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The Effect of an Escape Room Simulation on Postmortem Care Training For Nursing Students: A Randomized Controlled
Tulay Basak1, Ayla Demirtas2, Gul Sahin Karaduman3
1Tulay Basak, RN, PhD , is professor, Fundamentals of Nursing Department, Gulhane Faculty of Nursing, University of Health Sciences Turkey, Ankara, Turkey.
Summary
Nursing students demonstrated improved postmortem care knowledge and self-efficacy after an escape room simulation. This innovative approach significantly boosted learning outcomes and confidence in managing end-of-life care.
Area of Science:
- Nursing Education
- Medical Simulation
- End-of-Life Care
Background:
- Nursing curricula frequently lack comprehensive postmortem care training.
- Postmortem care education is often acquired through informal on-the-job learning.
- There is a need for structured educational interventions to improve nursing students' competence in postmortem care.
Purpose of the Study:
- To evaluate the effectiveness of an escape room simulation in enhancing nursing students' knowledge, self-efficacy, and motivation regarding postmortem care.
- To compare the learning outcomes of students who participated in an escape room simulation versus traditional instruction.
Main Methods:
- A parallel-group randomized controlled quasi-experimental design was utilized.
- 95 senior nursing students from a public university participated in the study.
- Data were collected using pretest, posttest, and retention tests, alongside validated questionnaires on knowledge, self-efficacy, and motivation.
Main Results:
- The intervention group, utilizing the escape room, exhibited significantly higher postmortem care knowledge scores immediately after the intervention and at a 4-week follow-up (P < .01).
- Students in the intervention group reported significantly greater self-efficacy in postmortem care and higher motivation towards instructional materials (P < .01).
Conclusions:
- An escape room simulation is an effective pedagogical tool for enhancing nursing students' knowledge, self-efficacy, and motivation in postmortem care.
- This simulation-based approach offers a promising alternative to traditional teaching methods for end-of-life care education.
- Integrating innovative simulation techniques into nursing education can address curriculum gaps and improve preparedness for essential clinical skills.

