{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:27:31Z","timestamp":1786728451708,"version":"build-2736575974"},"reference-count":65,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>This study aims to investigate the impact of collaborative Kahoot and Crossword puzzles as formative assessment tools on the knowledge, satisfaction, and motivation of operating room nursing students regarding posterior lumbar interbody fusion instrumentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>\n                      In this quasiexperimental study, 40 operating room nursing students from the 6\n                      <jats:sup>th<\/jats:sup>\n                      and 8\n                      <jats:sup>th<\/jats:sup>\n                      semesters at Ardabil University of Medical Sciences were randomly assigned to two intervention groups. Two face-to-face sessions were conducted, and at the end of each session, collaborative formative assessment of students was conducted using two methods: one group used the Kahoot platform, while the other completed paper-based Crossword puzzles. For data collection, a researcher-developed knowledge test (pretest and post-test), Motivation for Cooperative Learning Strategies questionnaire, and a researcher-developed satisfaction questionnaire were used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      There was no statistically significant difference in demographic variables and mean knowledge scores of the pretest between the Kahoot and Crossword puzzle groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). The mean knowledge scores of the post-test were significantly higher than the mean pretest scores in both groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001). In addition, the two groups had no significant difference in post-test scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). However, the mean scores of satisfaction (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.020) and motivation (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001) were significantly higher in the Kahoot group compared with the Crossword puzzle group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Kahoot and Crossword puzzles are effective for formative assessment and feedback, enhancing operating room nursing students\u2019 knowledge. However, Kahoot significantly increases motivation, satisfaction, and engagement, offering dynamic learning experiences compared with Crossword puzzles.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_873_25","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T15:01:04Z","timestamp":1778166064000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Teaching surgical instruments with a touch of play: A comparative study of Kahoot and Crossword puzzles as fun formative assessments for operating room nursing students"],"prefix":"10.4103","volume":"15","author":[{"given":"Sepideh","family":"Totonchilar","sequence":"first","affiliation":[{"name":"Department of Intensive Care Nursing and Operating Room, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Khorammakan","sequence":"additional","affiliation":[{"name":"Department of the Operating Room, Anesthesiology, Critical Care and Pain Management Research Center, School of Nursing and Midwifery, Hormozgan University of Medical Science, Bandar Abbas, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahid Ahmadian","family":"Yazdi","sequence":"additional","affiliation":[{"name":"Education Development Center, Deputy of Education, Ardabil University of Medical Sciences, Ardabil, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masoumeh","family":"Aghamohammadi","sequence":"additional","affiliation":[{"name":"Department of Emergency Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"key":"R1-20260507","first-page":"58","article-title":"Educational concern of surgical technology students in the operating room: A grounded theory study","volume":"9","author":"Moonaghi","year":"2020","journal-title":"J Educ Health Promot"},{"key":"R2-20260507","first-page":"9","article-title":"The effect of education based on the spinal fusion surgery simulation on the level of knowledge and practical skills the 8th Students","volume":"7","author":"Hannani","year":"2019","journal-title":"J Nurs Edu"},{"key":"R3-20260507","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s00381-015-2923-z","article-title":"The role of simulation in neurosurgery","volume":"32","author":"Rehder","year":"2016","journal-title":"Childs Nerv Syst"},{"key":"R4-20260507","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1111\/scs.12817","article-title":"Newly trained operating room nurses\u2019 experiences of nursing care in the operating room","volume":"34","author":"Eriksson","year":"2020","journal-title":"Scand J Caring Sci"},{"key":"R5-20260507","first-page":"44","article-title":"The importance of the perioperative nurse","volume":"33","author":"Mathenge","year":"2020","journal-title":"Commun Eye Health"},{"key":"R6-20260507","doi-asserted-by":"crossref","DOI":"10.1093\/bjs\/znab259.850","article-title":"370\u00b0 Evaluating knowledge of common surgical instruments during early surgical training in the United Kingdom: A call for formalised training?","volume":"108","author":"Chang","year":"2021","journal-title":"Br J Surg"},{"key":"R7-20260507","doi-asserted-by":"crossref","first-page":"467","DOI":"10.4103\/jehp.jehp_940_20","article-title":"Comparison of the effect of two teaching methods on surgical technologist students\u2019 learning and satisfaction (flashcards vs. mobile-based learning)","volume":"10","author":"Sadati","year":"2021","journal-title":"J Educ Health Promot"},{"key":"R8-20260507","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1186\/s12909-023-04156-w","article-title":"Puzzle game-based learning: A new approach to promote learning of principles of coronary artery bypass graft surgery","volume":"23","author":"Khorammakan","year":"2023","journal-title":"BMC Med Educ"},{"key":"R9-20260507","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1186\/s12909-019-1658-z","article-title":"Using Kahoot! 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