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Not yet recruitingNCT07774026Updated Aug 20, 2026

Mobile Game Simulation for Nursing Students' Decision-Making

An interventional study of Interactive Mobile Game-Based Simulation Educational Program in Clinical Decision-Making and Problem-Solving Skills in Nursing Education, sponsored by Delta University for Science and Technology. Not yet recruiting. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Delta University for Science and Technology · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
258
Allocation
Not applicable
Sex
All
01

Study summary

This study will test whether an interactive mobile game-based simulation program helps first-year nursing students improve their decision-making and problem-solving skills. Students will complete knowledge, decision-making, and problem-solving assessments before and after taking part in a 4-week program (8 sessions) that uses mobile game scenarios to practice clinical decisions in a safe, simulated setting. The results will show whether this type of training is more effective than traditional teaching methods for building these skills.

Read the detailed description

This is a quasi-experimental, single-group, pretest-posttest study conducted at the Faculty of Nursing, Delta University for Science and Technology. The study tests three hypotheses: that participation in the program will significantly increase students' knowledge scores, clinical decision-making scores, and problem-solving scores from pre-test to post-test. The educational intervention progresses through four phases: assessment, planning, implementation, and evaluation. Outcomes will be measured using a researcher-developed knowledge questionnaire, the Clinical Decision-Making in Nursing Scale (CDMNS), and the Problem-Solving Inventory (PSI), administered at baseline, immediately after program completion, and again two months later.

02

Conditions studied

  • Clinical Decision-Making and Problem-Solving Skills in Nursing Education

Keywords

  • mobile game-based learning
  • simulation
  • nursing education
  • clinical decision-making
  • problem-solving
  • nursing students
03

In context

Lead sponsor

Delta University for Science and Technology is the lead sponsor of 86 studies on the registry; 16 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • First-year nursing students at the Faculty of Nursing, Delta University for Science and Technology.
  • Students who voluntarily consent to participate in the study.
  • Students who are willing and able to use the mobile application.

Exclusion criteria

Exclusion Criteria:

  • Students who have previously participated in a similar mobile game-based or simulation-based educational program.
  • Students with any condition that prevents them from using a smartphone/mobile application.
  • Students who fail to complete the pre-test, the educational program, or the post-test.
  • Students who withdraw consent during the study.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
258 participants (estimated)

Study arms

  • Experimental
    Nursing Students Receiving Mobile Game-Based Simulation Program

    First-year nursing students who receive the interactive mobile game-based simulation educational program over 4 weeks (8 sessions), twice per week, with each session lasting 2 hours. Assessments will be conducted at baseline, immediately after completion of the program, and 2 months after program completion.

    Behavioral: Interactive Mobile Game-Based Simulation Educational Program

Interventions

  • BehavioralInteractive Mobile Game-Based Simulation Educational Program

    An interactive mobile game-based simulation educational program designed to enhance nursing students' clinical decision-making, knowledge about mobile game-based simulation, and problem-solving skills. The program will be implemented over 4 weeks through 8 sessions, twice per week, with each session lasting 2 hours. The program includes educational content, clinical scenarios, scenario-based decision-making, problem-solving activities, small group discussions, scenario debriefing, and hands-on use of the mobile application.

06

What researchers measure

Primary outcomes

  1. Change in Clinical Decision-Making Score

    Clinical decision-making will be assessed using the Clinical Decision-Making in Nursing Scale (CDMNS). The scale consists of 40 items classified into four subscales: search for alternatives or options, canvassing of objectives and values, evaluation and re-evaluation of consequences, and search for information and unbiased assimilation of new information. Items are rated on a five-point Likert scale, with total scores ranging from 40 to 200. Higher scores indicate more positive clinical decision-making.

    Time frame: Baseline (before the educational program), immediately after completion of the program, and 2 months after program completion.

  2. Change in Problem-Solving Score

    Problem-solving will be assessed using the Problem-Solving Inventory (PSI). The inventory consists of 32 items classified into three subscales: problem-solving confidence, approach-avoidance style, and personal control. Items are rated on a six-point Likert scale, with reverse scoring for negative items. Total scores range from 32 to 192, with lower scores indicating more positive problem-solving perception.

    Time frame: Baseline (before the educational program), immediately after completion of the program, and 2 months after program completion.

Secondary outcomes

  1. Change in Knowledge Score about Mobile Game-Based Simulation

    Measured using a researcher-developed questionnaire assessing students' knowledge of mobile game-based simulation, including its definition, development, advantages/disadvantages, technical requirements, and impact on nursing education. Scored 0 for incorrect and 1 for correct answers; classified as satisfactory (≥60%) or unsatisfactory (\<60%).

    Time frame: Measured at baseline (before program), immediately after program completion (week 4), and 2 months after program completion

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Hwang, G. J., & Chang, C. Y. (2023). Facilitating decision-making performances in nursing treatments: A contextual digital game-based flipped learning approach. Interactive Learning Environments, 31(1), 156-171.

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2026; primary completion for Oct 2026, 1 month later.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 15, 2026
First posted
Aug 19, 2026
StartEst.
Sep 1, 2026
Primary completionEst.
Oct 1, 2026
CompletionEst.
Dec 1, 2026
Last update
Aug 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07774026
Lead sponsor
Delta University for Science and Technology
Responsible party
Sponsor
First posted
Aug 19, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Oct 1, 2026 (estimated)
Completion
Dec 1, 2026 (estimated)
Last update
Aug 20, 2026

Study contacts

Mona Ahmec Gabr, PHD
Contact
mona.gabr@deltauniv.edu.eg
00201097898593
Mona Ahmed Gabr, PHD
principal investigator · Delta University for Science and Technology

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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