Gamification is an applied, team-based approach in which students are actively involved. This study was conducted to evaluate the effect of escape room experience on the level of problem solving skills and professional behavior in nursing students.

This study was completed in a randomized controlled trial with 43 final year nursing students from a university. Students were randomized into intervention (n=22) and control (n=21) groups. In this study, data were collected with the Game Experience Scale, Problem Solving Inventory, and Nursing Students Professional Behavior Scale. The data obtained from the study were evaluated with SPSS 24.0. Descriptive statistics; number (n), percentage (%), mean (X), standard deviation (SD) were given. Statistical significance level was evaluated as p<0.05. The students in the intervention group analyzed the breast cancer surgery case with the escape room experience. The students were divided into groups of 5 and tried to complete the tasks given by the researchers within 30 minutes. During the escape room practice, the researchers were present in the rooms as observers and evaluated the participants.

Inclusion Criteria:

• Active students in the spring semester of the 2023-2024 academic year,
• A fourth-year nursing student,
• To take the surgical diseases nursing intern practice module,
• Preparing an individualized patient care plan for at least one surgical patient,
• Students who have previously prepared and presented at least one surgical patient-specific case with group work

Exclusion Criteria:

• Those who have lessons they did not take in 1st-3rd classes,
• Never planned care for surgical patients in previous clinical practice,
• Students who refused to participate in the study