The Effect of Taboo® and Kahoot Educational Games on Critical Thinking and Achievement Motivation Levels of Nursing Students

Abstract

Objective: This study aimed to evaluate the effect of the Taboo® game and Kahoot game adapted to the course on students' critical thinking skills and achievement motivation levels in the Infectious Diseases Nursing course. Methods: The study was conducted in a quasi-experimental, pre-test-post-test design. Results: The study was conducted with 73 nursing students (n=36 Taboo® game groups, n=37 Kahoot game groups) studying in the nursing department of a university in Turkey and taking the Infectious Diseases Nursing course. There was a statistically significant difference in the pretest and posttest knowledge mean scores between the Kahoot game group and the Taboo® game group (p < 0.05). A statistically significant difference was also found in the total mean scores of the Marmara Critical Thinking Scale and Achievement Motivation Scale of the Kahoot game group (p < 0.05). Conclusion: Taboo® and Kahoot educational games affected students' critical thinking skills and achievement motivation levels. In this direction, it can be recommended to use educational games as in-class teaching techniques to increase the adaptation of nursing students to changing scientific and technological advances.

Keywords

• Kahoot
• Motivation
• Game-Based Education
• Taboo®

Supporting Institution

No

Project Number

No

Ethical Statement

To implement the study and collect the data, permission was obtained from XXX University XXX School of Health (E-86792508-900-429349), XXX University Faculty of Medicine Local Ethics Committee (Decision number: 2023/37), verbal and written consent from the students who would participate in the study, and permission to use the scale via e-mail from the relevant people. This study was conducted by the World Medical Association (WMA) Declaration of Helsinki (and/or World Psychiatric Association HAWAII Declaration) Good Clinical Practices.

Thanks

We would like to thank all the students who voluntarily participated in our study.

Tabu ve Kahoot Eğitim Oyunlarının Hemşirelik Öğrencilerinin Eleştirel Düşünme ve Başarı Motivasyonu Düzeylerine Etkisi

Abstract

Amaç: Bu çalışma, Bulaşıcı Hastalıklar Hemşireliği dersinde öğrencilerin eleştirel düşünme becerileri ve başarı motivasyon düzeyleri üzerinde, derse uyarlanmış Tabu oyunu ve Kahoot oyununun etkisini değerlendirmek amacıyla yapılmıştır. Yöntem: Çalışma, yarı deneysel, ön test-son test tasarımında gerçekleştirilmiştir. Bulgular: Çalışma, Türkiye'deki bir üniversitenin hemşirelik bölümünde okuyan ve Bulaşıcı Hastalıklar Hemşireliği dersini alan 73 hemşirelik öğrencisi (n=36 Tabu oyun grubu, n=37 Kahoot oyun grubu) ile gerçekleştirilmiştir. Kahoot oyun grubu ile Tabu oyun grubu arasında ön test ve son test bilgi ortalama puanlarında istatistiksel olarak anlamlı bir fark bulunmamıştır (p > 0,05). Kahoot oyun grubunun Marmara Eleştirel Düşünme Ölçeği ve Başarı Motivasyonu Ölçeği toplam ortalama puanlarında da istatistiksel olarak anlamlı bir fark bulunmuştur (p < 0,05). Sonuç: Tabu ve Kahoot eğitim oyunları, öğrencilerin eleştirel düşünme becerilerini ve başarı motivasyon düzeylerini etkilemiştir. Bu doğrultuda, hemşirelik öğrencilerinin değişen bilimsel ve teknolojik gelişmelere uyumunu artırmak için eğitim oyunlarının sınıf içi öğretim teknikleri olarak kullanılması önerilebilir.

Keywords

• Kahoot
• Motivasyon
• Oyun Tabanlı Eğitim
• Tabu

Supporting Institution

Yok

Project Number

No

Ethical Statement

Çalışmayı uygulamak ve verileri toplamak için Selcuk Üniversitesi Akşehir Sağlık Yüksekokulu'ndan (E-86792508-900-429349), Selcuk Üniversitesi Tıp Fakültesi Yerel Etik Kurulu'ndan (Karar numarası: 2023/37) izin alınmış, çalışmaya katılacak öğrencilerden sözlü ve yazılı onay alınmış ve ilgili kişilerden e-posta yoluyla ölçeği kullanma izni alınmıştır. Bu çalışma, Dünya Tıp Birliği (WMA) Helsinki Bildirgesi (ve/veya Dünya Psikiyatri Birliği HAWAII Bildirgesi) İyi Klinik Uygulamaları'na göre yürütülmüştür.

Thanks

Çalışmamıza gönüllü olarak katılan tüm öğrencilerimize teşekkür ederiz.

References

1. Abrami PC, Bernard RM, Borokhovski E, Waddington DI, Wade A, Persson T. (2015). Strategies for teaching students to think critically: A meta-analysis. Review of Educational Research, 85(2), 275–314. https://doi.org/10.3102/0034654314551063
2. Aras NG, Çiftçi B. (2021). Comparison of the effect of reinforcement with question-answer and Kahoot method on the success and motivation levels of nursing students: A quasi-experimental review. Nurse Education Today, 102, 104930. https://doi.org/10.1016/j.nedt.2021.104930
3. Ayas MB, Sak U. (2014). Objective measure of scientific creativity: Psychometric validity of the Creative Scientific Ability Test. Thinking Skills and Creativity, 13, 195–205. https://doi.org/10.1016/j.tsc.2014.06.001
4. Bapoğlu SS, Açıkgöz F, Kapısız Ö, Yılmaz Ö. (2011). Uso del método teatral en el desarrollo de habilidades de pensamiento crítico de los estudiantes de enfermería. Revista del Instituto Universitario de Ciencias de la Salud de Düzce, 1(3), 17–21.
5. Bilik Ö, Bilik EA, Kankaya Z, Deveci. (2020). Effects of web-based concept mapping education on students’ concept mapping and critical thinking skills: A double blind, randomized, controlled study. Nurse Education Today, 86, 104312. https://doi.org/10.1016/j.nedt.2019.104312
6. Boctor L. (2013). Active-learning strategies: The use of a game to reinforce learning in nursing education: A case study. Nurse Education in Practice, 13(2), 96–100. https://doi.org/10.1016/j.nepr.2012.07.010
7. Bouchrika I, Harrati N, Wanick V, Wills G. (2021). Exploring the impact of gamification on student engagement and involvement with e-learning systems. Interactive Learning Environments, 29, 1244–1257. https://doi.org/10.1080/10494820.2019.1623267
8. Brown T. (2018). Using Jenga to teach risk management concepts to senior nursing students. Journal of Nursing Education, 57(12), 765. https://doi.org/10.3928/01484834-20181119-12

9. Carter AG, Creedy DK, Sidebotham M. (2017). Critical thinking skills in midwifery practice: Development of a self-assessment tool for students. Midwifery, 50, 184–192. https://doi.org/10.1016/j.midw.2017.04.010
10. Castro JM, Lopez M, Cao JM, Castro-Fernandez M, Garcia S, Frutos M, et al. (2019). Impact of educational games on academic outcomes of students in the Degree in Nursing. PLoS ONE, 14(7), e0220388. https://doi.org/10.1371/journal.pone.0220388
11. Dietrich A. (2004). The cognitive neuroscience of creativity. Psychonomic Bulletin & Review, 11(6), 1011–1026. https://doi.org/10.3758/BF03196731
12. Eccles J, Wigfield A, Harold R, Blumenfeld P. (1993). Age and gender differences in children's self- and task perceptions during elementary school. Child Development, 64(3), 830–847. https://doi.org/10.2307/1131221
13. Elsayed SH, Ahmed MG, Mahmoud IS, Araby MS. (2025). Relation between nursing students' attitude toward Kahoot game as web-based assessment tool and academic engagement. Journal of Nursing Science, 6(2), 685–695.
14. Felszeghy S, Pasonen-Seppänen S, Koskela A, Nieminen P, Härkönen K, Paldanius KMA, et al. (2019). Using online game-based platforms to improve student performance and engagement in teaching histology. BMC Medical Education, 19, 273. https://doi.org/10.1186/s12909-019-1701-0
15. Ferrari A, Cachia R, Punie Y. (2009). Innovation and creativity in education and training in the EU member states: Fostering creative learning and supporting innovative teaching. JRC Technical Note, 52374, 64.
16. Ferriz-Valero A, Østerlie O, García Martínez S, García-Jaén M. (2020). Gamificación en Educación Física: Evaluación del impacto sobre la motivación y el rendimiento académico en educación superior. International Journal of Environmental Research and Public Health, 17, 4465. https://doi.org/10.3390/ijerph17124465
17. Fonseca LM, Aredes ND, Fernandes AM, Batalha LM, Apóstolo JM, Martins JC. (2016). Computer and laboratory simulation in the teaching of neonatal nursing: Innovation and impact on learning. Revista Latino-Americana de Enfermagem, 24, e2808. https://doi.org/10.1590/1518-8345.1005.2808
18. Gallegos C, Tesar AJ, Connor K, Martz K. (2017). The use of a game-based learning platform to engage nursing students: A descriptive, qualitative study. Nurse Education in Practice, 27, 101–106. https://doi.org/10.1016/j.nepr.2017.08.019
19. Gholami M, Moghadam PK, Mohammadipoor F, Tarahi MJ, Sak M, Toulabi TAHH. (2016). Comparing the effects of problem-based learning and the traditional lecture method on critical thinking skills and metacognitive awareness in nursing students in a critical care nursing course. Nurse Education Today, 45, 16–21. https://doi.org/10.1016/j.nedt.2016.06.007
20. Gómez-Urquiza JL, Gómez-Salgado J, Albendín-García L, Correa-Rodríguez M, González-Jiménez E, Cañadas-De la Fuente GA. (2019). The impact on nursing students' opinions and motivation of using a “Nursing Escape Room” as a teaching game: A descriptive study. Nurse Education Today, 72, 73–76. https://doi.org/10.1016/j.nedt.2018.10.018
21. Gross ME, Zedelius CM, Schooler JW. (2020). Cultivating an understanding of curiosity as a seed for creativity. Current Opinion in Behavioral Sciences, 35, 77–82. https://doi.org/10.1016/j.cobeha.2020.07.015
22. Ismail MAA, Ahmad JAM, Mohammad NMRM, Fakri MZM, Nor MNM, Pa MN. (2019). Using Kahoot! as a formative assessment tool in medical education: A phenomenological study. BMC Medical Education, 19, 230. https://doi.org/10.1186/s12909-019-1658-z
23. Johnsen HM, Fossum M, Vivekananda-Schmidt P, Fruhling A, Slettebø Å. (2018). Nursing students’ perceptions of a video-based serious game’s educational value: A pilot study. Nurse Education Today, 62, 62–68. https://doi.org/10.1016/j.nedt.2017.12.022
24. Kim SS, Kim EJ, Lim JY, Kim GM, Baek HC. (2018). Korean nursing students' acquisition of evidence-based practice and critical thinking skills. Journal of Nursing Education, 57(1), 21–27. https://doi.org/10.3928/01484834-20180102-05
25. Kulakaç N, Çilingir D. (2023). The effect of serious game-based practices on the knowledge level of nursing students: Systematic review and meta-analysis. GOSBD, 12(3), 1193–1201.
26. Lee J, Lee Y, Gong S, Bae J, Choi M. (2016). A meta-analysis of the effects of non-traditional teaching methods on the critical thinking abilities of nursing students. BMC Medical Education, 16(1), 240. https://doi.org/10.1186/s12909-016-0761-7
27. McEnroe-Petitte D, Farris C. (2020). Using gaming as an active teaching strategy in nursing education. Teaching and Learning in Nursing, 15(1), 61–65. https://doi.org/10.1016/j.teln.2019.09.002
28. Mohamed Abd El-Aziz, Heba N, Saleh Nadia MH, Gilany E, Hadyb A, Raefa RA. (2022). Effect of Kahoot game based versus nongame based on learning achievements and anxiety among nursing students. Egyptian Nursing Journal, 19(2), 157–163. https://doi.org/10.4103/enj.enj_40_2
29. Ozan DY, Duman M, Isbir GG. (2022). Effects of different teaching methods on nursing students’ motivations and critical thinking disposition: A quasi-experimental study. International e-Journal of Educational Studies, 6(2), 95–104. https://doi.org/10.31458/iejes.1059478
30. Öz Özaras G, Ordu Y. (2021). The effects of web-based education and Kahoot usage in evaluation of the knowledge and skills regarding intramuscular injection among nursing students. Nurse Education Today, 103, 104910. https://doi.org/10.1016/j.nedt.2021.104910
31. Öz Özaras G. (2023). Comparison of the effect of using Kahoot in Nursing Fundamentals Education on students' achievement and motivation levels: A randomized controlled study. Turkiye Klinikleri Journal of Nursing Sciences, 15(3), 678–688. https://doi.org/10.5336/nurses.2022-94745
32. Özgenel M, Çetin M. (2018). Development of the Marmara Critical Thinking Dispositions Scale: Validity and reliability analysis. International Journal of Eurasia Social Sciences, 9(32), 991–1015.
33. Özöztürk S, Güler B, Bilgiç D, Özberk H, Yağcan H, Tokat MA. (2023). The effect of online and face-to-face active learning methods on learning attitudes. Nurse Education Today, 129, 105915. https://doi.org/10.1016/j.nedt.2023.105915
34. Park M, Jeong M, Lee HM, Cullen L. (2020). Web-based experiential learning strategies to enhance the evidence-based-practice competence of undergraduate nursing students. Nurse Education Today, 91, 104466. https://doi.org/10.1016/j.nedt.2020.104466
35. Perez-Cortes I, Anula-Zagalz N, Ruiz-Lopez CDM, Fernandez-Diaz A, Gaitan-Obrero E, Perez-Osuna CM. (2023). Study based on gamification of tests through Kahoot!™ and Reward Game Cards as an innovative tool in physiotherapy students: A preliminary study. Healthcare, 11(4), 578. https://doi.org/10.3390/healthcare11040578
36. Putranta H, Supahar S. (2019). Development of physics-tier tests (PysTT) to measure students’ conceptual understanding and creative thinking skills: A qualitative synthesis. Journal of Education, Gifted Young Scientists, 7(3), 747–775. https://doi.org/10.17478/jegys.587203
37. Rosa-Castillo A, García-Pañella O, Maestre-Gonzalez E, Pulpón-Segura A, Roselló-Novella A, Solà-Pola M. (2022). Gamification on Instagram: Nursing students' degree of satisfaction with and perception of learning in an educational game. Nurse Education Today, 118, 105533. https://doi.org/10.1016/j.nedt.2022.105533
38. Runco MA, Millar G, Acar S, Cramond B. (2010). Torrance tests of creative thinking as predictors of personal and public achievement: A fifty-year follow-up. Creativity Research Journal, 22(4), 361–368. https://doi.org/10.1080/10400419.2010.523393
39. Saeedi M, Ghafouri R, Tehrani FJ, Abedini Z. (2021). The effects of teaching methods on academic motivation in nursing students: A systematic review. Journal of Education and Health Promotion, 10, 271. https://doi.org/10.4103/jehp.jehp_1070_20
40. Sanaie N, Vasli P, Sedighi L, Sadeghi B. (2019). Comparing the effect of lecture and Jigsaw teaching strategies on the nursing students' self-regulated learning and academic motivation: A quasi-experimental study. Nurse Education Today, 79, 35–40. https://doi.org/10.1016/j.nedt.2019.05.022
41. Sarıtepeci M. (2016). Investigación de la eficacia del método de narración digital en el curso de estudios sociales [Doctoral dissertation]. Universidad de Gazi, Instituto de Ciencias de la Educación, Ankara.
42. Sarıtepeci M. (2018). Estudio de adaptación de la escala de motivación de logro basada en la teoría de la expectativa-valor. Revista Internacional de Ciencia y Tecnología Educativa, 4, 28–40.
43. Semerci N. (2017). The development of critical thinking disposition scale (CTDH): Study on the revision of validity and reliability. Turkish Studies, 11(9), 725–740. https://doi.org/10.7827/TurkishStudies.9573
44. Sharma R. (2017). Emerging innovative teaching strategies in nursing. JOJ Nursing and Health Care, 1(2), 23–25. https://doi.org/10.19080/JOJNHC.2017.01.555558
45. Shawwa L, Kamel F. (2023). Assessing the knowledge and perceptions of medical students after using Kahoot! in pharmacology practical sessions at King Abdulaziz University, Jeddah. Cureus, 15(3), e36796. https://doi.org/10.7759/cureus.36796
46. Sheng R, Goldie CL, Pulling C, Flude-Luctkar M. (2019). Evaluating student perceptions of a multi-platform classroom response system in undergraduate nursing. Nurse Education Today, 78, 25–31. https://doi.org/10.1016/j.nedt.2019.03.008
47. Shin H, Park J, Kim J. (2015). Effectiveness of simulation-based nursing education depending on fidelity: A meta-analysis. BMC Medical Education, 15(1), 1–8.
48. Shin HS, Jung D, Shin S, Kim M. (2018). Self-directed learning readiness and critical thinking disposition in nursing students. Journal of Nursing Education, 57(8), 486–494.
49. Şahin G, Başak T. (2019). Game-based learning in nursing education. Revista Gümüşhane de Ciencias de la Salud, 8(3), 308–314.
50. Toothaker R. (2018). Millennials’ perspective of clicker technology in a nursing classroom: A mixed methods research study. Nurse Education Today, 62, 80–84. https://doi.org/10.1016/j.nedt.2017.12.027
51. Topçu S. (2023). The effect of game-based learning on motivation and learning strategies of nursing students in occupational health nursing course. Jurnal Berita Ilmu Keperawatan, 16(1), 1–? https://doi.org/10.23917/bik.v16i1.1499
52. Turan Z, Meral E. (2018). Game-based versus non-game-based: The impact of student response systems on students' achievements, engagements and test anxieties. Informatics in Education, 17(1), 105–116. https://doi.org/10.15388/infedu.2018.07
53. Verkuyl M, Atack L, Mastrilli P, Romaniuk D. (2016). Virtual gaming to develop students’ pediatric nursing skills: A usability test. Nurse Education Today, 46, 81–85. https://doi.org/10.1016/j.nedt.2016.08.024
54. Wigfield A, Eccles JS. (2000). Expectancy–value theory of achievement motivation. Contemporary Educational Psychology, 25(1), 68–81. https://doi.org/10.1006/ceps.1999.1015
55. Xu Y, Lau Y, Cheng LJ, Lau ST. (2021). Learning experiences of game-based educational intervention in nursing students: A systematic mixed-studies review. Nurse Education Today, 107, 105139. https://doi.org/10.1016/j.nedt.2021.105139
56. Zeffiro V, Di Fuccio R, Vellone E, Alvaro R, D’Agostino F. (2020). A serious game and negotiation skills in nursing students: A pilot study. In International Conference on Methodologies and Intelligent Systems for Technology Enhanced Learning (pp. 91–98). https://doi.org/10.1007/978-3-030-52287-2_9
57. Zhang Q, Yu Z. (2022). Meta-analysis on investigating and comparing the effects on learning achievement and motivation for gamification and game-based learning. Education Research International, 2022, 1–19. https://doi.org/10.1155/2022/1519880