Original Article

Game2FamilyNursing: Study of a digital game to promote knowledge about family nursing


Background & Aim: The practice of family-centered nursing care brings positive benefits to health care. This article aims to describe the perception and usability of a game to promote knowledge about family assessment and intervention.
Methods & Materials: A descriptive, cross-sectional study was conducted involving 102 nurses and nursing degree students in the second half of 2021. The evaluation was performed using the game usability instrument (System Usability Scale, SUS), the Intrinsic Motivation Inventory, and open questions about the game's advantages and disadvantages.
Results: The average score obtained by applying the SUS was high, with a mean of 81.37. In addition, high mean values were observed in all dimensions of the Intrinsic Motivation Inventory. Concerning the game’s advantages and disadvantages, 198 codes were grouped into seven categories and 30 subcategories, highlighting more advantages than disadvantages.
Conclusion: Overall, participants evaluated the game positively. Our findings suggest that using "Game2FamilyNursing" could be helpful and contribute as an educational tool in family nursing training.

1. Gutiérrez-Alemán T, Esandi N, Pardavila-Belio MI, Pueyo-Garrigues M, Canga-Armayor N, Alfaro-Diaz C, Canga-Armayor A. Effectiveness of Educational Programs for Clinical Competence in Family Nursing: A Systematic Review. Journal of Family Nursing. 2021 Nov;27(4):255-74.
2. Hoplock L, Lobchuk M, Dryburgh L, Shead N, Ahmed R. Canadian hospital and home visiting nurses’ attitudes toward families in transitional care: A descriptive comparative study. Journal of family nursing. 2019 Aug;25(3):370-94.
3. Nóbrega MDPSS, Fernandes CSNDN, Angelo M, Chaves SCDS. Importance of families in nursing care for people with mental disorders: attitudes of Portuguese and Brazilian nurses. Rev Esc Enferm USP. 2020;54:e03594. Portuguese, English. doi: 10.1590/s1980-220x2018045603594.
4. Fernandes CS, Magalhães B, Silva S, Edra B. (Re)‘Thinking’family in nursing care in pandemic times. International Nursing Review. 2022 Mar;69(1):47-57.
5. Bélanger L, Bussières S, Rainville F, Coulombe M, Desmartis M. Hospital visiting policies-impacts on patients, families and staff: A review of the literature to inform decision making. Journal of Hospital Administration. 2017;6(6):51-62.
6. International Family Nursing Association (IFNA). IFNA Position Statement on Pre-Licensure Family Nursing Education; 2013. Available from: https://internationalfamilynursing.org/2015/07/25/ifna-position-statement-on-pre-licensure-family-nursing-education
7. International Family Nursing Association (IFNA). IFNA Position Statement on Advanced Practice Competencies for Family Nursing; 2017. Available from: https://internationalfamilynursing.org/2017/05/19/advanced-practice-competencies/
8. Duhamel F. Translating knowledge from a family systems approach to clinical practice: Insights from knowledge translation research experiences. Journal of Family Nursing. 2017 Nov;23(4):461-87.
9. Fernandes CS, Martins MM, Gomes BP, Gomes JA, Gonçalves LH. Family Nursing Game: desenvolvendo um jogo de tabuleiro sobre família. Escola Anna Nery. 2016 Jan;20:33-7.
10. Nascimento KGD, Ferreira MBG, Felix MMDS, Nascimento JDSG, Chavaglia SRR, Barbosa MH. Effectiveness of the serious game for learning in nursing: systematic review. Rev Gaucha Enferm. 2021 May 21;42:e20200274. English, Portuguese. doi: 10.1590/1983-1447.2021.20200274.
11. Neves da Nova Fernandes CS, Ângelo M. Estratégias lúdicas utilizadas em enfermagem-Uma revisão integrativa. Avances en Enfermería. 2018 Apr;36(1):88-98.
12. Pront L, Müller A, Koschade A, Hutton A. Gaming in nursing education: A literature review. Nursing Education Perspectives. 2018 Jan 1;39(1):23-8.
13. Schuytema P. Design de Games. 1 ed. Gengage Learning; 2008.
14. Martins AI, Rosa AF, Queirós A, Silva A, Rocha NP. European Portuguese validation of the system usability scale (SUS). Procedia Computer Science. 2015 Jan 1;67:293-300.
15. Fonseca AM, de Paula Brito A. Propriedades psicométricas da versão portuguesa do Intrinsic Motivation Inventory (IMIp) em contextos de actividade física e desportiva. Análise Psicológica. 2001;19(1):59-76.
16. Bardin L. Análise de conteúdo. São Paulo Edições; 2011
17. Swan MA, Eggenberger SK. Early Career Nurses’ Experiences of Providing Family Nursing Care: Perceived Benefits and Challenges. Journal of Family Nursing. 2021 Feb;27(1):23-33.
18. Swan MA, Eggenberger SK. Early Career Nurses’ Experiences of Providing Family Nursing Care: Perceived Benefits and Challenges. Journal of Family Nursing. 2021 Feb;27(1):23-33.
19. Schmidt JD, De Marchi AC. Usability evaluation methods for mobile serious games applied to health: a systematic review. Universal Access in the Information Society. 2017 Nov;16(4):921-8.
20. Vlachogianni P, Tselios N. Perceived usability evaluation of educational technology using the System Usability Scale (SUS): A systematic review. Journal of Research on Technology in Education. 2021 Jan 25:1-8.
21. Kayyali R, Wells J, Rahmatullah N, Tahsin A, Gafoor A, Harrap N, Nabhani-Gebara S. Development and evaluation of a serious game to support learning among pharmacy and nursing students. Currents in Pharmacy Teaching and Learning. 2021 Aug 1;13(8):998-1009.
22. Duman İ, Horzum MB, Randler C. Adaptation of the Short Form of the Intrinsic Motivation Inventory to Turkish. International Journal of Psychology and Educational Studies. 2020;7(3):26-33.
23. Monteiro V, Mata L, Peixoto F. Intrinsic motivation inventory: Psychometric properties in the context of first language and mathematics learning. Psicologia: Reflexão e Crítica. 2015 Jul;28(3):434-43.
24. Sardi L, Idri A, Fernández-Alemán JL. A systematic review of gamification in e-Health. Journal of Biomedical Informatics. 2017 Jul 1;71:31-48.
25. Seshan V, Matua GA, Raghavan D, Arulappan J, Al Hashmi I, Roach EJ, Sunderraj SE, Prince EJ. Case Study Analysis as an Effective Teaching Strategy: Perceptions of Undergraduate Nursing Students From a Middle Eastern Country. SAGE Open Nursing. 2021 Nov;7:23779608211059265.
26. Abdelkader AM, Almefarfesh AA. Effect of Using Case Study Teaching Strategy on Nursing Students' Perception of Teaching Effectiveness. International Journal of Nursing Education. 2020 Oct 1;12(4):285-91.
27. Broekema S, Luttik ML, Steggerda GE, Paans W, Roodbol PF. Measuring change in nurses’ perceptions about family nursing competency following a 6-day educational intervention. Journal of Family Nursing. 2018 Nov;24(4):508-37.
28. Gutiérrez-Puertas L, García-Viola A, Márquez-Hernández VV, Garrido-Molina JM, Granados-Gámez G, Aguilera-Manrique G. Guess it (SVUAL): An app designed to help nursing students acquire and retain knowledge about basic and advanced life support techniques. Nurse Education in Practice. 2021 Jan 1;50:102961.
29. McEnroe-Petitte D, Farris C. Using gaming as an active teaching strategy in nursing education. Teaching and Learning in Nursing. 2020 Jan 1;15(1):61-5.
30. Cranley LA, Lam SC, Brennenstuhl S, Kabir ZN, Boström AM, Leung AY, Konradsen H. Nurses’ attitudes toward the importance of families in nursing care: A multinational comparative study. Journal of Family Nursing. 2022 Feb;28(1):69-82.
IssueVol 9 No 3 (2022): Summer QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/npt.v9i3.10222
games; experimental; family nursing; education; nursing; technology

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Fernandes C, Campos MJ, Angelo M, Martins M. Game2FamilyNursing: Study of a digital game to promote knowledge about family nursing. NPT. 2022;9(3):202-210.