twice per week, with each session lasting 2 hours. Assessments will be conducted at baseline, immediately after completion of the program, and 2 months after program completion.

Behavioral: Interactive Mobile Game-Based Simulation Educational Program

Interventions

Interactive Mobile Game-Based Simulation Educational Program BEHAVIORAL

An interactive mobile game-based simulation educational program designed to enhance nursing students' clinical decision-making, knowledge about mobile game-based simulation, and problem-solving skills. The program will be implemented over 4 weeks through 8 sessions, twice per week, with each session lasting 2 hours. The program includes educational content, clinical scenarios, scenario-based decision-making, problem-solving activities, small group discussions, scenario debriefing, and hands-on use of the mobile application.

Nursing Students Receiving Mobile Game-Based Simulation Program

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• First-year nursing students at the Faculty of Nursing, Delta University for Science and Technology.
• Students who voluntarily consent to participate in the study.
• Students who are willing and able to use the mobile application.

You may not qualify if:

• Students who have previously participated in a similar mobile game-based or simulation-based educational program.
• Students with any condition that prevents them from using a smartphone/mobile application.
• Students who fail to complete the pre-test, the educational program, or the post-test.
• Students who withdraw consent during the study.

Sponsors & Collaborators

• Delta University for Science and Technology: lead

Related Publications (1)

• Hwang, G. J., & Chang, C. Y. (2023). Facilitating decision-making performances in nursing treatments: A contextual digital game-based flipped learning approach. Interactive Learning Environments, 31(1), 156-171.

  BACKGROUND

Study Officials

• Mona Ahmed Gabr, PHD

  Delta University for Science and Technology

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mona Ahmec Gabr, PHD

CONTACT

00201097898593; mona.gabr@deltauniv.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A single group of nursing students receives the mobile game-based simulation program, with outcomes measured before and after the intervention (pretest-posttest design), and again at 2-month follow-up.

Study Record Dates

• First Submitted: August 15, 2026
• First Posted: August 19, 2026
• Study Start: September 1, 2026
• Primary Completion: October 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: August 20, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share