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

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.