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acid-base imbalance, educational game, gaming, nursing student



  1. Englund, Heather PhD, RN, CNE
  2. Basler, Jennifer PhD, RN, CNE


Background: The purpose of this study was to investigate the relationship between an acid-base imbalance educational gaming activity and subsequent performance on a course examination on the subject.


Method: A nonexperimental descriptive design was employed using retrospective data obtained from both College of Nursing internal records and the learning management system used by the nursing program. A total of 435 students in the intervention group and 409 in the control group were included in the study.


Results: Differences in mean (SD) scores between the 2 groups for the acid-base content questions on the course examination were statistically significant (intervention group, 16.64 [1.92]; control group, 16.03 [1.62]; t842 = 2.34, P = .019).


Conclusion: The results suggest that using educational gaming may improve retention and application of nursing knowledge.