{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T17:38:02Z","timestamp":1793813882573,"version":"4.6.1"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003410","name":"Fujian Provincial Department of Education","doi-asserted-by":"publisher","award":["FBJG20220067"],"award-info":[{"award-number":["FBJG20220067"]}],"id":[{"id":"10.13039\/501100003410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Nurse Education in Practice"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.nepr.2026.104785","type":"journal-article","created":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T08:40:24Z","timestamp":1772700024000},"page":"104785","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Effects of a serious game on undergraduate nursing students\u2019 learning motivation, engagement and outcomes in community nursing home visit education: A cluster quasi-experimental study"],"prefix":"10.1016","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6231-7359","authenticated-orcid":false,"given":"Xiaohua","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanling","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuzhu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaodong","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayuan","family":"Zhuang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.nepr.2026.104785_bib1","doi-asserted-by":"crossref","first-page":"152","DOI":"10.3163\/1536-5050.103.3.010","article-title":"Bloom\u2019s taxonomy of cognitive learning objectives","volume":"103","author":"Adams","year":"2015","journal-title":"J. Med. Libr. Assoc. JMLA"},{"key":"10.1016\/j.nepr.2026.104785_bib2","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/j.chb.2018.11.030","article-title":"Gamification and serious games: a literature meta-analysis and integrative model","volume":"92","author":"Baptista","year":"2019","journal-title":"Comput. Hum. Behav."},{"key":"10.1016\/j.nepr.2026.104785_bib3","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.nedt.2019.05.010","article-title":"Effect of a game-based virtual reality phone application on tracheostomy care education for nursing students: a randomized controlled trial","volume":"79","author":"Bayram","year":"2019","journal-title":"Nurse Educ. Today"},{"key":"10.1016\/j.nepr.2026.104785_bib4","doi-asserted-by":"crossref","DOI":"10.2196\/60755","article-title":"Evaluating the efficacy of a serious game to deliver health education about invasive meningococcal disease: clustered randomized controlled equivalence trial","volume":"13","author":"Bloomfield","year":"2025","journal-title":"JMIR Serious Games"},{"key":"10.1016\/j.nepr.2026.104785_bib5","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1111\/eje.12566","article-title":"GoDental! Enhancing flipped classroom experience with game-based learning","volume":"24","author":"Borit","year":"2020","journal-title":"Eur. J. Dent. Educ. Off. J. Assoc. Dent. Educ. Eur."},{"key":"10.1016\/j.nepr.2026.104785_bib6","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.compedu.2015.10.005","article-title":"Measuring how the degree of content knowledge determines performance outcomes in an engineering design-based simulation environment for middle school students","author":"Bowen","year":"2016","journal-title":"Comput. Educ."},{"key":"10.1016\/j.nepr.2026.104785_bib7","first-page":"10","article-title":"Debating the situation: a rejoinder to palincsar and wineburg","volume":"18","author":"Brown","year":"1989","journal-title":"Educ. Res."},{"key":"10.1016\/j.nepr.2026.104785_bib8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ecns.2019.02.002","article-title":"An escape room as a simulation teaching strategy","volume":"30","author":"Brown","year":"2019","journal-title":"Clin. Simul. Nurs."},{"key":"10.1016\/j.nepr.2026.104785_bib9","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1016\/j.ajic.2022.02.025","article-title":"The effectiveness of serious games designed for infection prevention and promotion of safe behaviors of senior nursing students during the COVID-19 pandemic","volume":"50","author":"Calik","year":"2022","journal-title":"Am. J. Infect. Control"},{"key":"10.1016\/j.nepr.2026.104785_bib10","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1089\/g4h.2021.0180","article-title":"The effect of serious games for nursing students in clinical decision-making process: a pilot randomized controlled trial","volume":"11","author":"Calik","year":"2022","journal-title":"Games Health J."},{"key":"10.1016\/j.nepr.2026.104785_bib11","article-title":"Effects of mobile learning applications for physical examination among nurse students: use of the cardiovascular system","volume":"89","author":"Chao","year":"2025","journal-title":"Nurse Educ. Pr."},{"key":"10.1016\/j.nepr.2026.104785_bib12","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1016\/S0140-6736(22)01546-X","article-title":"The path to healthy ageing in China: a Peking university-lancet commission","volume":"400","author":"Chen","year":"2022","journal-title":"Lancet"},{"key":"10.1016\/j.nepr.2026.104785_bib13","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/j.acra.2019.02.012","article-title":"The power of design thinking in medical education","volume":"26","author":"Deitte","year":"2019","journal-title":"Acad. Radio."},{"key":"10.1016\/j.nepr.2026.104785_bib14","doi-asserted-by":"crossref","first-page":"361","DOI":"10.2105\/AJPH.94.3.361","article-title":"Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement","volume":"94","author":"Des Jarlais","year":"2004","journal-title":"Am. J. Public Health"},{"key":"10.1016\/j.nepr.2026.104785_bib15","article-title":"Exploration of student characteristics, engagement and enhanced learning with virtual simulation among graduate nursing students","volume":"86","author":"Doherty","year":"2025","journal-title":"Nurse Educ. Pr."},{"key":"10.1016\/j.nepr.2026.104785_bib16","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1007\/s10639-024-12885-8","article-title":"Designing and evaluating ONCologic EMergencies escape room game for undergraduate nursing students: the ONCEM quasi-experimental pilot study","volume":"30","author":"D\u00f6nmez","year":"2025","journal-title":"Educ. Inf. Technol."},{"key":"10.1016\/j.nepr.2026.104785_bib17","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.compedu.2017.05.009","article-title":"Now I know how! The learning process of medication administration among nursing students with non-immersive desktop virtual reality simulation","volume":"113","author":"Dubovi","year":"2017","journal-title":"Comput. & Educ."},{"key":"10.1016\/j.nepr.2026.104785_bib18","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1176\/appi.ps.201800567","article-title":"Serious games, gamification and serious mental illness: a scoping review","volume":"71","author":"Fitzgerald","year":"2020","journal-title":"Psychiatr. Serv."},{"key":"10.1016\/j.nepr.2026.104785_bib19","doi-asserted-by":"crossref","first-page":"59","DOI":"10.3102\/00346543074001059","article-title":"School engagement: potential of the concept, state of the evidence","volume":"74","author":"Fredricks","year":"2004","journal-title":"Rev. Educ. Res."},{"key":"10.1016\/j.nepr.2026.104785_bib20","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1023\/A:1005614228250","article-title":"On the assessment of situational intrinsic and extrinsic motivation: the situational motivation scale (SIMS)","volume":"24","author":"Guay","year":"2000","journal-title":"Motiv. Emot."},{"key":"10.1016\/j.nepr.2026.104785_bib21","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1055\/s-0039-1677904","article-title":"Serious games in health professions education: review of trends and learning efficacy","volume":"28","author":"Haoran","year":"2019","journal-title":"Yearb. Med. Inf."},{"key":"10.1016\/j.nepr.2026.104785_bib22","doi-asserted-by":"crossref","first-page":"21965","DOI":"10.1007\/s10639-024-12740-w","article-title":"Game-based learning and underachieving students: replacing the traditional paradigm in Montenegro?","volume":"29","author":"Ivanovi\u0107","year":"2024","journal-title":"Educ. Inf. Technol."},{"key":"10.1016\/j.nepr.2026.104785_bib23","article-title":"Development and application of a mobile-based multimedia nursing competency evaluation system for nursing students: a mixed-method randomized controlled study","volume":"64","author":"Jang","year":"2022","journal-title":"Nurse Educ. Pr."},{"key":"10.1016\/j.nepr.2026.104785_bib24","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.ijmedinf.2016.06.014","article-title":"Teaching clinical reasoning and decision-making skills to nursing students: design, development and usability evaluation of a serious game","volume":"94","author":"Johnsen","year":"2016","journal-title":"Int. J. Med. Inf."},{"key":"10.1016\/j.nepr.2026.104785_bib25","article-title":"Game-based vs. Case-based training for increasing knowledge and behavioral fluency of nurse students regarding crisis and disaster management; a quasi-experimental study","volume":"10","author":"Masoumian Hosseini","year":"2022","journal-title":"Arch. Acad. Emerg. Med."},{"key":"10.1016\/j.nepr.2026.104785_bib26","unstructured":"Ministry of Civil Affairs of the People's Republic of China,2025.2024 National Report on Aging Affairs.Available at: \u3008https:\/\/www.mca.gov.cn\/n152\/n165\/c1662004999980006089\/part\/21508.pdf\/\u3009 (accessed 26 January 2026)."},{"key":"10.1016\/j.nepr.2026.104785_bib27","doi-asserted-by":"crossref","first-page":"e273","DOI":"10.1016\/j.ecns.2010.11.004","article-title":"Situated cognition: its relationship to simulation in nursing education","volume":"8","author":"Onda","year":"2012","journal-title":"Clin. Simul. Nurs."},{"key":"10.1016\/j.nepr.2026.104785_bib28","doi-asserted-by":"crossref","DOI":"10.1016\/j.nedt.2024.106563","article-title":"Vaginal breech birth management: serious mobile game design and evaluation for midwifery students","volume":"146","author":"\u00d6zdemir","year":"2025","journal-title":"Nurse Educ. Today"},{"key":"10.1016\/j.nepr.2026.104785_bib29","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.chb.2016.12.033","article-title":"How gamification motivates: an experimental study of the effects of specific game design elements on psychological need satisfaction","volume":"69","author":"Sailer","year":"2017","journal-title":"Comput. Hum. Behav."},{"key":"10.1016\/j.nepr.2026.104785_bib30","doi-asserted-by":"crossref","first-page":"2521","DOI":"10.1111\/jocn.16382","article-title":"Competencies of nurse practitioners in family practices: a scoping review","volume":"32","author":"Schlunegger","year":"2023","journal-title":"J. Clin. Nurs."},{"key":"10.1016\/j.nepr.2026.104785_bib31","doi-asserted-by":"crossref","DOI":"10.1016\/j.nedt.2023.105711","article-title":"Experiences of simulation-based learning among undergraduate nursing students: a systematic review and meta-synthesis","volume":"121","author":"Tamilselvan","year":"2023","journal-title":"Nurse Educ. Today"},{"key":"10.1016\/j.nepr.2026.104785_bib32","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1089\/g4h.2022.0085","article-title":"Effectiveness of a game-based mobile application in educating nursing students on venous blood specimen collection: a randomized controlled trial","volume":"12","author":"Tang","year":"2023","journal-title":"Games Health J."},{"issue":"6","key":"10.1016\/j.nepr.2026.104785_bib33","first-page":"596","article-title":"Advances in research on practice teaching of general practice and community nursing at home and abroad","volume":"37","author":"Tao","year":"2020","journal-title":"Chin. J. Soc. Med"},{"key":"10.1016\/j.nepr.2026.104785_bib34","doi-asserted-by":"crossref","DOI":"10.1016\/j.nedt.2022.105357","article-title":"Digital serious games in developing nursing clinical competence: a systematic review and meta-analysis","volume":"113","author":"Thangavelu","year":"2022","journal-title":"Nurse Educ. Today"},{"key":"10.1016\/j.nepr.2026.104785_bib35","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijmedinf.2019.08.004","article-title":"Serious game is an effective learning method for primary health care education of medical students: a randomized controlled trial","volume":"130","author":"Tubelo","year":"2019","journal-title":"Int. J. Med. Inf."},{"key":"10.1016\/j.nepr.2026.104785_bib36","article-title":"Six teaching methods on the effectiveness of community nursing education for nursing students in China: a systematic review and network meta-analysis","volume":"84","author":"Wang","year":"2025","journal-title":"Nurse Educ. Pr."},{"issue":"02","key":"10.1016\/j.nepr.2026.104785_bib37","first-page":"250","article-title":"Research progress on the application of gamification in chronic diseases","volume":"23","author":"Xu","year":"2025","journal-title":"Chin. Gen. Pr. Nurs."},{"key":"10.1016\/j.nepr.2026.104785_bib38","article-title":"Game-based learning in medical education","volume":"11","author":"Xu","year":"2023","journal-title":"Front. Public Health"},{"key":"10.1016\/j.nepr.2026.104785_bib39","first-page":"24","article-title":"Situational Motivation Scale (SIMS) reliability test","author":"Zeng","year":"2008","journal-title":"Ninth Annu. Conf. Psychol. Assess. Spec. Comm. Chin. Ment. Health Assoc."},{"key":"10.1016\/j.nepr.2026.104785_bib40","article-title":"Comparison of learning outcomes between virtual simulation experiments and offline scenario-based learning for early intervention in psychiatric violence among undergraduate nursing students: a randomized controlled trial","volume":"86","author":"Zhu","year":"2025","journal-title":"Nurse Educ. Pr."},{"issue":"8","key":"10.1016\/j.nepr.2026.104785_bib41","first-page":"926","article-title":"The teaching design and practice of the national offline first-class undergraduate course of Community Nursing","volume":"21","author":"Zhuang","year":"2024","journal-title":"Chin. J. Nurs. Educ."},{"issue":"17","key":"10.1016\/j.nepr.2026.104785_bib42","first-page":"74","article-title":"Development and usability of serious game \u201cHome Visit Navigator\u201d in community nursing","volume":"32","author":"Zhuang","year":"2025","journal-title":"J. Nurs."},{"key":"10.1016\/j.nepr.2026.104785_bib43","unstructured":"American Nurses Association, n.d. Scope of practice. Available at: \u3008https:\/\/www.nursingworld.org\/practice-policy\/scope-of-practice\/\u3009 (accessed 26 January 2026)."}],"container-title":["Nurse Education in Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1471595326000879?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1471595326000879?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T23:04:53Z","timestamp":1781478293000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1471595326000879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":43,"alternative-id":["S1471595326000879"],"URL":"https:\/\/doi.org\/10.1016\/j.nepr.2026.104785","relation":{},"ISSN":["1471-5953"],"issn-type":[{"value":"1471-5953","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effects of a serious game on undergraduate nursing students\u2019 learning motivation, engagement and outcomes in community nursing home visit education: A cluster quasi-experimental study","name":"articletitle","label":"Article Title"},{"value":"Nurse Education in Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nepr.2026.104785","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"104785"}}