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From Design to Implementation: NursingUP® Board Game for Positive Nursing Practice Environments.

Soraia Cristina de Abreu Pereira^1,2,3, Cintia Silva Fassarella⁴, Olga Maria Pimenta Lopes Ribeiro^1,3

¹RISE-Health, Porto, Portugal.

Research in Nursing & Health

|March 17, 2026

Summary

This summary is machine-generated.

A new board game, NursingUP®, was developed to improve nursing practice environments. It showed high user satisfaction and usability, proving effective for enhancing teamwork and communication among nurses.

Keywords:

gamification nurses primary health care working conditions

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Area of Science:

Nursing Practice Environment
Healthcare Education
Teamwork and Collaboration

Background:

Positive nursing practice environments are crucial for patient safety, care quality, and nurse well-being.
Limited evidence-based interventions exist to strengthen these environments and foster team collaboration.
The study addresses the need for innovative tools to support healthy nursing work environments.

Purpose of the Study:

To systematically develop, validate, implement, and preliminarily evaluate NursingUP®, a board game designed to promote reflection on positive nursing practice environments.
To assess the game's content validity, user satisfaction, and usability among primary health care nurses.
To establish the feasibility of NursingUP® as an educational tool for nursing teams.

Main Methods:

A multi-method, multi-phase design was employed, integrating theoretical and empirical evidence for game development.
Content validity was established using a structured e-Delphi process with 17 nursing experts.
The game was implemented with 48 primary health care nurses, followed by evaluation using satisfaction and usability instruments and qualitative feedback.

Main Results:

Nursing experts reached consensus on the game's clarity, relevance, and pertinence.
Nurses reported high satisfaction and perceived the game as beneficial for reflection, communication, and teamwork.
Usability assessment indicated strong acceptance, with clear rules and ease of use being highly valued.

Conclusions:

NursingUP® demonstrated content validity, high user satisfaction, and good usability, confirming its feasibility as an educational tool.
The board game effectively stimulates reflection on practice environment determinants and enhances communication and teamwork.
Further research using controlled designs is recommended to evaluate the game's impact on behavioral and organizational outcomes.