Serious Game for Improving Targeted Temperature Management Knowledge and Situational Awareness in Critical Care Nurses

NCT ID: NCT07239206

Last Updated: 2026-01-22

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

RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-19

Study Completion Date

2026-12-31

Brief Summary

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This randomized controlled trial aims to evaluate the effectiveness of a serious game in improving targeted temperature management (TTM) knowledge and situational awareness among critical care nurses. A total of 120 nurses from adult intensive care units will be randomly assigned to either a control group receiving traditional lecture-based teaching or an experimental group receiving lecture-based teaching combined with a digital serious game. Outcomes will be measured using a TTM knowledge test, a situational awareness scale, and a system usability scale. The findings will provide evidence for the use of serious games as an innovative educational strategy to enhance post-resuscitation care quality and patient safety.

Detailed Description

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Targeted temperature management (TTM) is an evidence-based neuroprotective strategy recommended for patients resuscitated after cardiac arrest. Despite its clinical importance, critical care nurses often lack sufficient knowledge and situational awareness to effectively implement TTM, due to limited exposure to relevant cases and time constraints in training. Conventional teaching methods, while beneficial, face challenges such as limited resources, time, and opportunities for repeated practice.

Serious games, which integrate educational content with interactive digital game elements, offer a flexible and engaging learning tool that enables repeated practice in a safe, simulated environment. Previous studies have shown that serious games can enhance learners' motivation, knowledge retention, and decision-making skills.

This study will develop and implement a serious game specifically designed for TTM education. The randomized controlled trial will enroll 120 intensive care unit nurses, randomly allocated into two groups: the control group will receive lecture-based teaching with case discussion, while the experimental group will receive the same content supplemented with the serious game for additional practice. All participants will complete a pre-test, a post-test one week after the intervention, and a follow-up test at six weeks.

The primary outcome will be the improvement in TTM knowledge, and secondary outcomes will include situational awareness and system usability (experimental group only). The study is expected to provide evidence that serious games are an effective and scalable strategy for enhancing TTM-related knowledge and situational awareness, thereby supporting better quality of post-resuscitation care and patient safety.

Conditions

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Targeted Temperature Management Nursing Education Serious Game Cardiac Arrest

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned into two parallel groups. The experimental group will receive lecture-based teaching combined with a digital serious game intervention, while the control group will receive lecture-based teaching with case discussion only. Randomization will be performed at the beginning of each class session to ensure balanced group allocation.
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants
Participants are blinded to group assignment until the intervention begins. Investigators are aware of allocation to deliver the assigned teaching method.

Study Groups

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Experimental: Serious Game + Lecture

Participants in this arm will receive lecture-based teaching combined with a digital serious game designed to enhance targeted temperature management (TTM) knowledge and situational awareness. The serious game includes interactive case scenarios, decision-making tasks, and real-time feedback to simulate ICU situations and reinforce learning.

Group Type EXPERIMENTAL

Serious Game Intervention

Intervention Type BEHAVIORAL

A digital serious game designed to train critical care nurses in targeted temperature management (TTM). The game features case-based simulations, interactive decision-making, and real-time feedback to improve clinical reasoning and situational awareness.

Lecture-based Education

Intervention Type BEHAVIORAL

Standard lecture-based teaching covering the principles, procedures, and nursing care of targeted temperature management (TTM). Participants in this group do not receive the serious game component.

Active Comparator: Lecture Only

Participants in this arm will receive lecture-based teaching with case discussion only, covering the same targeted temperature management (TTM) content as the experimental group. No serious game intervention will be provided.

Group Type ACTIVE_COMPARATOR

Lecture-based Education

Intervention Type BEHAVIORAL

Standard lecture-based teaching covering the principles, procedures, and nursing care of targeted temperature management (TTM). Participants in this group do not receive the serious game component.

Interventions

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Serious Game Intervention

A digital serious game designed to train critical care nurses in targeted temperature management (TTM). The game features case-based simulations, interactive decision-making, and real-time feedback to improve clinical reasoning and situational awareness.

Intervention Type BEHAVIORAL

Lecture-based Education

Standard lecture-based teaching covering the principles, procedures, and nursing care of targeted temperature management (TTM). Participants in this group do not receive the serious game component.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Registered nurses currently working in adult intensive care units (medical, surgical, or mixed ICUs).
* Able to read and understand Chinese.
* Willing to participate and provide informed consent.
* Available to complete pre-test, post-test, and follow-up assessments.

Exclusion Criteria

* Nurses working in pediatric or neonatal ICUs.
* Nurses holding administrative or supervisory positions (non-clinical).
* Nurses currently participating in other TTM-related educational or research programs.
* Individuals unable to complete the intervention or evaluation schedule.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Taiwan University Clinical Trial Center

OTHER

Sponsor Role lead

Responsible Party

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National Taiwan University Clinical Trial Center

National Taiwan University Hospital

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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National Taiwan University Hospital

Taipei, Taipei, Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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HUI-YI LI

Role: CONTACT

0920867591

Facility Contacts

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Hui Yi Li, RN

Role: primary

886-920-868-591

References

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Nolan JP, Morley PT, Vanden Hoek TL, Hickey RW, Kloeck WG, Billi J, Bottiger BW, Morley PT, Nolan JP, Okada K, Reyes C, Shuster M, Steen PA, Weil MH, Wenzel V, Hickey RW, Carli P, Vanden Hoek TL, Atkins D; International Liaison Committee on Resuscitation. Therapeutic hypothermia after cardiac arrest: an advisory statement by the advanced life support task force of the International Liaison Committee on Resuscitation. Circulation. 2003 Jul 8;108(1):118-21. doi: 10.1161/01.CIR.0000079019.02601.90. No abstract available.

Reference Type BACKGROUND
PMID: 12847056 (View on PubMed)

Gorbanev I, Agudelo-Londono S, Gonzalez RA, Cortes A, Pomares A, Delgadillo V, Yepes FJ, Munoz O. A systematic review of serious games in medical education: quality of evidence and pedagogical strategy. Med Educ Online. 2018 Dec;23(1):1438718. doi: 10.1080/10872981.2018.1438718.

Reference Type BACKGROUND
PMID: 29457760 (View on PubMed)

Nolan JP, Sandroni C, Bottiger BW, Cariou A, Cronberg T, Friberg H, Genbrugge C, Haywood K, Lilja G, Moulaert VRM, Nikolaou N, Olasveengen TM, Skrifvars MB, Taccone F, Soar J. European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2021: post-resuscitation care. Intensive Care Med. 2021 Apr;47(4):369-421. doi: 10.1007/s00134-021-06368-4. Epub 2021 Mar 25.

Reference Type BACKGROUND
PMID: 33765189 (View on PubMed)

Other Identifiers

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202507084RINA

Identifier Type: -

Identifier Source: org_study_id

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