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Effects of Enhanced Gaming Elements in Virtual Gaming Simulation on Learning Outcomes
Natasha Nurse-Clarke1, Brenda Hernandez-Acevedo1
1School of Health Sciences, Human Services and Nursing, Herbert H. Lehman College, City University of New York, Bronx, New York.
The Journal of Nursing Education
|July 23, 2026
Summary
Enhanced virtual gaming simulation (VGS) in nursing education improved student knowledge retention, satisfaction, and confidence. The engaging elements created a more challenging and rewarding learning experience for nursing students.
Area of Science:
- Educational Technology
- Nursing Education
- Simulation-Based Learning
Background:
- Virtual gaming simulation (VGS) is a growing tool in nursing education.
- Research on the impact of enhanced gaming features on student outcomes is limited.
Purpose of the Study:
- To evaluate the effect of enhanced gaming elements (storylines, sound effects, progress bars) in VGS on nursing students' knowledge retention, enjoyment, satisfaction, and self-confidence.
- To compare outcomes between undergraduate nursing students using enhanced VGS and those using traditional VGS.
Main Methods:
- A randomized controlled trial with pre- and posttests was conducted.
- Undergraduate nursing students were assigned to either an enhanced VGS group or a traditional VGS group.
- Key outcome measures included knowledge retention, enjoyment, satisfaction, and self-confidence.
Main Results:
- The enhanced VGS group showed significantly greater improvements in knowledge scores compared to the control group.
- Students in the enhanced VGS group reported significantly higher satisfaction and self-confidence.
- While overall enjoyment was similar, the enhanced group scored higher on the Challenge/Improvement subscale.
Conclusions:
- Incorporating enhanced gaming elements into VGS can positively impact nursing students' knowledge retention, satisfaction, and confidence.
- These features may foster a more challenging and engaging educational experience in nursing simulation.
- Further research can explore specific design elements for optimal VGS effectiveness in healthcare education.
