Investigating the impact of the ‘healthy planet, healthy people’ educational boardgame: A multicentre pre-test – post-test study

IF 3.6 2区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Nurse Education Today Pub Date : 2025-04-16 DOI:10.1016/j.nedt.2025.106753

Tracy Levett-Jones , Tracey Moroney , James Bonnamy , Jack Cornish , Elaine Correia Moll , Anna Foster , Samuel Lapkin , Jacqueline Pich , Catelyn Richards , Naomi Tutticci , Tracey Tulleners , Melisa Young

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引用次数: 0

Abstract

Background

The ‘Healthy Planet, Healthy People’ educational board game was designed as an interactive way for healthcare students to explore the impact of climate change, pollution and biodiversity loss on both the environment and human health. The game is premised on the understanding that there is ‘no health without planetary health’.

Objective

The study profiled in this paper aimed to investigate the impact of the game on nursing students' planetary health attitudes, knowledge levels and satisfaction with the learning experience.

Design

A multicentre pre-post design was used with data collected June–October 2024. Wilcoxon Signed Rank Tests were performed to assess changes in attitudes and knowledge from pre- to post-survey. Effect sizes were interpreted using r. Mann-Whitney U Tests and Kruskal-Wallis H Tests were conducted to examine the influence of demographic characteristics on attitude and knowledge levels. Median scores and interquartile ranges were used to summarise satisfaction items.

Setting and participants

Pre-registration nursing students from five Australian universities participated in this study.

Results

One hundred and eighty-four students completed both the pre- and post-surveys. The results indicated a statistically significant increase in pre-post attitude (Z = −5.157, p < .001, r = 0.39) and knowledge levels (Z = −9.295, p < .001, r = 0.73) following the educational board game. Median attitude scores increased from 3.86 (IQR = 3.57–4.14) to 4.00 (IQR = 3.71–4.43), and knowledge scores increased from 5.00 (IQR = 4.00–6.00) to 7.00 (IQR = 6.00–8.00). However, there were no significant differences in attitude or knowledge levels based on the demographic characteristics. Of those who participated in the game, 153 students completed the Satisfaction Survey. The 25th percentile scores were consistently at 4.00, indicating that at least 75 % of participants agreed or strongly agreed with each of the satisfaction items.

Conclusions

Universities are uniquely positioned to contribute to a more sustainable future by incorporating planetary health education into nursing curricula. This study demonstrated that educational board games such as the ‘Healthy Planet, Healthy People’ game are an effective learning strategy.

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来源期刊

Nurse Education Today 医学-护理

CiteScore

6.90

自引率

12.80%

发文量

349

审稿时长

58 days

期刊介绍： Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.