Background Gamification is an increasingly common phenomenon in education. It is a technique to facilitate formative assessment and to promote student learning. It has been shown to be more effective than traditional methods. This phenomenological study was conducted to explore the advantages of gamification through the use of the Kahoot! platform for formative assessment in medical education. Methods This study employed a phenomenological design. Five focus groups were conducted with medical students who had participated in several Kahoot! sessions. Results Thirty-six categories and nine sub-themes emerged from the focus group discussions. They were grouped into three themes: attractive learning tool, learning guidance and source of motivation. Conclusions The results suggest that Kahoot! sessions motivate students to study, to determine the subject matter that needs to be studied and to be aware of what they have learned. Thus, the platform is a promising tool for formative assessment in medical education. Electronic supplementary material The online version of this article (10.1186/s12909-019-1658-z) contains supplementary material, which is available to authorized users.

Introduction Consistent with the significant of the stress issue in education, this study aimed to survey type of stressors and identifies the coping strategies used by diploma nursing students during clinical practices. Methods A descriptive cross-sectional study was carried out at the Kubang Kerian Nursing College, Kelantan which involved 346 respondents using simple random sampling method. The inclusion criteria were year one, two and three of nursing students who have clinical posting and voluntarily joining the study. Perceived Stress Scale (PSS) and Brief COPE inventory were utilised in the data collection. Higher mean score indicates higher degree of stress. Results Clinical assignments and workload were the main stressor (mean = 3.19, SD = 1.09). Religion approach was the most coping strategy applied (mean = 3.30, SD = 0.71). Pearson’s correlation coefficient test found that six domains of stressors during clinical practices (taking care of patients; clinical educators/instructors and ward staff; clinical assignments and workload; peers and nursing students from other college; lack of professional knowledge and skills and clinical environment) were statistically significant correlation with coping strategies, where P -value < 0.05. Conclusion Clinical assignment was the main stressor among nursing students; therefore, successful activities should be promoted to help them in managing clinical assignment and enhancing knowledge in religion.

The Delphi technique is a widely used and accepted method to obtain consensus among the experts. This technique uses a judgement to prove the accuracy of the content item when evaluating instrument. The objective of this study is to discuss the process of the three rounds Delphi technique to obtain consensus of concept mapping care plan and multiple choice questions (MCQ) in Diabetic Mellitus subject. In the first round, participants were given a structured questionnaire regarding item of concept mapping care plan and MCQ in Diabetic Mellitus subject. In the second round, the mean and median values of round one were added. In the third round, the mean and median values of round two were added. Participants were asked to rate the categorised responses from Round 1 on a scale of 1 to 5, with 1 being "Very Irrelevant" and 5 being "Very Relevant". This technique does not require that participants be collocated or meet face-to-face, thereby making it useful to conduct surveys with qualified people over a wide geographic area. The feedback process allows and encourages the selected Delphi participants to reassess their initial judgements about the information provided in previous iterations. The analysis of consensus data of the experts was done based on median, inter quartile range and quartile deviation on round one, two and three data. The median score was used to analyse the level of consensus of experts and result shows that in all three rounds Delphi the medium result more than 4. It reported that level of importance of the statements were high. As a conclusion, the concept mapping care plan and MCQ have meets the consensus by using three rounds of Delphi techniques. Therefore, the Delphi technique is the best method to obtain consensus in health care education research.

The Delphi technique is a widely used and accepted method for gathering data from participants within domain of expertise. The objective of this study is to discuss the process of the three rounds Delphi technique in seeking a consensus of concept mapping structure and Multiple Choice Questions (MCQ) in Diabetic Mellitus subject. In the first, round, participants were given a structured questionnaire regarding item of concept mapping structure and MCQ in Diabetic Mellitus subject. The second were added mean and median value of round one. In the third round were add mean and median value of round two were added. Participants were asked to rate the categorised responses from Round 1 on a scale of 1 to 5, with 1 being "Very irrelevant" and 5 being "Very relevant". This technique does not require participants to meet face-to-face, thereby making it useful to conduct surveys with qualified people over a wide geographic area. The feedback process allows and encourages the selected Delphi participants to reassess their initial judgements about the information provided in previous iterations. Data is then analysed to check for consistency of experts' responses between rounds. Instrument developed from the Delphi technique research findings is also examined for validation from experts in educational medical health sciences on content and constructs validity. Analysis on the consensus of data from experts was based on median, inter quartile range and quartile deviation on Round 1, 2 and 3 data. Therefore, the Delphi technique is an appropriate method for identifying significant issues related with academic.

Objective The aim of this study was to evaluate academic dishonesty among nursing students at a public university in Malaysia. Methods This study utilized a descriptive and cross-sectional design to evaluate academic dishonesty among nursing students using a purposive sampling method. The participants of this study consisted of 201 students from diploma (Year 2 and 3) and degree (Year 2 to Year 4) nursing programmes. A self-administered, validated questionnaire was used for data collection. Institutional ethics committee clearance was obtained prior to commencement of the study. Results The results of this study showed that 82.1% and 74.6% of nursing students had engaged at least once in an act of academic dishonesty in an academic or clinical setting, respectively. The most frequent form of academic dishonesty in an academic setting was plagiarism (77.1%). There was a significant association between gender and academic dishonesty in a clinical setting (p < 0.01). There was a moderate positive correlation (r = 0.603, p < 0.001) between academic dishonesty in academic and clinical settings. Conclusion Academic dishonesty in both academic and clinical settings is a common problem among nursing students in Malaysia. Training on academic ethics is required in nursing curricula to improve the quality of education among nursing colleges and reduce the prevalence of unethical behaviours among students.