This group consisted of fourth-year nursing students who received a patient safety-themed escape room training intervention. The simulation was structured in three phases: prebriefing, escape room activity, and debriefing. During prebriefing, students were oriented to the simulation environment and informed about patient safety principles. The escape room simulation consisted of three rooms designed according to INACSL standards, including scenarios on medication safety, maternal-infant care, and intensive care. Each room contained a mix of knowledge-based and skill-based tasks. After the simulation, a structured debriefing session was conducted using the PEARLS method to promote reflective learning. The intervention aimed to improve students' self-efficacy in patient safety practices and their satisfaction with the training method.

Intervention Description: This intervention is a patient safety-themed escape room simulation specifically designed for nursing students. The activity consists of three phases structured in accordance with INACSL standards: pre-briefing, escape room simulation, and post-briefing assessment. Working in small groups, students solve knowledge- and skill-based patient safety tasks in three different rooms (patient safety, mother-baby room, and adult intensive care unit). Correct answers ensure progress, while post-briefing assessment using the PEARLS method supports reflection and learning. Unlike traditional teaching, this innovative method emphasizes teamwork, active participation, and experiential learning to increase self-efficacy and satisfaction with patient safety practices.

Primary Outcome Measure: Change in nursing students' patient safety self-efficacy scores from pre-test to post-test, measured by the Patient Safety Self-Efficacy Questionnaire (range: 0-75; higher scores indicate higher self-efficacy

Secondary Outcome Measure: Nursing students' satisfaction with the escape room training method, measured post-test by the Satisfaction with Training Methods Scale (range: 16-80; higher scores indicate higher satisfaction).