The Effectiveness of Serious Game-Based Training for Nursing Students in Postpartum Haemorrhage Management

This randomized controlled trial evaluated the incremental effect of adding a web-based serious game to standard theoretical instruction on third-year nursing students' postpartum hemorrhage management knowledge, task-specific self-efficacy, and self-regulated learning. Using census recruitment, all 159 eligible students were invited, and 120 students consented and were randomly allocated in a 1:1 ratio to the intervention or control group (60 participants per group) using randomly permuted blocks of four. Both groups received the same three 40-minute theoretical sessions. The intervention group additionally completed an individual, self-paced, 30-50-minute browser-based serious game featuring a single branching postpartum hemorrhage scenario, clinical decision-making, and immediate physiological feedback. The control group received no additional educational activity before the immediate posttest assessment. Outcomes were assessed at baseline before randomization and immediately after the intervention or control condition. Outcome data were analyzed by an independent analyst blinded to group coding.Data will be collected using the PPK Management Knowledge and Skills Assessment Form and the PPK Management Self-Confidence Scale.

Inclusion Criteria: 1. Enrollment as a third-year nursing student in the Obstetrics and Gynecology Nursing course. 2. Voluntary agreement to participate and provision of electronic informed consent. 3. Access to an internet-enabled smartphone, tablet, or laptop for using the web-based serious game. Exclusion Criteria: Absence during the scheduled intervention session. Incomplete submission of the data collection forms.