199 - Education Innovation: Escape Room Use for Annual OR RN Skills Review
Description: Abstract: The purpose of this project was to explore use of gamified simulation, in the form of an escape room, as an innovative educational strategy to complete an annual skills review for operating room registered nurses. Team: Stephanie Covel, Perioperative Clinical Nurse Specialist at University of Washington Medicine, Northwest (UWMC Northwest), and Suzanne Grau, graduate student at Pacific Lutheran University at the time of implementation and currently a registered nurse at UWMC Northwest. Preparation and planning: Escape room literature was reviewed, and a guide provided by Adams et al. (2018) facilitated the decision to use an escape room and for escape room design. Operating room scenario, cue cards and skill-specific puzzles were created.
Assessment: Historical evaluation of past registered nurse skills day sessions revealed a gap in skills-review for operating room registered nurses. Educational content chosen was based upon data from the event report system, recent Department of Health survey results and included high risk, low frequency skills. To determine perceived effectiveness of the escape room, paper and pencil pre-tests and post-tests were completed by participants. Knowledge, skills, and attitudes about educational content and use of the escape room format were assessed with survey questions and short answer questions. Implementation: AORN recommendations addressing the selected skills were integrated into an escape room format. Initially, operating room leadership was utilized to trial the escape room and small modifications were made. Three operating room registered nurse skills day sessions were completed. Groups of three to six participants worked to solve puzzles collaboratively in an operating room simulation. Outcome: According to survey data, the escape room format was found to be an effective way to learn nursing knowledge and practice nursing skills, evidenced by 100% of participants agreeing or strongly agreeing to these statements. Short answer responses verified the participants enjoyed the escape room experience and agreed that the mode of education was effective. Nursing interventions addressed during the escape room were used more frequently after the skills review. Additionally, scores increased for perceived knowledge, skills, and attitudes related to selected skills. Implications for Perioperative Nursing: This mode of education has endless opportunities for application in the operating room setting. For educators using escape rooms, planning and implementation is both fun and rewarding. Additionally, the escape room is an enjoyable and multimodal way to educate operating room nurses who prefer a variety of learning styles using gamification.