Title : Examining the impact of escape room based assessment on nursing students self efficacy perception
Abstract:
Background: Escape rooms are a new way to teach that makes students more interested and involved. Using escape rooms in the classroom helps students understand and remember what they have learned. Self-efficacy is a critical factor in successful CPR performance, and nurses must have confidence in their ability to provide high-quality care to cardiac patients.
Objective: This study aimed to determine the effect of escape room-based assessment on the self-efficacy of nursing students in their second and third semesters.
Methods: In this experimental study with a pre-test-post-test control group design, 36 undergraduate nursing students participated and were randomly assigned to intervention (escape room, n=18) and control (mannequin, n=18) groups. Data collection tools included a demographic questionnaire, a CPR checklist, and Turner's CPR Self-Efficacy Scale, completed before and after the intervention. Participants in the intervention group, in groups of three, had a maximum of 40 minutes to unlock five locked boxes and leave the room. Data were analyzed using descriptive statistics, Chi-square, independent t-test, and paired t-test with SPSS version 16.
Results: Prior to the intervention, there was no significant difference in self-efficacy scores between the escape room group (117.94±25.68) and the mannequin group (118.20±39.76) (P > 0.05). However, after the intervention, a statistically significant difference was observed between the two groups (P < 0.001). The mean increase in the escape room group over the mannequin group was 18.56 (effect size = 0.6). The escape room group also showed a significant reduction in the number of CPR errors (P < 0.001).
Conclusion: The escape room approach may be as effective as, or more effective than, traditional mannequin-based assessment in improving CPR self-efficacy perceptions. Active learning strategies may develop into highly effective teaching strategies in nursing education. We advise carrying out more research to examine the effects of escape room design principles, learning goals, and student profiles.
Keywords: Cardiopulmonary Resuscitation, Escape Room, Nursing Students, Self-Efficacy.
