The Effectiveness of a Chronic Obstructive Pulmonary Disease Computer Game as a Learning Tool for Nursing Students


Simulation games that are close to actual clinical situations can assist students in the learning process and, through the active presentation of subject material, help them acquire necessary knowledge. The aims of this study were to develop a computer game focused on caring for patients with chronic obstructive pulmonary disease (COPD) in the outpatient clinic and to evaluate the nursing students’ change in knowledge and their satisfaction score after they played this computer game. This study had a randomized pre-/post-control experimental design. How to assess and care for patients with dyspnea episodes, the use of inhalants, the effects of weather changes, and breathing exercises for patients with COPD were the key content elements of the computer game developed by the study team. The COPD care knowledge test and satisfaction questionnaire were the evaluation instruments. Sixty-eight junior nursing students participated in this study. Of these 68 participants, 35 were randomly assigned to the control group and 33 were randomly assigned to the experimental group. Each group finished the pretest, then played the game for 20 minutes, and then did the post-test questionnaire. The results of this study determined that the COPD care knowledge score was significantly improved after playing the game in the experimental group (t = 2.24, P < 0.05). The experimental group responded that the computer game could help them clearly understand ways to take care of patients with COPD in the outpatient clinic. Important suggestions were to add reflection session after playing the computer game and to modify the fluency of the operation procedures. The experience and results of this study could apply not only to the teaching strategy for nursing students, but also for further developing a game for patient education.

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Tsai, S. , Chai, S. and Chuang, K. (2015) The Effectiveness of a Chronic Obstructive Pulmonary Disease Computer Game as a Learning Tool for Nursing Students. Open Journal of Nursing, 5, 605-612. doi: 10.4236/ojn.2015.57064.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Dayal, R., Faries, P.L., Lin, S.C., Bernheim, J., Hollenbeck, S., DeRubertis, B., Trocciola, S., Rhee, J., McKinsey, J., Morrissey, N.J. and Kent, K.C. (2004) Computer Simulation as a Component of Catheter-Based Training. Journal of Vascular Surgery, 40, 1112-1117.
[2] Tsai, S.L., Tsai, W.W., Chai, S.K., Sung, W.H., Doong, J.L. and Fung, C.P. (2004) Evaluation of Computer-Assisted Multimedia Instruction in Intravenous Injection. International Journal of Nursing Studies, 41, 191-198.
[3] Heron, D.E., Andrade, R.S., Flickinger, J., Johnson, J., Agarwala, S.S., Wu, A., Kalnicki, S. and Avril, N. (2004) Hybrid PET-CT Simulation for Radiation Treatment Planning in Head-and-Neck Cancers: A Brief Technical Report. International Journal of Radiation Oncology, Biology, Physics, 60, 1419-1424.
[4] Dye, J., Gillon, L. and Sales, R (2009) Benefits and Challenges of Interprofessional Collaboration in the Development of a Virtual Learning Environment. Journal of Interprofessional Care, 23, 95-97.
[5] Johnston, B., Boyle, L., MacArthur, E. and Manion, B.F. (2013) The Role of Technology and Digital Gaming in Nurse Education. Nursing Standards, 27, 35-38.
[6] Chia, P. (2013) Using a Virtual Game to Enhance Simulation Based Learning in Nursing Education. Singapore Nursing Journal, 40, 21-26.
[7] Tinker, R. and While, A. (2006) Promoting Quality of Life for Patients with Moderate to Severe COPD. British Journal of Community Nursing, 11, 278-284.
[8] Jonsdóttir, H. (2008) Nursing Care in the Chronic Phase of COPD: A Call for Innovative Disciplinary Research. Journal of Nursing and Healthcare of Chronic Illness, 17, 272-290.
[9] Lou, P., Chen, P., Zhang, P., Yu, J., Wang, Y., Chen, N., Zhang, L., Wu, H. and Zhao, J. (2015) A COPD Health Management Program in a Community-Based Primary Care Setting: A Randomized Controlled Trial. Respiratory Care, 60, 102-112.
[10] Chen, K.-H., Chen, M.-L., Lee, S., Cho, H.-Y. and Weng, L.-C. (2008) Self-Management Behaviours for Patients with Chronic Obstructive Pulmonary Disease: A Qualitative Study. Journal of Advanced Nursing, 64, 595-604.
[11] Metcalf, B. and Yankou, D. (2003) Using Gaming to Help Nursing Students Understand Eethics. Journal of Nursing Education, 42, 212-215.
[12] Lever, K.A. (2005) Introducing Students to Research: The Road to Success. Journal of Nursing Education, 44, 470-471.
[13] de Bono E. (1995) Edward de Bono’s Mind Pack. Dorling Kindersley, London.
[14] Kenny, L.J. (2003) Using Edward de Bono Six Hats Game to Aid Critical Thinking and Reflection in Palliative Care. International Journal of Palliative Nursing, 9, 105-112.
[15] Myers, G. and Levin, R.F. (2009) Explore Clinical Problems by Wearing Different Hats. Research and Theory for Nursing Practice: An International Journal, 23, 5-7.
[16] Tsai, S.L., Chai, S.K., Hsief, L.F., Lin, S.L., Taur, F.M., Sung, W.S. and Doong, J.L. (2008) The Use of Virtual Reality Computer Simulation in Learning Port-A Cath Injection. Advances in Health Sciences Education, 13, 71-87.
[17] Hartjes, L.B. and Baumann, L.C. (2012) Evaluation of a Web-Based Malaria Risk Reduction Game for Study Abroad Students. Journal of American College Health, 60, 403-414.
[18] Cowley, B., Heikura, T. and Ravaja, N. (2013) Learning Loops—Interactions between Guided Reflection and Experience-Based Learning in a Serious Game Activity. Journal of Computer Assisted Learning, 29, 348-370.

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