Learning Design for Fostering Clinical Judgment Through Game Mechanics

Development of a Serious Game-Based Learning Tool for Nurses to Assess Weaning from Ventilators

Abstract

Nurses are expected to engage in continuous self-directed learning; however, shift work can make it difficult to secure sufficient learning time and maintain motivation. This study designed RESPI, a serious game-based learning tool aimed at fostering clinical judgment related to mechanical ventilator weaning. The tool is intended to help nurses recognize gaps in their own knowledge and judgment through brief learning opportunities and motivate them to pursue further self-directed learning. The use of a serious game was based on its potential to provide a safe environment in which learners can engage with clinical decisions that nurses have limited opportunities to experience in actual clinical practice. The tool consists of two stages: the first requires learners to identify and assess abnormalities from multiple sources of patient information, and the second requires them to interpret ventilator waveforms and consider the causes of abnormalities and appropriate responses. Game elements include a clinical scenario-based storyline, time limits, and feedback on learners’ judgments and choices. This paper describes the learning design and game mechanics incorporated into RESPI based on these educational intentions.