Gamification is an increasingly popular instructional strategy in nursing. The purpose of this integrative review is to explore gamification as it has been applied in nursing literature. This integrative review seeks to ask the question – What aspects of gamification have been explored in nursing literature and what aspects require further exploration?
Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Methodological Issues in Nursing Research, 52(5), 546–553 integrative review framework guided this review. Seventeen articles were reviewed and a quality appraisal tool (developed by Hawker, S., Payne, S., Kerr, C., Hardey, M., & Powell, J. (2002). Appraising the evidence: Reviewing disparate data systematically. Qualitative Health Research, 12(9), 1284–1299) was also used to evaluate the articles.
Following the data analysis stage outlined in Whittemore and Knafl’s integrative review framework, six themes emerged: construct conceptualization; relationship between engagement, satisfaction, and knowledge retention; knowledge translation, motivation, role of technology, and gamification elements.
Gamification is of interest to the nursing profession. More study is needed to better ascertain the relationship between gamification and several of the main themes identified in this review.
Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
Informed consent: Not applicable.
Ethical approval: Not applicable.
Broer, J. (2014). Gamification and the trough of disillusionment. In A. Butz, M. Koch, & J. Schlichter (Eds.), Mensch & Computer 2014 – Workshopband (pp. 389–395). De Gruyter Oldenbourg.10.1524/9783110344509.389Search in Google Scholar
Brull, S., & Finlayson, S. (2016). Importance of gamification in increasing learning. The Journal of Continuing Education in Nursing, 47(8), 372–375. https://doi.org/10.3928/00220124-20160715-09.Search in Google Scholar
Brull, S., Finlayson, S., Kostelec, T., MacDonald, R., & Krenzischeck, D. (2017). Using gamification to improve productivity and increase knowledge retention during orientation. The Journal of Nursing Administration, 47(9), 448–453. https://doi.org/10.1097/NNA.0000000000000512.Search in Google Scholar
Buckley, P., & Doyle, E. (2016). Gamification and student motivation. Interactive Learning Environments, 24(6), 1162–1175. https://doi.org/10.1080/10494820.2014.964263.Search in Google Scholar
Castro, T. C., & Gonçalves, L. S. (2018). The use of gamification to teach in the nursing field. Revista Brasileira de Enfermagem, 71(3), 1038–1045. https://doi.org/10.1590/0034-7167-2017-0023.Search in Google Scholar
Davidson, S. J., & Candy, L. (2016). Teaching EBP using game-based learning: Improving the student experience. Worldviews of Evidence-Based Learning, 13(4), 285–293. https://doi.org/10.1111/wvn.12152.Search in Google Scholar
Day-Black, C., Merrill, E. B., Konzelman, L., Williams, T. T., & Hart, N. (2015). Gamification: An innovative teaching-learning strategy for the digital nursing students in a community health nursing course. Journal of the Association of Black Nursing Faculty in Higher Education, 2(4), 90–94.Search in Google Scholar
Deterding, S., Khaled, R., Nacke, L. E., & Dixon, D. (2011). Gamification: Towards a definition. In 15th International Academic MindTrek Conference: Envisioning Future Media Environments (pp. 9–15). http://gamification-research.org/wp-content/uploads/2011/04/02-Deterding-Khaled-Nacke-Dixon.pdf.Search in Google Scholar
Dichev, C., & Dicheva, D. (2017). Gamifying education: What is known, what is believed and what remains uncertain: A critical review. International Journal of Educational Technology in Higher Education, 14(9). https://doi.org/10.1186/s41239-017-0042-5.Search in Google Scholar
Foli, K. J., Karagory, P., & Kirby, K. (2016). An exploratory study of undergraduate nursing students’ perceptions of digital badges. Journal of Nursing Education, 55(11), 640–644.10.3928/01484834-20161011-06Search in Google Scholar PubMed
Gallegos, C., Tesar, A. J., Connor, K., & Martz, K. (2017). The use of a game-based learning platform to engage nursing students: A descriptive, qualitative study. Nurse Education in Practice, 27, 101–106. https://doi.org/10.1016/j.nepr.2017.08.019.Search in Google Scholar
Garnett, T., & Button, D. (2018). The use of digital badges by undergraduate nursing students: A three-year study. Nurse Education in Practice, 32, 1–8. https://doi.org/10.1016/j.nepr.2018.06.013.Search in Google Scholar
Hamari, J., Koivisto, J., & Sarsa, H. (2014). Does gamification work? A literature review of empirical studies on gamification. In System Sciences (HICSS), 2014 47th Hawaii International Conference on System Science (pp. 3025–3034). IEEE. https://doi.org/10.1109/HICSS.2014.377.Search in Google Scholar
Hawker, S., Payne, S., Kerr, C., Hardey, M., & Powell, J. (2002). Appraising the evidence: Reviewing disparate data systematically. Qualitative Health Research, 12(9), 1284–1299. https://doi.org/10.1177/1049732302238251.Search in Google Scholar
Hopia, H., Latvala, E., & Liimatainen, L. (2016). Reviewing the methodology of an integrative review. Scandinavian Journal of Caring Sciences, 30, 662–669. https://doi.org/10.1111/scs.12327.Search in Google Scholar
Hopia, H., & Raitio, K. (2016). Gamification in healthcare: Perspectives of mental health service users and health professionals. Issues in Mental Health Nursing, 37(12), 894–902. https://doi.org/10.1080/01612840.2016.1233595.Search in Google Scholar
Hung, A. (2017). A critique and defense of gamification. Journal of Interactive Online Learning, 15(1), 57–72. https://www.ncolr.org/jiol/issues/pdf/15.1.4.pdf.Search in Google Scholar
Jang, J., Park, J., & Yi, M. Y. (2015). Gamification of online learning. In 17th International Conference on Artificial Intelligence in Education (AIED) (pp. 646–649). Springer International Publishing.10.1007/978-3-319-19773-9_82Search in Google Scholar
Johnston, B., Boyle, L., MacArthur, E., & Manion, B. F. (2013). The role of technology and digital gaming in nurse education. Nursing Standard, 27(28), 35–38. https://doi.org/10.7748/ns2013.03.27.28.35.s9612.Search in Google Scholar
Kapp, K. (2012). The gamification of learning and instruction: Game-based methods and strategies for training and education. John Wiley & Sons.Search in Google Scholar
Lemermeyer, G., & Sadesky, G. (2016). The gamification of jurisprudence: Gamification in registered nurse education. Journal of Nursing Regulation, 7(3), 4–10. https://doi.org/10.1016/S2155-8256(16)32314-6.Search in Google Scholar
Looyestyn, J., Kernot, J., Boshoff, K., Ryan, J., Edney, S., & Maher, C. (2017). Does gamification increase engagement in online programs? A systematic review. PLoS One, 12(3), 19. https://doi.org/10.1371/journal.pone.0173403.Search in Google Scholar
Mackavey, C., & Cron, S. (2019). Innovative strategies: Increased engagement and synthesis in online advanced practice nursing education. Nurse Education Today, 76, 85–88. https://doi.org/10.1016/j.nedt.2019.01.010.Search in Google Scholar
Marques, R., Gregório, J., Pinheiro, F., Póvoa, P., da Silva, M. M., & Lapão, L. V. (2016). Improving nurses’ hand hygiene compliance using gamification. In G. Cumming, T. French, H. Gilstead, M. G. Jaatun, & E. A. A. Jaatun (Eds), Proceedings of the European Workshop on Practical Aspects of Health Informatics (PAHI 2015). http://ceur-ws.org/Vol-1574/paper4.pdf.Search in Google Scholar
Nacke, L. E., & Deterding, S. (2017). The maturing of gamification research. Computers in Human Behaviour, 71, 450–454. https://doi.org/10.1016/j.chb.2016.11.062.Search in Google Scholar
Orwoll, B., Diane, S., Henry, D., Tsang, L., Chu, K., Mear, C., … Roy-Burman, A. (2018). Gamification and microlearning for engagement with quality improvement (GAMEQI): A bundled digital intervention for the prevention of central-line associated bloodstream infection. American Journal of Medical Quality, 33(3), 21–29. https://doi.org/10.1177/1062860617706542.Search in Google Scholar
O’Neill, K., Robb, M., Kennedy, R., Bhattacharya, A., Dominici, N. R., & Murphy, A. (2018). Mobile technology, just-in-time learning and gamification: Innovative strategies for a CAUTI education program. Online Journal of Nursing Informatics, 22(2), 7–1. http://www.himss.org/ojni.Search in Google Scholar
Roche, C. C., Wingo, N. P., Westfall, A. O., Azuero, A., Dempsey, D. M., & Willig, J. H. (2018). Educational analytics: A new frontier for gamification?. Computers, Informatics, Nursing: CIN, 36(9), 458–465. https://doi.org/10.1097/CIN.0000000000000455.Search in Google Scholar
Strickland, H. P., & Kaylor, S. K. (2016). Bringing your a-game: Educational gaming for student success. Nurse Education Today, 40, 101–103. https://doi.org/10.1016/j.nedt.2016.02.014.Search in Google Scholar
White, M., & Shellenbarger, T. (2018). Gamification of nursing education with digital badges. Nurse Educator, 43(2). https://doi.org/10.1097/NNE.0000000000000434.Search in Google Scholar
Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Methodological Issues in Nursing Research, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x.Search in Google Scholar
Wingo, N. P., Roche, C. C., Baker, N., Dunn, D., Jennings, M., Pair, L., … Willig, J.H. (2019). Playing for bragging tights: A qualitative study of students’ perceptions of gamification. Journal of Nursing Education, 58(2), 79–85. https://doi.org/10.3928/01484834-20190122-04.Search in Google Scholar
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