The Effect of Game-Based Learning and Telesimulation on Nursing Students' Management of Postpartum Hemorrhage

This study was conducted to evaluate the effects of Kahoot and telesimulation methods on the knowledge, skills, motivation and clinical performance of nursing students in the management of postpartum hemorrhage and to examine the students' views on these methods.

This is a randomized controlled intervention study in which the quantitative research method is used. The study sample consisted of year-2 students (n=177) who took the Obstetrics and Gynecology Nursing course in the spring semester of the 2020-2021 academic year at the Faculty of Gulhane Nursing at SBU. The control group consisted of 44 students, and the intervention group was divided into three groups and randomized to include 44 students in each group, with a total of 133 students. All students attended the "Postpartum Hemorrhage and its Management" course, and after the course, Group II received the telesimulation intervention, Group III the Kahoot game intervention and Kahoot game and telesimulation to Group IV. The control group did not receive any intervention.

This study was conducted to evaluate the effects of Kahoot and telesimulation methods on the knowledge, skills, motivation and clinical performance of nursing students in the management of postpartum hemorrhage and to examine the students' views on these methods.

This is a randomized controlled intervention study in which the quantitative research method is used. The study sample consisted of year-2 students (n=177) who took the Obstetrics and Gynecology Nursing course in the spring semester of the 2020-2021 academic year at the Faculty of Gulhane Nursing at SBU. The control group consisted of 44 students, and the intervention group was divided into three groups and randomized to include 44 students in each group, with a total of 133 students. All students attended the "Postpartum Hemorrhage and its Management" course, and after the course, Group II received the telesimulation intervention, Group III the Kahoot game intervention and Kahoot game and telesimulation to Group IV. The control group did not receive any intervention.

All the practices were carried out remotely with students who had their education through distance learning due to COVID-19. Groups were formed from the students according to randomization. The student names whose groups were determined were assigned to their own group in Microsoft Teams. The application phase of the study included the pre-test, theoretical education on Postpartum Hemorrhage, playing games on the Kahoot platform, telesimulation application, and post-test application to all groups.

The "Postpartum Hemorrhage and its Management" course was held on March 9, 2021, in two 40-minute sessions, using PowerPoint as training material, synchronized with the whole class over Microsoft Teams. After all the content for the Kahoot game was prepared, the students were briefed through a synchronous 30-minute online meeting in Microsoft Teams with a PowerPoint presentation on how to log in to Kahoot and how to play the games. An entry guide to Kahoot has been prepared and distributed to the students. Then, on April 26, 2021, five different Kahoot games for Group 3 and Group 4 were uploaded and a PIN was sent to the students to play one game per day. After the Kahoot game was over, Telesimulation Application was carried out with Group 2 and Group 4. After the telesimulation application, the final tests were conducted.

Eligibility Criteria:
Inclusion Criteria:

* Taking the Obstetrics and Gynecology Nursing Course for the first time,
* Having no professional experience,
* Having a smartphone, tablet or computer with an internet connection,
* Continuing the course with distance learning during the COVID-19 pandemic period,
* Receiving education on Postpartum Hemorrhage for the first time,
* Voluntarily accepting to participate in the study.

Exclusion Criteria:

* Not attending the theoretical lesson,
* Not playing the game that was sent to them,
* Not volunteering to participate in the study