Games to support teaching clinical reasoning in health professions education: a scoping review

References

• Audétat MC, Sader J, Notari SC, et al. Understanding and promoting clinical reasoning in chronic and multimorbid conditions: a call for GPs and healthcare professionals. Health. 2019;11(10):1338–9. doi: 10.4236/health.2019.1110103
   Google Scholar
• Goldie JGS. Connectivism: a knowledge learning theory for the digital age? Med Teach. 2016;38(10):1064–1069. doi: 10.3109/0142159X.2016.1173661
   PubMed Web of Science ®Google Scholar
• Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;339(7711):22–25. doi: 10.1136/bmj.b1860
   Google Scholar
• Eva KW. What every teacher needs to know about clinical reasoning. Med Educ. 2005;39(1):98–106. doi: 10.1111/j.1365-2929.2004.01972.x
   PubMed Web of Science ®Google Scholar
• Sudacka M, Adler M, Durning SJ, et al. Why is it so difficult to implement a longitudinal clinical reasoning curriculum? A multicenter interview study on the barriers perceived by European health professions educators. BMC Med Educ. 2021;21(1):1–10. doi: 10.1186/s12909-021-02960-w
   PubMed Web of Science ®Google Scholar
• Koivisto JM, Niemi H, Multisilta J, et al. Nursing students’ experiential learning processes using an online 3D simulation game. Educ Inf Technol (Dordr). 2017;22(1):383–398. doi: 10.1007/s10639-015-9453-x
   Web of Science ®Google Scholar
• Gruppen LD. Clinical reasoning: defining it, teaching it, assessing it, studying it. West J Emerg Med. 2017;18(1):4–7. doi: 10.5811/westjem.2016.11.33191
   PubMedGoogle Scholar
• Levett-Jones T, Hoffman K, Dempsey J, et al. The “five rights” of clinical reasoning: an educational model to enhance nursing students’ ability to identify and manage clinically “at risk” patients. Nurse Educ Today. 2010;30(6):515–520.
   PubMed Web of Science ®Google Scholar
• Schön DA. The reflective practitioner: how professionals think in action. United States of America: Basic Books; 1983.
   Google Scholar
• Sandars J. The use of reflection in medical education: AMEE Guide no. 44. Med Teach. 2009;31(8):685–695. doi: 10.1080/01421590903050374
   PubMed Web of Science ®Google Scholar
• Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10):S70–S81. doi: 10.1097/00001888-200410001-00022
   PubMed Web of Science ®Google Scholar
• Koivisto JM, Haavisto E, Niemi H, et al. Elements explaining learning clinical reasoning using simulation games. Int J Serious Games. 2016;3(4). doi: 10.17083/ijsg.v3i4.136
   Google Scholar
• Koufidis C, Manninen K, Nieminen J, et al. Grounding judgement in context: a conceptual learning model of clinical reasoning. Med Educ. 2020;54(11):1019–1028. doi: 10.1111/medu.14222
   PubMed Web of Science ®Google Scholar
• Wimmers PF, Schmidt HG, Splinter TAW. Influence of clerkship experiences on clinical competence. Med Educ. 2006;40(5):450–458. doi: 10.1111/j.1365-2929.2006.02447.x
   PubMed Web of Science ®Google Scholar
• Rothwell C, Kehoe A, Farook SF, et al. Enablers and barriers to effective clinical supervision in the workplace: a rapid evidence review. BMJ Open. 2021;11(9):1–10. doi: 10.1136/bmjopen-2021-052929
   Web of Science ®Google Scholar
• Singh H, Schiff GD, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484–494. doi: 10.1136/bmjqs-2016-005401
   PubMed Web of Science ®Google Scholar
• Lateef F. Simulation-based learning: just like the real thing. J Emerg Trauma Shock. 2010;3(4):348–352. doi: 10.4103/0974-2700.70743
   PubMedGoogle Scholar
• Xu M, Luo Y, Zhang Y, et al. Game-based learning in medical education. Front Public Health. 2023;11(1). doi: 10.3389/fpubh.2023.1113682
   Google Scholar
• Graafland M, Schraagen JM, Schijven MP. Systematic review of serious games for medical education and surgical skills training. Br J Surg. 2012;99(10):1322–1330. doi: 10.1002/bjs.8819
   PubMed Web of Science ®Google Scholar
• Hamari J, Shernoff DJ, Rowe E, et al. Challenging games help students learn: an empirical study on engagement, flow and immersion in game-based learning. Comput Human Behav. 2016;54:170–179. doi: 10.1016/j.chb.2015.07.045
   Web of Science ®Google Scholar
• Plass JL, Homer BD, Kinzer CK. Foundations of game-based learning. Educ Psychol. 2015;50(4):258–283. doi: 10.1080/00461520.2015.1122533
   Web of Science ®Google Scholar
• Koivisto JM, Multisilta J, Niemi H, et al. Learning by playing: a cross-sectional descriptive study of nursing students’ experiences of learning clinical reasoning. Nurse Educ Today. 2016;45:22–28. doi: 10.1016/j.nedt.2016.06.009
   PubMed Web of Science ®Google Scholar
• Middeke A, Anders S, Schuelper M, et al. Training of clinical reasoning with a serious game versus small-group problem-based learning: a prospective study. PLoS One. 2018;13(9):e0203851. doi: 10.1371/journal.pone.0203851
   PubMed Web of Science ®Google Scholar
• Pisano TJ, Santibanez V, Hernandez M, et al. The bloody board game: a game-based approach for learning high-value care principles in the setting of anemia diagnosis. MedEdPORTAL. 2020;17(16):11057. doi: 10.15766/mep_2374-8265.11057
   Google Scholar
• Kubin L. Using an escape activity in the classroom to enhance nursing student learning. Clin Simul Nurs. 2020;47:52–56. doi: 10.1016/j.ecns.2020.07.007
   Web of Science ®Google Scholar
• Munn Z, Peters MDJ, Stern C, et al. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018;18(1):1–7. doi: 10.1186/s12874-018-0611-x
   PubMed Web of Science ®Google Scholar
• Brown MEL, Dueñas AN. A medical science educator’s guide to selecting a research paradigm: building a basis for better research. Med Sci Educ. 2020;30(1):545–553. doi: 10.1007/s40670-019-00898-9
   PubMedGoogle Scholar
• Khalil H, Peters M, Godfrey CM, et al. An evidence-based approach to scoping reviews. Worldviews Evid Based Nurs. 2016;13(2):118–123. doi: 10.1111/wvn.12144
   PubMed Web of Science ®Google Scholar
• Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–473. doi: 10.7326/M18-0850
   PubMed Web of Science ®Google Scholar
• Maggio LA, Tannery NH, Kanter SL. Reproducibility of literature search reporting in medical education reviews. Acad Med. 2011;86(8):1049–1054. doi: 10.1097/ACM.0b013e31822221e7
   PubMed Web of Science ®Google Scholar
• Haoran G, Bazakidi E, Zary N. Serious games in health professions education: review of trends and learning efficacy. Yearb Med Inform. 2019;28(1):240–248. doi: 10.1055/s-0039-1677904
   PubMedGoogle Scholar
• Wohlin C. Guidelines for snowballing in systematic literature studies and a replication in software engineering. In: ACM International Conference Proceeding Series. Association for Computing Machinery; 2014. doi:10.1145/2601248.2601268
   Google Scholar
• Ouzzani M, Hammady H, Fedorowicz Z, et al. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016;5(1). doi: 10.1186/s13643-016-0384-4
   PubMedGoogle Scholar
• Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2(2):115–125. doi: 10.1097/SIH.0b013e3180315539
   PubMedGoogle Scholar
• Besse C, Vogelsang L, Zdunich J. The simulation games: bringin’ it to the bedside. Nurse Educ. 2020;45(6):339–342. doi: 10.1097/NNE.0000000000000832
   PubMed Web of Science ®Google Scholar
• Clauson A, Hahn L, Frame T, et al. An innovative escape room activity to assess student readiness for advanced pharmacy practice experiences (APPEs). Curr Pharm Teach Learn. 2019;11(7):723–728. doi: 10.1016/j.cptl.2019.03.011
   PubMed Web of Science ®Google Scholar
• Gabriel PM, Lieb CL, Holland S, et al. Teaching evidence-based sepsis care: a sepsis escape room. J Contin Educ Nurs. 2021;52(5):217–225. doi: 10.3928/00220124-20210414-05
   PubMed Web of Science ®Google Scholar
• Havola S, Haavisto E, Mäkinen H, et al. The effects of computer-based simulation game and virtual reality simulation in nursing students’ self-evaluated clinical reasoning skills. Comput Inform Nurs. 2021;39(11):725–735. doi: 10.1097/CIN.0000000000000748
   PubMed Web of Science ®Google Scholar
• Fonteneau T, Billion E, Abdoul C, et al. Simulation game versus multiple choice questionnaire to assess the clinical competence of medical students: prospective sequential trial. J Med Internet Res. 2020;22(12):1–11. doi: 10.2196/23254
   Web of Science ®Google Scholar
• Korenoski AS, Ginn TR, Seybert AL. Use of an immersive, simulated learning game to teach pharmacy students clinical concepts of toxicology. Curr Pharm Teach Learn. 2021;13(5):556–559. doi: 10.1016/j.cptl.2021.01.018
   PubMed Web of Science ®Google Scholar
• Chon SH, Timmermann F, Dratsch T, et al. Serious games in surgical medical education: a virtual emergency department as a tool for teaching clinical reasoning to medical students. JMIR Serious Games. 2019;7(1):1–11. doi: 10.2196/13028
   Web of Science ®Google Scholar
• Middeke A, Anders S, Raupach T, et al. Transfer of clinical reasoning trained with a serious game to comparable clinical problems: a prospective randomized study. Simul Healthc. 2020;15(2):75–81. doi: 10.1097/SIH.0000000000000407
   PubMedGoogle Scholar
• Raupach T, de Temple I, Middeke A, et al. Effectiveness of a serious game addressing guideline adherence: cohort study with 1.5-year follow-up. BMC Med Educ. 2021;21(1):189. doi: 10.1186/s12909-021-02591-1
   PubMed Web of Science ®Google Scholar
• Zehler A, Musallam E. Game-based learning and nursing students’ clinical judgment in postpartum hemorrhage: a pilot study. J Nurs Educ. 2021;60(3):159–164. doi: 10.3928/01484834-20210222-07
   PubMed Web of Science ®Google Scholar
• Blanié A, Amorim MA, Meffert A, et al. Assessing validity evidence for a serious game dedicated to patient clinical deterioration and communication. Adv Simul (Lond). 2020;5(1):4. doi: 10.1186/s41077-020-00123-3
   PubMedGoogle Scholar
• Calik A, Kapucu S. The effect of serious games for nursing students in clinical decision-making process: a pilot randomized controlled trial. Games Health J. 2022;11(1):30–37. doi: 10.1089/g4h.2021.0180
   PubMed Web of Science ®Google Scholar
• Johnsen HM, Fossum M, Vivekananda-Schmidt P, et al. Teaching clinical reasoning and decision-making skills to nursing students: design, development, and usability evaluation of a serious game. Int J Med Inform. 2016;94:39–48. doi: 10.1016/j.ijmedinf.2016.06.014
   PubMed Web of Science ®Google Scholar
• Johnsen HM, Fossum M, Vivekananda-Schmidt P, et al. Developing a serious game for nurse education. J Gerontol Nurs. 2018;44(1):15–19. doi: 10.3928/00989134-20171213-05
   PubMed Web of Science ®Google Scholar
• Sullivan SA, Bingman E, O’Rourke A, et al. Piloting virtual surgical patient cases with 3rd-year medical students during the surgery rotation. Am J Surg. 2016;211(4):689–696.e1. doi: 10.1016/j.amjsurg.2015.11.021
   PubMed Web of Science ®Google Scholar
• Luu C, Talbot TB, Fung CC, et al. Development and performance assessment of a digital serious game to assess multi-patient care skills in a simulated pediatric emergency department. Simul Gaming. 2020;51(4):550–570.
   Web of Science ®Google Scholar
• Tyo MB, McCurry MK. Using board games to foster clinical reasoning among new graduate nurses. J Contin Educ Nurs. 2021;52(9):413–416. doi: 10.3928/00220124-20210804-06
   PubMed Web of Science ®Google Scholar
• Smith VR, Paul PA. Escape room: innovative teaching strategy to stimulate critical thinking/judgment in nursing students. Nurs Educ Perspect. 2021;42(6):E154–E155. doi: 10.1097/01.NEP.0000000000000700
   PubMed Web of Science ®Google Scholar
• Smith MM, Davis RG. Can you escape? The pharmacology review virtual escape room. Simul Gaming. 2021;52(1):79–87. doi: 10.1177/1046878120966363
   Web of Science ®Google Scholar
• Wu JH, Du JK, Lee CY. Development and questionnaire-based evaluation of virtual dental clinic: a serious game for training dental students. Med Educ Online. 2021;26(1):1983927. doi: 10.1080/10872981.2021.1983927
   PubMed Web of Science ®Google Scholar
• Haleem A, Javaid M, Qadri MA, et al. Understanding the role of digital technologies in education: a review. Sustainable Oper Comput. 2022;3:275–285. doi: 10.1016/j.susoc.2022.05.004
   Google Scholar
• Veldkamp A, van de Grint L, Knippels MCPJ, et al. Escape education: a systematic review on escape rooms in education. Educ Res Rev. 2020;31:31. doi: 10.1016/j.edurev.2020.100364
   Web of Science ®Google Scholar
• Reinkemeyer EA, Chrisman M, Patel SE. Escape rooms in nursing education: an integrative review of their use, outcomes, and barriers to implementation. Nurse Educ Today. 2022;119(May):105571. doi: 10.1016/j.nedt.2022.105571
   PubMedGoogle Scholar
• Kirschner F, Paas F, Kirschner PA. Individual and group-based learning from complex cognitive tasks: effects on retention and transfer efficiency. Comput Human Behav. 2009;25(2):306–314. doi: 10.1016/j.chb.2008.12.008
   Web of Science ®Google Scholar
• Parodis I, Andersson L, Durning SJ, et al. Clinical reasoning needs to be explicitly addressed in health professions curricula: recommendations from a European consortium. Int J Environ Res Public Health. 2021;18(21):11202. doi: 10.3390/ijerph182111202
   PubMed Web of Science ®Google Scholar
• Croskerry P. A universal model of diagnostic reasoning. Acad Med. 2009;84(8):1022–1028. doi: 10.1097/ACM.0b013e3181ace703
   PubMed Web of Science ®Google Scholar
• Melnikoff DE, Bargh JA. The mythical number two. Trends Cogn Sci. 2018;22(4):280–293. doi: 10.1016/j.tics.2018.02.001
   PubMed Web of Science ®Google Scholar
• Verkuyl M, Hughes M, Atack L, et al. Comparison of self-debriefing alone or in combination with group debrief. Clin Simul Nurs. 2019;37:32–39. doi: 10.1016/j.ecns.2019.08.005
   Web of Science ®Google Scholar
• Eppich W, Cheng A. Promoting excellence and reflective learning in simulation (PEARLS): development and rationale for a blended approach to health care simulation debriefing. Simul Healthc. 2015;10(2):106–115. doi: 10.1097/SIH.0000000000000072
   PubMedGoogle Scholar
• Phillips BN, Turnbull BJ, He FX. Assessing readiness for self-directed learning within a non-traditional nursing cohort. Nurse Educ Today. 2015;35(3):e1–e7. doi: 10.1016/j.nedt.2014.12.003
   PubMedGoogle Scholar
• Verkuyl M, St-Amant O, Hughes M, et al. Combining self-debriefing and group debriefing in simulation. Clin Simul Nurs. 2020;39:41–44. doi: 10.1016/j.ecns.2019.11.001
   Web of Science ®Google Scholar
• Lestander Ö, Lehto N, Engström Å. Nursing students’ perceptions of learning after high fidelity simulation: effects of a three-step post-simulation reflection model. Nurse Educ Today. 2016;40:219–224. doi: 10.1016/j.nedt.2016.03.011
   PubMed Web of Science ®Google Scholar
• Kang K, Yu M. Comparison of student self-debriefing versus instructor debriefing in nursing simulation: A quasi-experimental study. Nurse Educ Today. 2018;65(October 2017):67–73. doi: 10.1016/j.nedt.2018.02.030
   PubMedGoogle Scholar
• Levett-Jones T, Lapkin S. A systematic review of the effectiveness of simulation debriefing in health professional education. Nurse Educ Today. 2014;34(6):e58–e63. doi: 10.1016/j.nedt.2013.09.020
   PubMedGoogle Scholar
• Bae J, Lee J, Jang Y, et al. Development of simulation education debriefing protocol with faculty guide for enhancement clinical reasoning. BMC Med Educ. 2019;19(1):1–7. doi: 10.1186/s12909-019-1633-8
   PubMedGoogle Scholar
• INACSL Standards Committee. INACSL standards of best practice: SimulationSM Debriefing. Clin Simul Nurs. 2016;12(S):S21–S25. doi: 10.1016/j.ecns.2016.09.008
   Google Scholar
• Bilgin CU, Baek Y, Park H. How debriefing strategies can improve student motivation and self-efficacy in game-based learning. J Educ Comput Res. 2015;53(2):155–182. doi: 10.1177/0735633115598496
   Google Scholar
• Davis K, Lo HY, Lichliter R, et al. Twelve tips for creating an escape room activity for medical education. Med Teach. 2022;44(4):366–371. doi: 10.1080/0142159X.2021.1909715
   PubMed Web of Science ®Google Scholar