Effect of a simulation game on nursing students' reflective thinking skills: a mixed methods study

dc.authorid, Ayla/0000-0002-8106-2830;
dc.contributor.authorAcil, Aysegul
dc.contributor.authorKececi, Ayla
dc.date.accessioned2025-10-11T20:48:09Z
dc.date.available2025-10-11T20:48:09Z
dc.date.issued2024
dc.departmentDüzce Üniversitesien_US
dc.description.abstractBackground This study aimed to investigate the effect of a simulation game called The Ward on reflective thinking skills of senior nursing students. Methods A convergent mixed methods parallel research design was conducted between February-April 2018. The sample for this study was a convenience sample (n = 23) of senior nursing students. Student Information Form, Reflective Thinking Scale and a structured interview form were used as data collection tools. During study, simulation game was played once a week for seven weeks. Descriptive statistics (frequency, percentage, mean) were used for analyzing data, t test for dependent groups tests were applied to determine differences within group and qualitative data was analyzed with content analysis. Results After playing the simulation game, nursing students' reflective thinking scores (pre-test = 39.70 +/- 5.15; post-test = 67.39 +/- 8.13) increased significantly (p < 0.05). It was found students noticed their shortcomings and mislearnings by comparing their existing knowledge in setting of teamwork and cooperation created by the game, and consequently students' motivation increased or decreased. The teamwork and collaboration created with in the simulation game caused students to gain self-confidence, to expand their perspectives, to develop effective decision-making skills, to increase their motivation, to discover their own incomplete knowledge, skills or mislearnings. Conclusions These results support that the simulation games can be used to improve reflective thinking level of students. This finding shows that nursing education curriculum needs to be restructured using new methods such as simulation games aimed at improving students' reflective thinking skills. In this direction nurse educators should be involved with policy making and policy makers to develop strategies to ensure that graduated nursing students should gain reflective thinking skills. In addition nurse executives should encourage using simulation and simulation games in service training to improve nurses' reflective thinking skills and life long learning.en_US
dc.identifier.doi10.1186/s12912-024-02228-w
dc.identifier.issn1472-6955
dc.identifier.issue1en_US
dc.identifier.pmid39350228en_US
dc.identifier.scopus2-s2.0-85205687971en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/s12912-024-02228-w
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21748
dc.identifier.volume23en_US
dc.identifier.wosWOS:001325737700002en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofBmc Nursingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectNursing studentsen_US
dc.subjectNursing educationen_US
dc.subjectReflective thinkingen_US
dc.subjectSimulation gameen_US
dc.subjectThinking skillsen_US
dc.titleEffect of a simulation game on nursing students' reflective thinking skills: a mixed methods studyen_US
dc.typeArticleen_US

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