Esmaeilzadeh S, Aygün M. The effectiveness of game-based learning in nursing education: a systematic review of the escape room approach. Nurse Education in Practice. 2025;104494.
This study, conducted by researchers from Near East University, examines the innovative use of the escape room method as a game-based learning strategy in nursing education. Designed in accordance with PRISMA guidelines, the systematic review evaluates studies published between 2015 and 2025 that explored the impact of this method on theoretical knowledge, clinical skills, and learning motivation. The research analyzed seven studies—one randomized controlled and six quasi-experimental—and demonstrated that escape room activities significantly enhance students’ engagement, teamwork, problem-solving abilities, and knowledge retention.
The findings reveal that the escape room approach not only makes learning more interactive but also increases students’ motivation and confidence in applying their skills to real-world clinical scenarios. By merging entertainment with education, this method transforms traditional learning into an experience that fosters both cognitive and practical competencies.
With this contribution, Near East University researchers continue to lead in educational innovation and evidence-based pedagogy. Their work highlights how modern, interactive teaching methods can effectively prepare nursing students for the dynamic demands of healthcare practice, positioning Near East University at the forefront of progressive higher education.
About the researchers
Assoc. Prof. Dr. Samineh Esmaeilzadeh serves at the Department of Mental Health Nursing, Faculty of Nursing, Near East University, where her research focuses on psychiatric and mental health nursing, psychosocial care models, and innovative approaches in nursing education. With numerous international publications, she has contributed extensively to areas such as elderly care, ethical decision-making in nursing, palliative care, and mental health promotion. Dr. Esmaeilzadeh’s recent work emphasizes the integration of game-based and technology-supported learning methods into nursing curricula, aiming to enhance students’ motivation, communication, and problem-solving skills.
Dr. Mehmet Aygün, from the Department of Nursing Fundamentals, Faculty of Nursing, Near East University, brings an interdisciplinary background that bridges language sciences, educational technology, and nursing education. His research explores innovative learning environments, including mixed-reality simulations and gamified training tools, to improve clinical education and student engagement.
Together, Near East University researchers Dr. Esmaeilzadeh and Dr. Aygün contribute to advancing evidence-based and technology-enhanced nursing education, positioning NEU as a leader in the transformation of healthcare pedagogy.
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Abstract
Aim: The aim of the study is to evaluate the effectiveness of the escape room approach, one of the game-based learning methods used in nursing education and to systematically examine its effects on learning outcomes. Background: The escape room method stands out as an innovative game-based learning strategy that encourages active participation among students and improves problem-solving, teamwork and communication skills. There are a limited number of systematic reviews on the effects of this method on theoretical knowledge acquisition, clinical skills and learning motivation in nursing education. Design: This study was designed as a systematic review on game-based learning and the escape room approach in nursing education. Method: The study was conducted in accordance with PRISMA guidelines. Studies published between 2015 and 2025 examining the effects of the escape room method in nursing education were systematically reviewed. A total of 7 studies (1 randomised controlled and 6 quasi-experimental) were included. Relevant databases were used for the review. PROSPERO: CRD42025627709 Results: Escape room activities effectively enhanced nursing students’ theoretical knowledge, clinical skills and learning motivation. The method is recommended for nursing education, with a need for further comprehensive studies. Conclusion: This study revealed that the escape room approach was an effective tool for game-based learning in nursing education. It is recommended to conduct more comprehensive and experimental studies to increase the applicability of this method in the future.
