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Effectiveness of a Gamification-Based Intervention for Learning a Structured Handover System Among Undergraduate
Mauro Parozzi1, Irene Meraviglia2, Paolo Ferrara3
1Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Via Montpellier 1, 00133 Rome, Italy.
Nursing Reports (Pavia, Italy)
|September 26, 2025
Summary
A serious game effectively improved nursing students' skills in structured clinical handovers using the Situation, Background, Assessment, Recommendation (SBAR) framework in mental health settings.
Area of Science:
- Nursing Education
- Medical Simulation
- Gamification in Healthcare
Background:
- Effective clinical handover is crucial in nursing, especially in mental health, for patient and staff safety.
- Gamification shows potential for clinical education, but specific applications in mental health nursing are limited.
Purpose of the Study:
- To evaluate a serious game designed to teach the SBAR (Situation, Background, Assessment, Recommendation) handover framework to undergraduate nursing students.
- To assess the game's effectiveness in a psychiatric care unit scenario.
Main Methods:
- A quasi-experimental pre-post design with 48 nursing students.
- Assessment of SBAR framework application before and after the serious game intervention.
- Evaluation of student experience using the Player Experience Inventory.
Main Results:
- Statistically significant improvement in SBAR application post-intervention.
- Students reported positive experiences with the game, particularly in meaning, challenge, feedback, and enjoyment.
- Results showed a consistent pattern compared to a previously validated video-based serious game.
Conclusions:
- The serious game served as an effective and engaging tool for enhancing nursing students' handover skills.
- Gamification can be a valuable supplement to traditional nursing education, particularly in communication-intensive areas like mental health.
- Further research is recommended to evaluate long-term skill retention and explore immersive formats.
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