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Background: Escape rooms, spaces where teams collaborate to uncover clues, solve puzzles, and complete tasks, are increasingly prevalent in nursing education. This review describes a systematic review and meta-analysis on the effectiveness of escape rooms in nursing.
Method: Searches were conducted across multiple databases, including MEDLINE, CINAHL, SCOPUS, Psychology & Behavioral Sciences Collection, Academic Search Complete, MedicLatina, Teacher Reference Center, SciELO, and Cochrane.
Results: The analysis encompassed nine studies published between 2020 and 2024. The findings showed a significant enhancement in technical knowledge in pre- and postintervention comparisons. The effects on team-work skills showed high heterogeneity, indicating variability in outcomes across the studies.
Conclusion: Escape rooms have proven effective in enhancing nursing knowledge, validating their use as an innovative and efficient pedagogical tool. Future research should focus on standardizing interventions and long-term evaluation to better determine the sustained efficacy of escape rooms as a learning method. .
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http://dx.doi.org/10.3928/00220124-20250416-05 | DOI Listing |
Ann Med Surg (Lond)
July 2025
Shifa College of Medicine and Shifa College of Dentisty, Islamabad, Pakistan.
Background: This study evaluates the effectiveness of two small-group teaching methods - case-based learning (CBL) and escape room activities - on first-year dental students' performance and perception, focusing on the neuro-endocrine module. The escape room method incorporates gamification and includes tasks related to basic and relevant clinical sciences, such as trauma scenarios, cranium models, and virtual cadaveric dissections.
Objectives: The primary objective was to assess student performance using two different learning strategies.
Nurse Educ
August 2025
Author Affiliations: Department of Graduate Studies, Cizik School of Nursing at UTHealth Houston, Houston, Texas (Drs Momin, Christopherson, Mackavey, and Coghlan).
Background: Traditional methods used to teach health assessment skills and diagnostic reasoning in an advanced health assessment and differential diagnosis course limit skill acquisition and personalized feedback. Integrating small-group learning, online simulations, and reflective practice may improve competency outcomes while aligning with the American Association of Colleges of Nursing Essentials and National Organization of Nurse Practitioner Faculties Core Competencies.
Purpose: To integrate a multimodal intervention to enhance competencies in health assessment, diagnostic reasoning, and clinical documentation.
Nurse Educ Pract
August 2025
College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China. Electronic address:
Aim: To evaluate the effectiveness of escape room-based learning on nursing students' knowledge, clinical skills and critical thinking through a systematic review and meta-analysis.
Background: Traditional nursing education faces limitations in promoting active learning and higher-order cognitive skills. Escape rooms, as gamified interventions, offer immersive scenarios to enhance engagement and competency development.
Nurse Educ Pract
August 2025
Karadeniz Technical University, Faculty of Health Sciences, Department of Nursing, Trabzon, Turkey. Electronic address:
Aim: This study aimed to evaluate the impact of escape room game design, an active teaching strategy, on nursing students' knowledge of patient safety and team cooperation.
Background: Gamification-based escape rooms enhance knowledge and skill acquisition by fostering student motivation and promoting active learning.
Design: A randomized controlled experimental design with pre-post tests was employed.
Anat Sci Educ
August 2025
Department of Foundational Sciences, Methodist University Cape Fear Valley Health, Fayetteville, North Carolina, USA.
The popularity of escape rooms as a teaching tool in medical education has grown in recent years due to their ability to increase knowledge, self-confidence, and promote team-based skills. To increase efficacy in learning head and neck anatomy, a virtual escape room was built and employed as a review with a Health Professions Anatomy course. The concept was that students were trapped within the brain and had to determine the correct cranial nerve exit.
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