Can gamified surgical sets improve surgical instrument recognition and student performance retention in the operating room? A multi-institutional experimental crossover study

Abstract Introduction Surgery requires a high degree of precision, speed, and concentration. Owing to the complexity of the modern world, traditional methods cannot meet these requirements. Therefore, in this study, we investigated students’ diagnostic skills in the Operating Room in the context of...

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Main Authors: Mohsen Masoumian Hosseini, Zahra Sadat Manzari, Azam Gazerani, Seyedeh Toktam Masoumian Hosseini, Akram Gazerani, Mehrdad Rohaninasab
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-023-04868-z
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author Mohsen Masoumian Hosseini
Zahra Sadat Manzari
Azam Gazerani
Seyedeh Toktam Masoumian Hosseini
Akram Gazerani
Mehrdad Rohaninasab
author_facet Mohsen Masoumian Hosseini
Zahra Sadat Manzari
Azam Gazerani
Seyedeh Toktam Masoumian Hosseini
Akram Gazerani
Mehrdad Rohaninasab
author_sort Mohsen Masoumian Hosseini
collection DOAJ
description Abstract Introduction Surgery requires a high degree of precision, speed, and concentration. Owing to the complexity of the modern world, traditional methods cannot meet these requirements. Therefore, in this study, we investigated students’ diagnostic skills in the Operating Room in the context of surgical instruments by using gamification of surgical instruments and a crossover design. Method The study design was a multi-institutional quasi-experimental crossover and involved a three-arm intervention (with gender-specific block randomisation: Group A, B, and C) with a pre-test and three post-tests. A total of 90 students fell into three groups of 30 participants each. The surgical sets were learned for one semester through game-based instruction and traditional teaching, and then three OSCE tests were administered with time and location differences. Using one-way ANOVA, OSCE results were compared in the game, traditional, and control groups. The effectiveness of the intervention was tested in each group by repeated measures. Result The pretest scores of all three groups did not differ significantly. In the OSCE tests, both groups, A and B, performed similarly. However, these tests showed a significant difference in grouping between training through games and training in the traditional way. There was no significant difference between OSCE tests 2 and 3 in the game-based training group, indicating that what was learned was retained, while in the traditional method training group, OSCE 3 test scores declined significantly. Furthermore, repeated measures showed the effectiveness of game-based training. Conclusion In this study, gamification has turned out to be very effective in helping learners learn practical skills and leading to more sustainable learning.
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spelling doaj.art-c8113e9ec580474c96290e8ce73aeb9d2023-12-03T12:26:36ZengBMCBMC Medical Education1472-69202023-11-0123111510.1186/s12909-023-04868-zCan gamified surgical sets improve surgical instrument recognition and student performance retention in the operating room? A multi-institutional experimental crossover studyMohsen Masoumian Hosseini0Zahra Sadat Manzari1Azam Gazerani2Seyedeh Toktam Masoumian Hosseini3Akram Gazerani4Mehrdad Rohaninasab5Department of E-Learning in Medical Science, Tehran University of Medical SciencesNursing and Midwifery Care Research Center, Mashhad University of Medical SciencesDepartment of Nursing, Neyshabur University of Medical SciencesCyberPatient Research Affiliate, Interactive Health International, Department of Surgery, University of British ColumbiaStudent Research Committee, School of Nursing and Midwifery, Mashhad University of Medical SciencesDepartment of Operating Room, Neyshabur University of Medical SciencesAbstract Introduction Surgery requires a high degree of precision, speed, and concentration. Owing to the complexity of the modern world, traditional methods cannot meet these requirements. Therefore, in this study, we investigated students’ diagnostic skills in the Operating Room in the context of surgical instruments by using gamification of surgical instruments and a crossover design. Method The study design was a multi-institutional quasi-experimental crossover and involved a three-arm intervention (with gender-specific block randomisation: Group A, B, and C) with a pre-test and three post-tests. A total of 90 students fell into three groups of 30 participants each. The surgical sets were learned for one semester through game-based instruction and traditional teaching, and then three OSCE tests were administered with time and location differences. Using one-way ANOVA, OSCE results were compared in the game, traditional, and control groups. The effectiveness of the intervention was tested in each group by repeated measures. Result The pretest scores of all three groups did not differ significantly. In the OSCE tests, both groups, A and B, performed similarly. However, these tests showed a significant difference in grouping between training through games and training in the traditional way. There was no significant difference between OSCE tests 2 and 3 in the game-based training group, indicating that what was learned was retained, while in the traditional method training group, OSCE 3 test scores declined significantly. Furthermore, repeated measures showed the effectiveness of game-based training. Conclusion In this study, gamification has turned out to be very effective in helping learners learn practical skills and leading to more sustainable learning.https://doi.org/10.1186/s12909-023-04868-zGameCrossoverOperating roomSurgical setsSurgical instrumentSurgical technology students
spellingShingle Mohsen Masoumian Hosseini
Zahra Sadat Manzari
Azam Gazerani
Seyedeh Toktam Masoumian Hosseini
Akram Gazerani
Mehrdad Rohaninasab
Can gamified surgical sets improve surgical instrument recognition and student performance retention in the operating room? A multi-institutional experimental crossover study
BMC Medical Education
Game
Crossover
Operating room
Surgical sets
Surgical instrument
Surgical technology students
title Can gamified surgical sets improve surgical instrument recognition and student performance retention in the operating room? A multi-institutional experimental crossover study
title_full Can gamified surgical sets improve surgical instrument recognition and student performance retention in the operating room? A multi-institutional experimental crossover study
title_fullStr Can gamified surgical sets improve surgical instrument recognition and student performance retention in the operating room? A multi-institutional experimental crossover study
title_full_unstemmed Can gamified surgical sets improve surgical instrument recognition and student performance retention in the operating room? A multi-institutional experimental crossover study
title_short Can gamified surgical sets improve surgical instrument recognition and student performance retention in the operating room? A multi-institutional experimental crossover study
title_sort can gamified surgical sets improve surgical instrument recognition and student performance retention in the operating room a multi institutional experimental crossover study
topic Game
Crossover
Operating room
Surgical sets
Surgical instrument
Surgical technology students
url https://doi.org/10.1186/s12909-023-04868-z
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