In Spring 2017, I participated in enhancing the existing content of a section of the Ohio State University Master of Healthcare Innovation course Evidence Based Practice (EBP). As a part of the online course redesign project, I programmed an online game to be embedded within the online course to reinforce key concepts from the lecture, reading, and previous learning activities in the module. Cindy Zellefrow, Director of the Academic Core of the Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare at Ohio State approached me with interest in revising and implementing the game within her EBP course. We worked together to revise the game by amending the language to properly reflect medical terminology. We also modified some of the game structure, scoring, graphics, and embedded media to improve game play and usability. Cindy and I introduced the game to a pilot group of students, faculty members and presented our findings at the Ohio League of Nurses (OLN) conference in April 2018. Cindy also introduced the game to one of her online nursing classes who provided feedback.

The goal of the proposed practicum is to assess the feedback we have received and make further revisions to the game. I will also provide Cindy with an additional opportunity to pilot the game with her class and go through another iteration of revisions. The goal is to revise and implement the EBP game with data and previous research in mind.

I will work with Cindy Zellefrow who will advise in the revision and implementation process.
The process will include:
Revisions. Cindy will advise in assessing the current data collected from previous pilot groups. The game will then undergo edits including, but not limited to, the game structure, language used, scoring, graphics, and embedded media.
Pilot Implementation. Cindy will assist in implementing the EBP game in her Spring 2019 online course. Implementation will include working with Cindy to distribute and collect assessments, provide students with access to the game, and troubleshooting any technical issues.
Collecting data. Formative and summative assessments will be distributed to students who play the EBP game. Questionnaires will focus on assessing the learning that is taking place and measuring the learning impact of the game.
Assessing the data. The data collected may provide insight for further revisions and substantive evidence for the impact of the game.
Additional Revisions. Cindy will advise in any further revisions to the game given the feedback from the pilot.

The EBP game seeks to add educational value to the EBP teaching and learning process.  The following learning objectives outline the outcomes the EBP aim to accomplish. The learning objectives were aligned using Blooms Taxonomy and the Evidence-based Practice Competencies for all practicing nurses and advanced practice nurses (Melnyk et al 2014) that address creating development of PICO(T) questions.

● Identify each of the components of a PICOT (Patient or Problem, Intervention, Comparison Intervention, Outcome, Time) question. (Know)
● Compare and contrast searchable questions to identify well crafted PICOT questions which are needed to execute an effective search in the databases. (Comprehend)
● Formulate searchable clinical questions in PICOT (or similar) format. (Apply)

A goal of this project is to provide the College of Nursing with an example of how gaming technology can enhance teaching and student learning of Evidence Based Practice and PICOT. And to provide Cindy with an opportunity to work with me further on the EBP game for further courses.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5-15. doi:10.1111/wvn.12021