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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).
Background:
Literature supports integration of active learning strategies into curriculum.
Purpose:
This article highlights an innovative approach to engage students in application of didactic lecture into a clinical management scenario through creation of a neonatal escape game.
Methods:
A case-based escape game required students to critically evaluate laboratory values, assessment findings, and perform calculations to solve clues to "escape" within a 20-minute period. Pre- and post-surveys measured confidence related to clinical reasoning.
Results:
Three out of 4 teams successfully "escaped" within the set time limit. Simulation Effectiveness Tool-Modified (SET-M) mean scores (n = 13) across prebrief, scenario, and debrief showed increased confidence. Curriculum content comparison between pre- ( M = 3.36) and post-assessment ( M = 3.97) revealed an 18.15% growth with P <.05. All students reported the experience contributed to their learning.
Conclusion:
Alternative learning activities, such as an escape game, enhance application of didactic material before transition into clinical practice.
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