Abstract

This study addressed the need for effective educational strategies in nursing, focusing on ECG learning essential for patient care. It evaluated the effectiveness of Kahoot! in enhancing ECG learning and identifies key factors influencing the process. A mixed-methods design was used, involving two classes from a Critical Care Nursing course in a Taiwanese university. The experimental group received three Kahoot! sessions, while the control group had traditional discussions. Pre- and post-tests were conducted using open-ended questionnaires. After the post-test, the control group also received one Kahoot! session. Ninety-eight participants completed a satisfaction survey, and ten volunteers were interviewed about their learning difficulties. No significant difference in learning outcomes was found between the groups, but the experimental group reported higher satisfaction. Pre-test scores differed significantly by RN license status and advanced cardiac life support training. Post-test scores showed significant differences by gender and RN license status. The experimental group had higher scores in simulated ECG monitoring. Main learning difficulties included lack of motivation, understanding ECGs, and needing more practice. The study was limited by randomized cluster sampling and different past learning experiences. Future studies should use randomized clinical trials, focus on ECG beginners, and extend the duration of Kahoot! intervention to enhance generalizability.

Notes

References:

Amini, K., Mirzaei, A., Hosseini, M., Zandian, H., Azizpour, I., & Haghi, Y. (2022). Assessment of electrocardiogram interpretation competency among healthcare professionals and students of Ardabil University of Medical Sciences: A multidisciplinary study. BioMed Central Medical Education, 22, 448. https://doi.org/10.1186/s12909-022-03518-0

Cortés-Pérez, I., Zagalaz-Anula, N., López-Ruiz, M. d. C., Díaz-Fernández, Á., Obrero-Gaitán, E., & Osuna-Pérez, M. C. (2023). Study based on gamification of tests through Kahoot!™ and reward game cards as an innovative tool in physiotherapy students: A preliminary study. Healthcare, 11(4), 578. https://doi.org/10.3390/healthcare11040578

Garza, M. C., Olivan, S., Monleón, E., Cisneros, A. I., García-Barrios, A., Ochoa, I., Whyte, J., & Lamiquiz-Moneo, I. (2023). Performance in Kahoot! activities as predictive of exam performance. BioMed Central Medical Education, 23(1), 413.
Jiang, L., Wang, D., Yan, J., & Yang, M. (2023). Effect of a blended learning design in an undergraduate nursing electrocardiogram course: A quasi-experimental study. Nursing Open, 10, 4461-4470. https://doi.org/10.1002/nop2.1688

Rubbi, I., Carvello, M., Bassi, V., Triglia, C., Di Lorenzo, R., Cremonini, V., Artioli, G., & Ferri, P. (2021). The skill of nursing students trained in the evaluation of electrocardiographic trace: A comparison with emergency nurses. Acta Biomedica, 92(Supplement 2), e2021507. https://doi.org/10.23750/abm.v92iS2.12345

Viljoen, C. A., Millar, R. S., Engel, M. E., Shelton, M., & Burch, V. (2019). Is computer-assisted instruction more effective than other educational methods in achieving ECG competence amongst medical students and residents? A systematic review and meta-analysis. British Medical Journal open, 9(11), e028800.

Description

This study evaluated Kahoot!'s effectiveness in enhancing ECG learning for nursing students. Using a mixed-methods design, it involved two classes from a Critical Care Nursing course. The experimental group received three Kahoot! sessions, while the control group had traditional discussions. Results showed no significant difference in learning outcomes, but higher satisfaction in the experimental group. Key learning difficulties included motivation and understanding ECGs.

Author Details

Szu-Mei Hsiao, PhD, RN

Sigma Membership

Lambda Beta at-Large

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Mixed/Multi Method Research

Keywords:

Acute Care, Continuing Education, Nursing Education, ECG Learning Essentials, Taiwan

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Click on the above link to access the slide deck.

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Enhancing ECG Knowledge and Satisfaction with Kahoot! for Nursing Students

Seattle, Washington, USA

This study addressed the need for effective educational strategies in nursing, focusing on ECG learning essential for patient care. It evaluated the effectiveness of Kahoot! in enhancing ECG learning and identifies key factors influencing the process. A mixed-methods design was used, involving two classes from a Critical Care Nursing course in a Taiwanese university. The experimental group received three Kahoot! sessions, while the control group had traditional discussions. Pre- and post-tests were conducted using open-ended questionnaires. After the post-test, the control group also received one Kahoot! session. Ninety-eight participants completed a satisfaction survey, and ten volunteers were interviewed about their learning difficulties. No significant difference in learning outcomes was found between the groups, but the experimental group reported higher satisfaction. Pre-test scores differed significantly by RN license status and advanced cardiac life support training. Post-test scores showed significant differences by gender and RN license status. The experimental group had higher scores in simulated ECG monitoring. Main learning difficulties included lack of motivation, understanding ECGs, and needing more practice. The study was limited by randomized cluster sampling and different past learning experiences. Future studies should use randomized clinical trials, focus on ECG beginners, and extend the duration of Kahoot! intervention to enhance generalizability.