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Updated: May 23, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
An Escape Game for Neonatal Nurse Practitioner Students: Is Time on Your Side?
Colleen Reilly Moss1, Helen Nation, Eric Hall
1Author Affiliations : Vanderbilt University School of Nursing, Nashville, Tennessee (Drs Moss, Nation, and Hall); Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee (Drs Moss and Nation).
Neonatal escape games effectively engage students in applying didactic material to clinical scenarios, boosting confidence and learning. This active learning strategy enhances clinical reasoning skills before practice.
Area of Science:
- Medical Education
- Active Learning Strategies
- Simulation-Based Learning
Background:
- Active learning strategies are supported by literature for integration into medical curricula.
- Traditional didactic lectures may not fully prepare students for clinical application.
Purpose of the Study:
- To highlight an innovative approach using a neonatal escape game to engage students.
- To facilitate the application of didactic lecture material into clinical management scenarios.
Main Methods:
- A case-based escape game was designed requiring critical evaluation of lab values and assessment findings.
- Students performed calculations to solve clues within a 20-minute time limit.
- Pre- and post-surveys assessed changes in confidence related to clinical reasoning.
Main Results:
- Three out of four teams successfully completed the escape game within the time limit.
- Post-simulation surveys indicated increased student confidence, with Simulation Effectiveness Tool-Modified (SET-M) scores showing improvement.
- A statistically significant 18.15% growth in curriculum content understanding was observed (P <.05).
Conclusions:
- Alternative learning activities, like escape games, enhance the application of didactic material.
- This approach prepares students for the transition into clinical practice by reinforcing learned concepts in a simulated environment.
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