Web-Based Gamification in Postpartum Hemorrhage Management Education Among Midwifery Students

The Effect of Web-Based Gamification in Postpartum Hemorrhage Management Education on Knowledge Level, Motivation, Clinical Self-Efficacy, and Satisfaction Among Midwifery Students: A Randomized Controlled Trial

This study was designed to compare the effects of web-based gamification and online classical teaching methods on knowledge level, motivation toward instructional materials, clinical self-efficacy, and satisfaction in midwifery students receiving postpartum hemorrhage management education.

This study is planned as a randomized, single-blind, parallel-group experimental study. The research will be conducted with fourth-year midwifery students enrolled in undergraduate programs in Turkey.

Participants who meet the inclusion criteria will be randomly assigned into two groups:

• Experimental group receiving web-based gamification education
• Control group receiving online classical education Both groups will receive postpartum hemorrhage management education for four consecutive weeks, with one session per week lasting approximately 45-60 minutes.

In the experimental group, after each theoretical session, a web-based gamified module developed using Genially will be provided. These modules will include interactive tasks such as scenario-based questions, sequencing activities, reward systems (badges and points), and problem-solving exercises to enhance active learning.

In the control group, education will be delivered using traditional online teaching methods, including lecture-based presentations (PowerPoint) and verbal explanations.

Data will be collected before the intervention (pre-test) and after the completion of the training (post-test).

Inclusion Criteria:

• Living in Turkey
• Aged between 18-40 years
• Female
• Native speaker of Turkish
• Fourth-year undergraduate midwifery student
• Having received basic education on postpartum hemorrhage within the curriculum
• Having access to internet and digital devices (computer, tablet, or smartphone)
• Voluntarily agreeing to participate in the study

Exclusion Criteria:

• Not attending at least 80% of the training sessions
• Not completing the data collection tools fully
• Participating in another study or training related to postpartum hemorrhage management during the research period
• Not accessing or completing the gamification modules (for the experimental group)
• Withdrawing from the study at any stage