en پژوهشي Research <span style="font-size:9pt"><span minion="" pro="" style="font-family:"><b>Introduction</b>: Diagnosing and performing timely treatment for lung diseases is crucial for saving patients&#39; lives. This study aims to investigate the effect of online gamification on nursing students&#39; learning of lung diseases, lung sounds, and self-efficacy.</span></span><br> <span style="font-size:9pt"><span minion="" pro="" style="font-family:"><b>Material & Methods</b><b><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">: </span></span></b>This semi-experimental study involved 68 sixth-semester nursing students, selected through convenient sampling and randomly allocated to control and intervention groups using dice throws. Over three weekly sessions, the intervention group received training on lung diseases and lung sounds via the Storyline platform and gamification through Kahoot, while the control group received the same content through lectures by the same instructor. Questionnaires assessing demographics, learning outcomes, and self-efficacy were administered before and two weeks after the intervention. Data were analyzed using Chi-square, independent t-tests, paired t-tests, and Kolmogorov-Smirnov tests in SPSS v.16, with a significance level of 0.05.</span></span><br> <span style="font-size:9pt"><span minion="" pro="" style="font-family:"><b>Results</b><b><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">: </span></span></b>The participants had a mean age of 22.73 &plusmn; 1.29 years, and 63% were male. There were no significant differences between the two groups in learning assessment and self-efficacy before the intervention (P=0.193 and P=0.167, respectively). After the intervention, the intervention group showed a statistically significant improvement in learning assessment scores (P=0.031, 16.55&plusmn;2.57) compared to the control group (P=0.086, 9.11&plusmn;1.01). Similarly, self-efficacy scores in the intervention group (P=0.023, 65.29&plusmn;3.97) were significantly higher than in the control group (P=0.084, 48.18&plusmn;5.36).</span></span><br> <b><span style="font-size:11.0pt"><span style="line-height:97%"><span calibri="" style="font-family:">Conclusion</span></span></span><span style="font-size:11.0pt"><span style="line-height:97%"><span new="" roman="" style="font-family:" times="">: &nbsp;</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:97%"><span calibri="" style="font-family:">Online gamification significantly improves the learning of lung diseases, lung sounds, and self-efficacy in nursing students</span></span></span> Gamification, Lung diseases, Self-Efficacy, Nursing 46 55 http://jbrms.medilam.ac.ir/browse.php?a_code=A-10-830-2&slc_lang=en&sid=1 Fatemeh Najafi najafi-f@medilam.ac.ir 10031947532846006845 10031947532846006845 No 1 Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran Mosayeb Mozafari mazafaric@yahoo.com 10031947532846006846 10031947532846006846 No Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran Masoumeh Shohani msh28200@gmil.com 10031947532846006847 10031947532846006847 No Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran Maryam Pakseresht paksereshtmaryam@yahoo.com 10031947532846006848 10031947532846006848 No Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran Fakhredin Taghinezhad ftaghinezhad@modares.ac.ir 10031947532846006849 0000000225665135 No Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran Reza Pakzad rezapakzad2010@yahoo.com 10031947532846006850 0000000181333664 No Department of Epidemiology, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran Amirreza Bazhdan amirreza.bazhdan80@gmail.com 10031947532846006851 0009000037872660 No Student Research Committee, Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran Alireza Vasiee rezawest10@gmail.com 10031947532846006852 0000000194017003 Yes Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran