{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T10:05:25Z","timestamp":1779789925373,"version":"3.53.1"},"reference-count":43,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study evaluated the effect of a virtual simulation game (VSG) on the development of nursing students' knowledge and skills related to the prevention of Catheter\u2010Associated Urinary Tract Infection (CAUTI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      A parallel group randomized controlled trial. The study is registered with\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      under the number NCT05309317.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was completed by 75 students (38 simulation and 37 control). Students' knowledge and skill levels were assessed prior to the training. A training on CAUTI prevention was presented to the students. After randomization, the VSG group accessed VSG for 7\u2009days. Following the intervention, students' knowledge and skill levels were measured using post\u2010test assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      As a result of the study, the post\u2010test mean scores for knowledge and skills in the VSG group were statistically higher than those in the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The results of the study indicate that VSG was an interesting, stimulating, fun, practical and accessible educational approach for university students.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The use of a well\u2010designed VSG application as a teaching and learning strategy contributed to the development of students' knowledge and skills in CAUTI prevention. It is recommended to use VSG as a preliminary or complementary method to traditional face\u2010to\u2010face simulation and clinical applications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>The game's judgements, having no impact on real life, safeguard patient safety and enhance clinical skills.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      : NCT05309317\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70566","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:55:15Z","timestamp":1777485315000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Virtual Simulation Game on the Development of Nursing Students' Knowledge and Skills: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1327-8875","authenticated-orcid":false,"given":"\u0130nci","family":"Mercan Annak","sequence":"first","affiliation":[{"name":"Department of Surgical Disease Nursing, Faculty of Nursing Gazi University  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8241-989X","authenticated-orcid":false,"given":"H\u00fclya","family":"Bulut","sequence":"additional","affiliation":[{"name":"Department of Surgical Disease Nursing, Faculty of Nursing Gazi University  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2019.684"},{"issue":"2","key":"e_1_2_12_3_1","first-page":"58","article-title":"The Effect of a Virtual Simulation Game on the Development of Nursing Students' Knowledge and Skills: A Protocol for a Parallel\u2010Group Randomized Controlled Trial","volume":"2","author":"Annak I. 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