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From Surface to Deep Learning: Gamified Mobile Education for Subcutaneous and Intramuscular Injection Skills
1Department of Nursing Fundamentals, Faculty of Nursing, Atatürk University, Erzurum, Turkey.
Medical Science Educator
|July 8, 2025
Summary
A game-based mobile app significantly improved nursing students' skills in subcutaneous (SC) and intramuscular (IM) injections. This innovative approach enhanced learning and practical competence compared to traditional methods.
Area of Science:
- Nursing Education
- Educational Technology
- Health Professions Education
Background:
- Traditional nursing education relies on theoretical and practical components.
- Digital technologies offer innovative methods like game-based learning to enhance skills.
- Mobile applications present opportunities for improving practical nursing competencies.
Purpose of the Study:
- To investigate the impact of a game-based mobile application on nursing students' skills in administering subcutaneous (SC) and intramuscular (IM) injections.
- To compare the effectiveness of game-based learning with traditional training methods in nursing education.
- To assess the influence of game-based learning on students' learning approaches and medication administration performance.
Main Methods:
- An experimental study involving a study group (n=64) using a simulation game system and a control group (n=65) using traditional methods.
- Data collection via Self-Demonstration Form, Study Process Questionnaire, and Skills Performance List for SC and IM Administration.
- Assessment of learning approaches and medication administration skills pre- and post-intervention.
Main Results:
- The study group demonstrated significantly greater improvements in learning approaches and medication administration skills compared to the control group.
- Deep learning scores increased substantially in the study group (31.39 to 45.05) versus the control group (31.78 to 37.02) (p < 0.01).
- Significant improvements were observed in SC (p=0.015) and IM (p < 0.001) administration scores for the study group, with scenario-based analyses showing performance gains (p < 0.05).
Conclusions:
- The HEM-SC-IM game-based mobile application effectively enhanced nursing students' SC and IM injection administration skills.
- Game-based learning offers an interactive and engaging educational experience, fostering deeper understanding and practical skill development.
- Integrating educational technology, such as game-based mobile apps, into nursing curricula can improve learning outcomes and enhance practical competencies.

