The experimental intervention involves a game-based learning approach focused on medication safety. Participants in this group will receive nursing safety training integrated with gamification elements (Kahoot! ) to enhance their awareness of medication errors and safety protocols. This training is designed based on the World Health Organization's (WHO) 'Medication Without Harm' challenges and international safety guidelines. The intervention aims to increase clinical competency through competitive and engaging digital educational tools.

The control group will receive traditional nursing education regarding medication safety and patient safety protocols. This instruction consists of standard classroom lectures and literature-based materials without the integration of any gamification elements or interactive digital tools like Kahoot!. The content provided is based on the same clinical guidelines (WHO and ISMP) as the experimental group to ensure educational consistency, but it follows a conventional pedagogical approach.

This study aims to compare traditional education methods with a gamified learning approach (using Kahoot!) to enhance nursing students' knowledge and awareness of medication safety. Starting in the 8th week of the curriculum, the process ensures participant privacy through code names while collecting baseline data via personal information forms and pre-tests. Between weeks 9 and 12, both the experimental and control groups receive 12 hours of theoretical and 24 hours of laboratory instruction on medication errors. Following this core training, the experimental group participates in a 4-week gamification intervention featuring 20-question interactive sessions and class discussions in a separate environment to prevent contamination. The study concludes with a first post-test immediately after the intervention and a second post-test four weeks later to evaluate knowledge retention, finally providing the same gamified experience to the control group at the end of the semester to ensure edu

Total score obtained from the "Medication Error Knowledge Assessment Form". The scale evaluates students' theoretical and practical knowledge levels regarding medication safety protocols

Assessment of the sustainability of the knowledge gained during the intervention, measured using the same assessment form to compare scores over time.