The Effectiveness of a Gamified Lesson Plan Using the TOY Gamification Model in Nursing Education

Gamification in nursing education enhances student motivation, reduces anxiety, and improves clinical decision-making skills. This study used a quasi-experimental, nonrandomized controlled posttest design with 163 third-year nursing students enrolled in a gamified course during the 2023–2024 academic year. The intervention incorporated gamified lessons designed with the TOY Gamification Model, focusing on the Normal Birth and Nursing Care module. The results demonstrated significant relationships between different learning styles (abstract, concrete, active, reflective) and students' motivation levels. Female students exhibited higher motivation levels, whereas male students allocated more time to digital games. The TOY Gamification Model effectively increased student engagement and learning motivation in obstetrics and gynecology nursing education.