{
  "abstract": "Background: This study compared educational outcomes between nursing students receiving a CDIO-guided case-based and gamified teaching program and those receiving conventional teaching.\n\nMaterials and methods: This two-class quasi-experimental study included 140 nursing students from two classes between March and June 2025. Classes were assigned by lottery to the intervention ( n = 65) or control ( n = 75) group. The intervention integrated progressive cases, microlectures, teamwork, board games, and escape-room simulation, whereas the control received traditional lectures and Small Private Online Course self-study. Self-directed learning, critical thinking, and learning engagement were assessed before and after the course. Post-course outcomes included theoretical performance, cardiopulmonary resuscitation performance, course performance, and teaching evaluation. Analysis of covariance, Welch’s t tests, and Holm correction were applied.\n\nResults: The intervention class had higher adjusted post-course scores for self-directed learning (mean difference, 7.68; 95% CI, 3.29–12.07), critical thinking (15.27; 95% CI, 11.53–19.00), and learning engagement (7.06; 95% CI, 1.82–12.30). It also achieved higher theoretical, cardiopulmonary resuscitation, course, and teaching-evaluation scores. Students generally found the activities engaging, although some reported nervousness.\n\nConclusion: The program was associated with improved educational outcomes, but intervention and class effects could not be separated. Multicenter studies with multiple classes per arm are required.",
  "abstract_shown": true,
  "affiliations": [
    "School of Nursing, Guilin Medical University , , ,"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Xiang Ma"
    },
    {
      "affs": [
        0
      ],
      "name": "Fan Yang"
    },
    {
      "affs": [
        0
      ],
      "name": "Aifang Yu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/f32vn164ya0bz.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1958746",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13690949/?tool=EBI",
  "id": "f32vn164ya0bz",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13690949",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3204|Educational Games and Gamification"
    ]
  ],
  "openalex": "W7221106061",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13690949/pdf/?tool=EBI",
  "pmcid": "PMC13690949",
  "pmid": null,
  "published": "2026-10-09",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/f32vn164ya0bz.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:00Z",
      "native_id": "PMC:PMC13690949",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13690949"
    },
    {
      "first_seen": "2026-10-30T12:20:22Z",
      "native_id": "10.3389/fpubh.2026.1958746",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1958746/full"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:2296-2565",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Educational outcomes of CDIO-guided progressive case-based learning and gamification in undergraduate critical care nursing: an exploratory two-class quasi-experimental study",
  "title_text": "Educational outcomes of CDIO-guided progressive case-based learning and gamification in undergraduate critical care nursing: an exploratory two-class quasi-experimental study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:22Z",
  "url": "https://research.draconitic.com/paper/f32vn164ya0bz",
  "venue": "Frontiers in public health",
  "versions": []
}