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Barriers and facilitators of implementing escape room in nursing education: a mixed-method systematic review protocol
Xiangmin Tan1, Fanfan Cao2, Nan Hua3
1School of Rural Health, Monash University, Melbourne, Victoria, Australia.
BMJ Open
|September 20, 2025
Summary
This review identifies facilitators and barriers for implementing escape rooms (ER) in nursing education. Understanding these factors is key to effectively integrating ERs as an innovative teaching method.
Area of Science:
- Nursing Education
- Pedagogical Innovations
- Implementation Science
Background:
- Escape room (ER) methodology offers an innovative, interactive approach to nursing education, shifting students to active participation.
- Existing research on ERs in education focuses on effectiveness and experiences, lacking specific insights into nursing education's facilitators and barriers.
- Identifying these implementation factors is crucial for developing effective course design frameworks for ERs in nursing.
Purpose of the Study:
- To systematically identify and synthesize facilitators and barriers associated with implementing escape rooms in nursing education.
- To provide an evidence-based foundation for the effective integration of escape rooms into nursing curricula.
- To utilize the Consolidated Framework for Implementation Research (CFIR) to guide the identification of implementation factors.
Main Methods:
- A comprehensive literature search will be conducted across six English and three Chinese databases up to October 1, 2025.
- Qualitative, quantitative, and mixed-methods studies published in English or Chinese will be included.
- Data will be extracted by two independent reviewers, analyzed using a convergent integrated approach with thematic synthesis, and discrepancies resolved by a third reviewer.
Main Results:
- This section is to be populated upon completion of the review.
- The synthesis will focus on identifying key facilitators and barriers to ER implementation in nursing education.
- Findings will be presented using a thematic synthesis approach.
Conclusions:
- This review will elucidate critical factors influencing the successful integration of escape rooms in nursing education.
- The findings will inform the development of practical strategies and frameworks for educators seeking to implement ERs.
- Understanding these implementation determinants is essential for optimizing the pedagogical value of escape rooms in nursing programs.
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