The Effect of Digital Games on Ethical Sensitivity and Decision Making in Nursing Students

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-31

Study Completion Date

2026-06-30

Brief Summary

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The study was planned using a randomised controlled experimental design to determine the effectiveness of digital game-based teaching in the development of ethical sensitivity and ethical decision-making processes among nursing students.

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Detailed Description

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The most significant contribution this study will make to the literature is its systematic demonstration of the effects of a digital game-based teaching method on the development of ethical sensitivity and ethical decision-making processes in the context of nursing education. Currently, ethics education is mostly conducted using traditional methods, and it is known that students experience difficulties in transferring what they learn in theoretical education to practice. This study makes a unique contribution by demonstrating that digital games can support students' ethical thinking and decision-making skills by offering interactive and experience-based learning opportunities. Furthermore, the study aims to expand the limited literature on the use of digital game-based teaching in ethics education in nursing and to provide evidence-based data on the integration of technological innovations in ethics education. In this respect, the research is of a nature that will strengthen the pedagogical foundations of nursing education and pioneer the development of student-centred and innovative teaching strategies.

Conditions

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Decision Making Ethics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A total of two groups, comprising one experimental group and one control group

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Participants do not know which group they will be in.

Study Groups

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Experimental group

Both the experimental and comparison groups will receive a reminder lecture from the researcher on ethical principles and codes prior to the applications. Participants in the experimental group will simultaneously play digital games and participate in classroom group work after the reminder lesson.

Group Type EXPERIMENTAL

Digital game

Intervention Type OTHER

Digital Game:

The developed digital game aims to enhance medical students' ethical awareness and decision-making skills. The digital game first provides students with reminders about ethical principles.

The game covers a four-week process, focusing on a specific ethical principle each week. Each weekly module presents two cases supported by animated visuals written by the researcher, reviewed by experts, and created by the software company. After watching and reading the cases, students answer related questions.

The modules and principles covered are as follows:

Week 1 (Do No Harm/Beneficence): Cases related to treatment refusal and palliative care compliance.

Week 2 (Autonomy/Respect): Cases related to organ donation decisions and chemotherapy refusal.

Week 3 (Justice/Equity): Cases related to resource (air mattress) allocation and patient prioritisation.

Week 4 (Confidentiality/Privacy): Cases related to HIV diagnosis confidentiality and psychiatric service confidentiality.

In-class group work

Intervention Type OTHER

Face-to-face case analysis will be conducted over 4 weeks. These sessions are scheduled outside the course programme, once a week for 40 minutes.

A total of 4 cases, each relating to an ethical principle, will be given to students in printed form at the beginning of each session, and they will be asked to analyse them simultaneously. Before the exercises, students will be explained how to analyse the cases.

Comparison

They will only participate in in-class group work.

Group Type OTHER

In-class group work

Intervention Type OTHER

Face-to-face case analysis will be conducted over 4 weeks. These sessions are scheduled outside the course programme, once a week for 40 minutes.

A total of 4 cases, each relating to an ethical principle, will be given to students in printed form at the beginning of each session, and they will be asked to analyse them simultaneously. Before the exercises, students will be explained how to analyse the cases.

Interventions

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Digital game

Digital Game:

The developed digital game aims to enhance medical students' ethical awareness and decision-making skills. The digital game first provides students with reminders about ethical principles.

The game covers a four-week process, focusing on a specific ethical principle each week. Each weekly module presents two cases supported by animated visuals written by the researcher, reviewed by experts, and created by the software company. After watching and reading the cases, students answer related questions.

The modules and principles covered are as follows:

Week 1 (Do No Harm/Beneficence): Cases related to treatment refusal and palliative care compliance.

Week 2 (Autonomy/Respect): Cases related to organ donation decisions and chemotherapy refusal.

Week 3 (Justice/Equity): Cases related to resource (air mattress) allocation and patient prioritisation.

Week 4 (Confidentiality/Privacy): Cases related to HIV diagnosis confidentiality and psychiatric service confidentiality.

Intervention Type OTHER

In-class group work

Face-to-face case analysis will be conducted over 4 weeks. These sessions are scheduled outside the course programme, once a week for 40 minutes.

A total of 4 cases, each relating to an ethical principle, will be given to students in printed form at the beginning of each session, and they will be asked to analyse them simultaneously. Before the exercises, students will be explained how to analyse the cases.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Students must:

* Have taken and successfully completed the Nursing Ethics course,
* Be a fourth-year nursing student who has successfully completed all professional courses and is undertaking the 'Professional Training in the Workplace' placement.

Exclusion Criteria

* Students who have not taken the Nursing Ethics course or have failed the course before taking the Professional Training in the Workplace course.
* Having a conditional grade point average (CGPA \<2.00) up to the period when the data was collected.

Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No