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Zolfaghari Z, Karimian Z, Zarifsanaiey N, Farahmandi AY. A scoping review of gamified applications in English language teaching: a comparative discussion with medical education. BMC MEDICAL EDUCATION 2025; 25:274. [PMID: 39979895 PMCID: PMC11844052 DOI: 10.1186/s12909-025-06822-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2024] [Accepted: 02/04/2025] [Indexed: 02/22/2025]
Abstract
BACKGROUND With the increasing integration of technology in education, understanding how gamification can enhance language learning is crucial for developing effective teaching strategies. This scoping review explored the current landscape of gamified applications within TEFL while discussing comparative insights from medical education to outline effectiveness and potential across disciplines. METHOD A systematic search following the PRISMA-ScR protocol was conducted across PubMed, Scopus, Web of Science, CINAHL, Cochrane Library, ERIC, and Embase databases to identify studies published between 2010 and 2024. English or Persian Quantitative, qualitative, or mixed-methods research examining interventional approaches or gamified applications in TEFL reporting on the effectiveness of these applications, detailing their design and implementation strategies, and identify the target student populations were included. RESULTS A total of 33 studies were included in the review, with an emphasis on their publication year, geographical distribution, study designs, delivery modes, technology utilization, gamification elements, and measurement tools. The review revealed that most publications were concentrated in 2018, with a significant number originating from Asia. The total number of students involved in the intervention studies was 2,531. Quasi-experimental pretest/posttest designs were the most common methodologies used, followed by mixed-method approaches. Online delivery emerged as the predominant mode of instruction, with mobile learning technologies frequently utilized. Feedback was identified as the most commonly employed gamification element, followed by challenges that fostered learner engagement. CONCLUSION The findings highlighted the effectiveness of gamified applications in enhancing motivation and engagement among language learners. Immediate feedback and interactive elements are critical components that contribute to improved learning outcomes. As interest in gamification continues to grow, further research is warranted to explore its long-term impacts and potential applications across diverse educational contexts. This review underscores the importance of integrating gamification into TEFL to create dynamic and effective learning environments.
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Affiliation(s)
- Zahra Zolfaghari
- Department of E-Learning in Medical Sciences, Virtual School, Center of Excellence in e-Learning, Student Research Committee, Shiraz University of Medical Sciences, Neshat Street, Sadra & Sina Hall, Shiraz, Iran
| | - Zahra Karimian
- Department of e- Learning in Medical Sciences, Virtual School and Center of Excellence in e-Learning, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Nahid Zarifsanaiey
- Department of e-Learning in Medical Sciences, Virtual School and Center of Excellence in e-Learning, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Amir Yousef Farahmandi
- Department of English Language, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
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Gonzalez-Garcia A, Bermejo-Martinez D, Lopez-Alonso AI, Trevisson-Redondo B, Martín-Vázquez C, Perez-Gonzalez S. Impact of ChatGPT usage on nursing students education: A cross-sectional study. Heliyon 2025; 11:e41559. [PMID: 39850430 PMCID: PMC11755058 DOI: 10.1016/j.heliyon.2024.e41559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2024] [Revised: 12/16/2024] [Accepted: 12/27/2024] [Indexed: 01/25/2025] Open
Abstract
Background The use of artificial intelligence tools, such as ChatGPT, is on the rise in nursing education. In the field of healthcare, ChatGPT can offer unique opportunities to enhance the learning and clinical practice of nursing students. However, it is still necessary to explore how this tool affects students' performance and perception in their nursing education. Objective The objective of this study was to evaluate the impact of ChatGPT on nursing students' education and determine how it influences their learning outcomes. Design This study employed a quantitative cross-sectional design. Setting The study was conducted in the Bachelor of Nursing program at the University of León, Spain. Participants Ninety-eight nursing students enrolled in the Nursing Care and Services Management course during the second semester of 2024 participated in the study. Methods Data were collected using three validated questionnaires that assessed sociodemographic characteristics, knowledge of artificial intelligence, and perceptions of using ChatGPT as an educational tool. The data were analyzed using IBM SPSS Statistics, version 29.1. Results Students who used ChatGPT showed a significant improvement in their academic grades (p < 0.05). Additionally, 89.5 % of the students reported significant improvements in their academic performance. Women perceived ChatGPT as especially useful for completing academic tasks (85.14 % versus 50.00 % in men, p = 0.003). A positive correlation was observed between prior use of ChatGPT and GPA (ρ = 0.240, p = 0.026). Conclusions ChatGPT is a valuable tool that enhances the learning and satisfaction of nursing students. Its integration into nursing education programs not only boosts academic performance but also promotes the adoption of technological innovations in professional training. Continuous incorporation of AI tools in education is recommended to improve academic outcomes and prepare students for evolving healthcare environments.
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Affiliation(s)
- Alberto Gonzalez-Garcia
- CUHUSAL-BPS Teaching Innovation Group, Faculty of Health Sciences, Nursing and physiotherapy department, Universidad de León, 24007, León, Spain
| | - David Bermejo-Martinez
- CUHUSAL-BPS Teaching Innovation Group, Faculty of Health Sciences, Nursing and physiotherapy department, Campus de Ponferrada, Universidad de León, 24401, León, Spain
| | - Ana Isabel Lopez-Alonso
- CUHUSAL-BPS Teaching Innovation Group, Faculty of Health Sciences, Nursing and physiotherapy department, Universidad de León, 24007, León, Spain
| | - Bibiana Trevisson-Redondo
- CUHUSAL-BPS Teaching Innovation Group, Faculty of Health Sciences, Nursing and physiotherapy department, Campus de Ponferrada, Universidad de León, 24401, León, Spain
| | - Cristian Martín-Vázquez
- CUHUSAL-BPS Teaching Innovation Group, Faculty of Health Sciences, Nursing and physiotherapy department, Campus de Ponferrada, Universidad de León, 24401, León, Spain
| | - Silvia Perez-Gonzalez
- Faculty of Health Sciences, Nursing and physiotherapy department, Universidad de León, 24007, León, Spain
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Zhang J, Chen J, Guo H, Liu W, Li M. The integrated teaching practice of medical cloud dictionary development and project-based learning. BMC MEDICAL EDUCATION 2025; 25:30. [PMID: 39780120 PMCID: PMC11707999 DOI: 10.1186/s12909-024-06621-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Accepted: 12/30/2024] [Indexed: 01/11/2025]
Abstract
OBJECTIVE This study examines a novel teaching model that integrates the development and use of a Medical Cloud Dictionary with project-based learning (PBL). We investigate whether this integrated approach improves teaching effectiveness, enhances student learning outcomes, and reduces teaching pressure compared to traditional PBL. METHODS One hundred student volunteers were randomly assigned to an experimental group (n = 50) and a control group (n = 50). Both groups studied seven respiratory-disease-related modules over a single semester (4 months). The experimental group utilized a PBL approach enhanced by the Medical Cloud Dictionary, which provided organized, up-to-date medical information and facilitated collaboration. The control group received traditional PBL-based teaching. Student performance was assessed using theoretical exams, comprehensive case analyses, and clinical practice reports. Feedback questionnaires and interviews were conducted with the experimental group's students and teachers. Statistical analyses included a Mann-Whitney U-test and chi-square tests to compare outcomes between groups. RESULTS The experimental group demonstrated significantly higher overall scores than the control group (Mann-Whitney U = 22037.5, p < 0.001). Their pass rate reached 100% vs. 98.6% in the control group (χ²=10.145, p < 0.05), and their excellence rate was 22.9% vs. 2.9% (χ²=62.477, p < 0.001). Feedback indicated improved learning efficiency, enhanced independent learning, and reduced teaching pressure. Both students and teachers expressed a desire to continue and expand the integrated mode. CONCLUSION Integrating a Medical Cloud Dictionary with PBL can stimulate students' academic engagement, improve their mastery of medical knowledge and practical skills, and foster a stronger desire for independent learning. It also qualitatively enhances teaching quality and strengthens teacher-student relationships. Overall, this integrated teaching model can improve the quality and effectiveness of medical education, benefiting both teachers and students.
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Affiliation(s)
- Jiayi Zhang
- Medical Records and Statistics Department, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, People's Republic of China
| | - Jiexuan Chen
- The First Clinical Medicine School of Guangdong Pharmaceutical University, Guangdong, People's Republic of China
| | - Hongbin Guo
- The First Clinical Medicine School of Guangdong Pharmaceutical University, Guangdong, People's Republic of China
| | - Wei Liu
- The First Clinical Medicine School of Guangdong Pharmaceutical University, Guangdong, People's Republic of China
| | - Mingzhe Li
- The First Clinical Medicine School of Guangdong Pharmaceutical University, Guangdong, People's Republic of China.
- Department of Education, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, People's Republic of China.
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Csorba LM, Dabija DC. The impact of the COVID-19 pandemic on students' future online education behaviour. Heliyon 2024; 10:e39560. [PMID: 39502205 PMCID: PMC11535338 DOI: 10.1016/j.heliyon.2024.e39560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 10/12/2024] [Accepted: 10/17/2024] [Indexed: 11/08/2024] Open
Abstract
Background The COVID-19-related pandemic has affected education hugely, particularly in terms of the massive shift towards online teaching and learning. Higher education students and professors have faced new challenges, which might improve future online education behaviour, based on online education experience and learning, and pedagogical strategies during the COVID-19 pandemic. Objective/Aim The aim of this paper is to explore the views of Romanian students towards a possible future online education, highlighting their perceptions regarding the efficacy of digital online learning/pedagogical strategies and of the technological infrastructure, using as support theory the Input-Environment-Outcomes (I-E-O) model. Methods/Instruments An empirical quantitative-based investigation was implemented; data being collected from almost 800 students in business and economics. Based on the proposed conceptual model, data were analysed with structural equations modelling via SmartPLS 3.0. Results The novelty of the paper is that it tries to address students' perceptions regarding the future of online education, by using a few constructs, some of them validated in the literature, in order to establish pertinent links between these and the future of digital education. Results reveal that Romanian students prefer face-to-face teaching rather than online courses. Conclusions/implications In crisis situations, digital education might be the proper solution for future education, as it ensures effective education through efficient teaching-learning strategies and an advanced technological infrastructure.
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Affiliation(s)
| | - Dan-Cristian Dabija
- “Babeș-Bolyai” University Cluj-Napoca, Faculty of Economics and Business Administration, Department of Marketing, Romania
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Mothafar NA, Zhang J, Alsoffary A, Masoomi B, Al-Barakani A, Alhady OS. Digital social responsibility towards digital education of international higher education students' institutions: Digital culture as mediator. Heliyon 2024; 10:e36442. [PMID: 39263061 PMCID: PMC11387243 DOI: 10.1016/j.heliyon.2024.e36442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 08/02/2024] [Accepted: 08/15/2024] [Indexed: 09/13/2024] Open
Abstract
Digital social responsibility (DSR) has emerged as a wise strategic decision for all higher education institutions during the new crown pandemic. This study explores whether the DSR dimensions (social, economic, legal, and environmental) enhance digital education (DE) in universities. Specifically, this paper intends to investigate the impact of digital culture (DC) on these relationships as a mediator variable. By adopting a cross-sectional approach, data are gathered through an online survey among a sample of 181 students from different nationalities in higher education institutions in Chang'an-China. The partial least squares-structural equation modelling has been used to perform the statistical analyses. Results revealed that all DSR dimensions directly and indirectly affect DE. DC also significantly influences students' DE during the new crown pandemic. Furthermore, our findings show that DC mediates the link between the social, economic, and environmental DSR aspects and students' DE. The study suggests Chinese universities review their DSR policies and student DC perspectives, and design social digital responsibility education programs. These measures can predict the success of student DE and provide a competitive edge as social media technology advances.
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Affiliation(s)
- Nora A Mothafar
- School of Economics and Management, Logistics Engineering and Management Department, Chang'an University, Xi'an, China
| | - Jingxiao Zhang
- School of Economics and Management, Logistics Engineering and Management Department, Chang'an University, Xi'an, China
| | - Amani Alsoffary
- Management Department, Sana'a Community College, Sana'a, Yemen
| | - Behzad Masoomi
- Industrial Management Department, Islamic Azad University, Firoozkooh Branch, Tehran, Iran
| | - Abdo Al-Barakani
- School of Global Business, Chongqing College of International Business and Economics, Hechuan, Chongqing Municipality, China
| | - Osama S Alhady
- School of Economics and Management, Lanzhou University, Lanzhou, China
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Arumi MS, Sulastiana M, Kadiyono AL, Ninin RH. Assessing Ethical Climate: Adaptation and Psychometric Properties in the Indonesian Context. Psychol Res Behav Manag 2024; 17:2297-2308. [PMID: 38860191 PMCID: PMC11164080 DOI: 10.2147/prbm.s462945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Accepted: 05/10/2024] [Indexed: 06/12/2024] Open
Abstract
Background Despite the importance of understanding ethical climates in Indonesian organizations, a standardized scale for measuring this is lacking. Therefore, this study aims to adapt, validate, and ensure the consistency of the Ethical Climate Questionnaire (ECQ) within Indonesia's cultural context. Methods Data were collected from 565 Indonesian individuals aged 18 or older, using an online survey and convenience sampling. To ensure accurate measurements, Beaton's guidelines were followed. Reliability was assessed using Cronbach's alpha and McDonald's omega, while validity was examined through various analyses including content validity index and confirmatory factor analysis. Results The Indonesian version of the ECQ measures egoist, benevolent, and principled ethical climates reliably (Cronbach's alpha: egoism=0.809, principle=0.920, benevolence=0.910). Validity analyses confirm the questionnaire's validity. Demographic analysis shows age impacts the principle dimension, while organizational type affects all dimensions. Conclusion The Indonesian version of the ECQ demonstrates strong psychometric properties and cross-cultural adaptability, making it a valuable tool for assessing ethical climates among Indonesian individuals aged 18 or older.
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Affiliation(s)
- Mira Sekar Arumi
- Faculty of Psychology, Universitas Padjadjaran, Bandung, West Java, Indonesia
- Faculty of Psychology, Universitas Bhayangkara Jakarta Raya, Jakarta, Jakarta, Indonesia
| | - Marina Sulastiana
- Faculty of Psychology, Universitas Padjadjaran, Bandung, West Java, Indonesia
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Chai J, Ye JH. A social network analysis of college students' online learning during the epidemic era: A triadic reciprocal determinism perspective. Heliyon 2024; 10:e28107. [PMID: 38524571 PMCID: PMC10958418 DOI: 10.1016/j.heliyon.2024.e28107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Revised: 03/06/2024] [Accepted: 03/12/2024] [Indexed: 03/26/2024] Open
Abstract
The way in which college students learn online has dramatically altered due to the COVID-19 pandemic. Using the triadic reciprocal determinism (TRD) theory, this study aimed to identify the key factors influencing college students' online learning experience through sentiment analysis, text mining, and social network analysis (SNA). Macro- and micro-level parsing was conducted on the SNA model, which was divided into core, mantle, and shell layers to determine the most influential factors in the core layer. This study found that learners' personal factors, learning behaviors, and related elements in the online learning environment significantly influenced the learning outcomes of college students enrolled in online courses. Additionally, this study explored the distribution of SNA model elements in the mantle and peripheral shell layers, which also impact the online learning experience of college students. Overall, this study provides a comprehensive overview of the various factors affecting college students' online learning experience, and highlights the importance of considering these factors when designing online learning environments for college students.
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Affiliation(s)
- Jun Chai
- Department of Public Physical Education, Ningbo University of Finance and Economics, Ningbo, China
| | - Jian-Hong Ye
- Faculty of Education, Beijing Normal University, Beijing, China
- National Institute of Vocational Education, Beijing Normal University, Beijing, China
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Bravo-Sanzana M, Miranda R, Terán-Mendoza O, Mieres-Chacaltana M, Carabantes L. Cultural adaptation and psychometric properties of the online learning climate scale for Chilean university students. Front Psychol 2024; 15:1280311. [PMID: 38420170 PMCID: PMC10899396 DOI: 10.3389/fpsyg.2024.1280311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Accepted: 01/22/2024] [Indexed: 03/02/2024] Open
Abstract
Introduction The COVID-19 pandemic has profoundly changed university teaching and learning formats, leading to a significant increase in online learning. Consequently, the crisis has facilitated the potential development of this educational modality. However, researchers need adapted and validated instruments to assess the online learning climate in universities. Aim This study aimed to adapt and psychometrically validate the Online Learning Climate Scale (OLCS) for Chilean university students. Method Quantitative research was conducted with a non-experimental and cross-sectional, design executed in two phases: the first was oriented to the cultural adaptation of the instrument, and the second was focused on analyzing its psychometric properties in a sample of 491 university students. Results A translated and culturally adapted version was obtained, composed of 15 items distributed in a factorial structure composed of four dimensions that showed excellent adjustment to the data [χ2 (84) = 189.628; p < 0.001; CFI = 0.979; TLI = 0.973; RMSEA = 0.051 (IC90% 0.044-0.059); SRMR = 0.028]; internal consistency was estimated through Cronbach's alpha and ranged between 0.892 and 0.955, and strict invariance between men and women was achieved. Discussion The Online Learning Climate Scale (OLCS) is a valid and reliable measure for measuring the online learning climate within the Chilean higher education context so that it can be used both in research and in monitoring management programs in educational environments.
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Affiliation(s)
- Mónica Bravo-Sanzana
- Núcleo Científico y Tecnológico en Ciencias Sociales y Humanidades, Universidad de La Frontera, Temuco, Chile
| | - Rafael Miranda
- Departamento de Psicología, Universidad Continental, Huancayo, Peru
| | | | - Manuel Mieres-Chacaltana
- Departamento de Diversidad y Educación Intercultural, Universidad Católica de Temuco, Temuco, Chile
| | - Luis Carabantes
- School of Languages, Linguistics and Film, Queen Mary University of London, London, United Kingdom
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Higher Education in the Pacific Alliance: Descriptive and Exploratory Analysis of the Didactic Potential of Virtual Reality. MULTIMODAL TECHNOLOGIES AND INTERACTION 2023. [DOI: 10.3390/mti7030030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2023] Open
Abstract
In this paper, we conducted descriptive quantitative research on the assessment of virtual reality (VR) technologies in higher education in the countries of the Pacific Alliance (PA). Specifically, differences between PA countries in terms of the above perceptions were identified and the behavior of the gender and knowledge area gaps in each of them was analyzed. A validated quantitative questionnaire was used for this purpose. As a result, we found that PA professors express high ratings of VR but point out strong disadvantages regarding its use in lectures; in addition, they have low self-concept of their digital competence. In this regard, it was identified that there are notable differences among the PA countries. Mexico is the country with the most marked gender gaps, while Chile has strong gaps by areas of knowledge. We give some recommendations towards favoring a homogeneous process of integration of VR in higher education in the PA countries.
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Perception of the Use of Virtual Reality Didactic Tools among Faculty in Mexico. FUTURE INTERNET 2023. [DOI: 10.3390/fi15020072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
Abstract
This paper develops descriptive quantitative research of the assessments of virtual reality (VR) technology, used as a didactic tool, by a sample of 712 university professors in Mexico. For this purpose, a validated Likert-type questionnaire was used as an instrument, the responses to which were statistically analyzed. The results obtained show that professors in Mexico report low levels of digital skills, but high valuations of VR. These ratings depend strongly on the professors’ area of knowledge. In this sense, the biggest gap is between Engineering professors, who value VR better, and Humanities professors, who value it worse. There are also gender gaps and gaps due to the digital generation of the participants in the assessments made, whose behavior is also different according to the area of knowledge. As a result, some recommendations are provided to try to reduce the gaps found.
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