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Updated: Nov 8, 2025
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Published on: August 29, 2018
Gaming and anxiety in the nursing simulation lab: A pilot study of an escape room
Janet M Reed1, Richard E Ferdig2
1Kent State University at Stark, 6000 Frank Ave., N. Canton, OH 44720, United States of America.
Background:
Anxiety accompanying educational simulations is a complex issue impacting nursing students and their learning. Research has provided evidence that some pre-simulation activities can increase student comfort with the simulation environment and may also reduce anxiety. Studies have also provided evidence of promising outcomes for gaming use in nursing education.
Purpose:
This pilot study explored a medical-surgical escape room game as an introductory simulation experience for nursing students, particularly focused on determining student anxiety levels, and both faculty and student perception of the experience.
Methods:
A quasi-experimental one group pretest-posttest design was used with a convenience sample to explore student anxiety levels and perceived enjoyment of the game.
Results:
Student anxiety levels significantly decreased (p = .013); however, anxiety levels remained high at posttest. Students reported high enjoyment of the game and provided positive comments.
Conclusion:
Escape rooms can provide an engaging, interactive way to teach nursing concepts in the simulation environment.
