The effect of a magnetic puzzle‑based educational game on ECG interpretation skills in nursing students: A randomized controlled trial

Abstract

Background

Nurses play a critical role in continuous electrocardiography (ECG) monitoring and initial rhythm interpretation, making proficiency in this skill essential for timely clinical decisions and reducing diagnostic errors. Strengthening ECG interpretation training in nursing education is therefore necessary.

Aim

This study examined the effect of an educational game using magnetic puzzle pieces on nursing students’ ECG interpretation skills.

Methods

Of 82 nursing students were randomly assigned to an intervention group receiving ECG training through a magnet‑based puzzle game or a control group receiving traditional instruction. Data were collected using demographic forms, an ECG knowledge and skills test, and a satisfaction questionnaire.

Results

The intervention group achieved significantly higher post‑test scores in ECG knowledge, performance, and interpretation than the control group. Although both groups improved after training, the magnitude of improvement across all variables was greater in the puzzle‑based training group.

Conclusion

Magnet puzzle-based ECG training is more effective than conventional teaching methods in enhancing nursing students’ ECG interpretation competencies. Incorporating this interactive approach into nursing education may improve learning outcomes and clinical readiness.