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Gamification as a strategy in nursing clinical supervision for developing critical reflective thinking
Sílvia Caldas1, Regina Gonçalves1, Renata Silva1,2
1School of Nursing, University of Minho, Braga, Portugal.
International Journal of Nursing Sciences
|February 13, 2026
Summary
Gamified clinical supervision enhanced nursing students' learning by improving knowledge consolidation, teamwork, and clinical reasoning. This strategy supports critical and reflective thinking in hospital training.
Area of Science:
- Nursing Education
- Healthcare Simulation
- Pedagogy in Medicine
Background:
- Clinical supervision is crucial for developing critical thinking in nursing students.
- Traditional methods may not fully engage students in reflective practice.
- Gamification offers a novel approach to enhance learning experiences.
Purpose of the Study:
- To analyze the benefits of a gamified clinical supervision strategy.
- To assess the impact on critical and reflective thinking in undergraduate nursing students.
- To evaluate student perceptions of gamified learning in hospital settings.
Main Methods:
- A six-week gamified supervision program was implemented with second-year nursing students.
- Interventions included decision-making scenarios, reasoning exercises, and clinical quizzes.
- Qualitative and quantitative data were collected through reflections, field notes, questionnaires, and focus groups.
Main Results:
- Students reported gamification supported knowledge consolidation, teamwork, and clinical reasoning.
- All surveyed students agreed gamification enhanced their learning and should continue.
- Themes of emotional expression and belonging emerged, alongside challenges with reflection tools.
Conclusions:
- Gamified clinical supervision effectively engaged students in practical learning and reflection.
- The strategy shows potential for fostering reflective and critical thinking in nursing education.
- Gamification can be a valuable tool in authentic clinical training environments.
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