Document 01 - Concept of the serious game
Plot:The serious game takes place in a primary healthcare setting, in which the player assumes the role of a nurse responsible for caring for pregnant women. The plot is built around different pregnancy cases, each presenting unique challenges and specific risk factors.As the player progresses through the game, they are confronted with various clinical situations, such as high-risk pregnancies and obstetric complications, among others.During the game, players must perform clinical assessments and make decisions based on scientific evidence. With each choice made, players receive feedback on their decision, including the strengths and weaknesses of their chosen approach.The plot is designed to engage the player, presenting challenging stories that demonstrate the importance of the nurse’s role in prenatal care.At the end of the game, players will have the opportunity to reflect on their choices, learn from their mistakes, and improve their clinical skills in caring for pregnant women.
Objectives: to raise awareness among nurses about early identification of risk factors and appropriate interventions during pregnancy, seeking to reduce early neonatal mortality.
Document 02 - Game Design Document (GDD) for the serious game
Game Description:A serious game that aims to raise awareness among nurses about early identification of risk factors and appropriate interventions during pregnancy. To do so, the player must assume the role of a nurse in primary health care and use their knowledge and skills to make appropriate decisions when caring for pregnant women.
Overview:The graphic design was developed using vector illustration style to create a modern, elegant, and attractive visual identity. This style allows for the creation of simple and clean images, with defined lines and vivid colors, which stood out on each of the game screens. We chose to work with shades of green and pink. Green is a color often associated with nature, health, and renewal, and was chosen because it represents the values of the game in question. Pink, on the other hand, is a color that suggests delicacy. This combination created an attractive and harmonious color palette and a modern and elegant look.
Category:Educational Media; Educational Health Game; Serious Game.
Platform:Web platform, accessible via desktop.
Characters:1 - NurseWorkplace: Primary Health Care 2 - Pregnant woman AnaClinical case: Maternal Hypertensive Disorder
3 - Pregnant woman BeatrizClinical case: cervicoisthmic insufficiency 4 - Pregnant woman MariaClinical case: Urinary tract infection
Scope of the Game:1st: in a doctor’s office setting, the player begins the game by receiving information about the game’s objective and the role they must assume. Next, the player is presented with the clinical cases, with instructions on how to proceed, indicating that they should select the correct answers.2nd: The player is presented with three medical records of pregnant women, with visual identification of each one. The player then selects the case they want. To aid in the learning process, under the item ‘Learn more’, the player can consult more information about each of the topics presented, consulting the diagrams on Prenatal Care-maternal hypertensive disorders, cervical insufficiency, and urinary tract infection during pregnancy.3rd: When selecting a case, the medical record shows up, organized as follows:- Description of the case and summary of the clinical history.- Graphical representation of the pregnant woman, providing a visual assessment, in which important elements are highlighted, namely: age, pregnancy history, Body Mass Index (BMI), blood pressure, and symptoms.4th: after reading the medical record, the player is presented with questions about the care of the pregnant woman. For each question, there are three alternatives, one correct and two incorrect. The player must click on the alternative they deem correct.5th: when selecting the alternative, a new text box opens, showing the player an explanation of the selected alternative, whether correct or incorrect. The player can only move on to the next question when they chose the correct alternative. This mechanism aims to fulfill the teaching-learning role, making the player complete the questions, reflecting proper prenatal care.6th: each case has five questions. Upon completing all questions, the player receives a message recognizing their vital role in preventing early neonatal deaths and emphasizing the importance of prenatal care.
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Depictions of game design
Document 03 - Content for the serious gamePart 1: Introduction and guidelines
Introduction messageWelcome to the game!This game aims to raise awareness about early identification of risk factors and appropriate interventions during pregnancy, seeking to reduce early neonatal mortality.The player must assume the role of a Primary Health Care provider and, using their knowledge andskills in prenatal care, make the right decisions to provide pregnant women with adequate care.We wish you a valuable experience!
Guidelines on cases and game dynamicsThe game presents clinical cases of pregnant women with maternal hypertensive disorders, cervicoisthmic insufficiency, and urinary tract infections.In the game dynamics, five questions will be presented for each case, with multiple-choice alternatives, in which you must select the one you consider to be true. It is important to carefully analyze each option before making your choice.Shall we begin?
Document 03 - Content for the serious game
Part 2: Case 01 - Pregnant Ana
Clinical case - Maternal Hypertensive DisorderAna, 41, is in her fifth pregnancy (G5 P3 A1) and lives with her partner and three children, aged 8, 6, and 3. She works as a cook and studied up to the fourth grade of elementary school.She began prenatal care at the Primary Health Care Center in the 6th week of pregnancy and, due to her advanced age, was referred to specialized care - high-risk prenatal care.The pregnant woman has a BMI of 34, indicating grade I obesity. She denies using cigarettes, alcohol, or other drugs. In the investigation of her clinical history, there is a previous diagnosis of systemic arterial hypertension (SAH) 3 years ago, with abandonment of treatment.From the 12th week of pregnancy, Ana began to complain frequently of nausea and headaches, with a blood pressure reading of 140/100 mmHg. In the 23rd week, she had a hypertensive crisis with a blood pressure reading of 170/110 mmHg.
Part 3: Case 02 - Pregnant woman Beatriz Clinical case - Cervicoisthmic insufficiencyBeatriz, 22, is in her third pregnancy (G3 P1 A1). Five years ago, she had a stillbirth with no determined cause, and three years ago, she had a premature birth. She lives with her partner and her 3-year-old son from a previous relationship. She has finished high school and is a housewife.At 5 weeks of pregnancy, she began prenatal care at Primary Health Care. She has a BMI of30, indicating grade I obesity. She denies other comorbidities or use of cigarettes, alcohol, or other drugs.In the first trimester of pregnancy, she began complaining of sporadic bleeding, a brown discharge, associated with discomfort in the lower abdomen, which persisted throughout the prenatal period.At 16 weeks, Beatriz underwent a transvaginal ultrasound, which detected a short cervix, with a recommendation for biweekly monitoring. At 21 weeks, after lifting a heavy object, she experienced bleeding associated with severe abdominal pain.
Part 4: Case 03 - Pregnant woman Maria Clinical case - Urinary tract infectionMaria, 25, is a primigravida and lives with her partner. She has incomplete higher education and works as an administrative assistant.She began prenatal care at Primary Health Care in the 5th week of pregnancy. She denies any history of illness or continuous medication use. She did not attend prenatal appointments regularly, and stayed 10 weeks without a consultation, but no active search was conducted.At 15 weeks, she reported dysuria, pollakiuria, and lower abdominal discomfort, with a diagnosis of urinary tract infection (UTI). The complaints recurred in the 18th and 23rd weeks of pregnancy, with the last episode accompanied by hematuria. At 24 weeks of gestation, she presented with fluid loss for 4 days, lower abdominal pain, low back pain, dysuria, and fever.
Creation of serious games in continuing education for prenatal care: Presenting a step-by-step guide
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Source: Prepared by the authors.
Source: Prepared by the authors.
