Head to head searching: the Search&Destroy card game in the health sciences classroom
DOI:
https://doi.org/10.5195/jmla.2026.2299Keywords:
game-based learning, Games, card games, game design, gamification, game developmentAbstract
Background: Games are a promising way to make health sciences education more engaging and improve synthesis for learners. There have been some successful implementations of game-based learning for health sciences library instruction [1], but there is room for development of games tailored specifically for teaching database searching skills to health sciences students.
Case Presentation: The authors developed a biomedical edition of the existing library instruction card game Search&Destroy. The original Search&Destroy was developed as an alternative way to teach a one-shot instructional session on search skills using a discovery layer in an academic library for undergraduates. The biomedical edition modified the game to work with PubMed and incorporate health science-specific searching skills. Keyword cards were updated with biomedical terms and new cards were added with filters and actions related to health sciences literature searching (e.g., last five years, systematic reviews, randomized controlled trials filters). The new version was play tested internally by the authors and then piloted in classes with nurse residents. The game is now available through the print-on-demand service The Game Crafter and teaching materials are available online.
Conclusions: Feedback from our pilot test group of nurse residents was overwhelmingly positive. Informal conversations with nurse educators responsible for the program were also positive, and the game has been incorporated in the curriculum for the future. The Biomedical Edition joins a growing family of Search&Destroy games designed for a variety of library instruction needs.
References
1. Klug B. It’s your move: teaching biomedical literature searching with gaming technologies. J Hosp Librariansh. 2024;24(4):381-387.
2. Heck AJ, Cross CE, Tatum VY, Chase AJ. Active learning among health professions’ educators: Perceptions, barriers, and use. Med Sci Educ. 2023 Jun;33(3):719-27.
3. Karami S, Shariati M, Parmelee D, Shahsavari H, Sadeghian A, Alvarez RB, Zitouni A, Alizadeh M. Breaking down barriers and building up facilitators of lecture free curriculum in medical education: an interpretive structural modeling. Med Teach. 2025;47(3):476-91.
4. Martin-Alguacil N, Avedillo L, Mota-Blanco R, Gallego-Agundez M. Student-centered learning: some issues and recommendations for its implementation in a traditional curriculum setting in health sciences. Educ Sci (Basel). 2024;14(11):1179.
5. Huggett KN, Smith GA, Hsieh PH, Ownby AR. Experience of medical school faculty in the transition from lectures to active learning: a phenomenographic study. Acad Med. 2025 May;100(5):621-7.
6. Alizadeh M, Masoomi R, Mafinejad MK, Parmelee D, Khalaf RJ, Norouzi A. Team-based learning in health professions education: an umbrella review. BMC Med Educ. 2024 Oct 11;24(1):1131.
7. Bradley-Ridout G, Parker R, Sikora L, Quaiattini A, Fuller K, Nevison M, Nekolaichuk E. Exploring librarians' practices when teaching advanced searching for knowledge synthesis: results from an online survey. J Med Libr Assoc. 2024 Jul 29;112(3):238.
8. Hirt J, Nordhausen T, Meichlinger J, Braun V, Zeller A, Meyer G. Educational interventions to improve literature searching skills in the health sciences: a scoping review. J Med Libr Assoc. 2020;108(4):534.
9. Swanberg SM, Dennison CC, Farrell A, Machel V, Marton C, O'Brien KK, Pannabecker V, Thuna M, Holyoke AN. Instructional methods used by health sciences librarians to teach evidence-based practice (EBP): a systematic review. J Med Libr Assoc. 2016;104(3):197.
10. van Gaalen AE, Brouwer J, Schönrock-Adema J, Bouwkamp-Timmer T, Jaarsma AD, Georgiadis JR. Gamification of health professions education: a systematic review. Adv Health Sci Educ Theory Pract. 2021;26(2):683-711.
11. Llewellyn A. Innovations in learning and teaching in academic libraries: A literature review. New Review of Academic Librarianship. 2019;25(2-4):129-49.
12. Zuo L, Rizani N, Iida H, Xiong S. An analysis of points system of hotel loyalty program based on the return on investment. In:2018 International conference on electrical engineering and computer science (ICECOS) 2018; (pp. 357-360). IEEE.
13. Anderson A, Huttenlocher D, Kleinberg J, Leskovec J. Steering user behavior with badges. In:Proceedings of the 22nd international conference on World Wide Web 2013 May 13 (pp. 95-106).
14. Bayır T, Akel G. Gamification in mobile shopping applications: a review in terms of technology acceptance model. Multimed Tools Appl. 2024;83(16):47247-68.
15. Edwards SL, Zarandi A, Cosimini M, Chan TM, Abudukebier M, Stiver ML. Analog serious games for medical education: a scoping review. Acad Med. 2025;100(3):375-87.
16. Cosimini MJ, Collins J. Card and board game design for medical education: length and complexity considerations. Korean J Med Educ. 2023;35(3):291.
17. Csikszentmihalyi M, Csikzentmihaly M. Flow: the psychology of optimal experience. New York: Harper & Row; 1990.
18. Plass JL, Homer BD, Kinzer CK. Foundations of game-based learning. Educ Psychol. 2015;50(4):258-83.
19. Al Fatta H, Maksom Z, Zakaria MH. Game-based learning and gamification: searching for definitions. International Journal of Simulation: Systems, Science and Technology. 2018;19(6):41-1.
20. Arif YM, Ayunda N, Diah NM, Garcia MB. A systematic review of serious games for health education: technology, challenges, and future directions. Transformative Approaches to Patient Literacy and Healthcare Innovation. 2024:20-45.
21. Nylén-Eriksen M, Stojiljkovic M, Lillekroken D, Lindeflaten K, Hessevaagbakke E, Flølo TN, Hovland OJ, Solberg AM, Hansen S, Bjørnnes AK, Tørris C. Game-thinking; utilizing serious games and gamification in nursing education–a systematic review and meta-analysis. BMC Med Educ. 2025;25(1):140.
22. Gentry SV, Gauthier A, Ehrstrom BL, Wortley D, Lilienthal A, Car LT, Dauwels-Okutsu S, Nikolaou CK, Zary N, Campbell J, Car J. Serious gaming and gamification education in health professions: systematic review. J Med Internet Res. 2019;21(3):e12994.
23. Edwards SL, Zarandi A, Cosimini M, Chan TM, Abudukebier M, Stiver ML. Analog serious games for medical education: a scoping review. Acad Med. 2023;10-1097.
24. Thangavelu DP, Tan AJ, Cant R, Chua WL, Liaw SY. Digital serious games in developing nursing clinical competence: A systematic review and meta-analysis. Nurse Educ Today. 2022;113:105357.
25. Wang L, Zhao Q, Dong L, Zhao H, Qin L, Deng T, Huang H, Li M, Wu X, Liu J. The effectiveness of serious games on undergraduate nursing students' knowledge and skills: a systematic review and meta-analysis. Nurse Educ Pract. 2024;80:104102.
26. Lee M, Shin S, Lee M, Hong E. Educational outcomes of digital serious games in nursing education: a systematic review and meta-analysis of randomized controlled trials. BMC Med Educ. 2024;24(1):1458.
27. Maheu-Cadotte MA, Cossette S, Dube V, Fontaine G, Lavallee A, Lavoie P, Mailhot T, Deschenes MF. Efficacy of serious games in healthcare professions education: a systematic review and meta-analysis. Simul Healthc. 2021;16(3):199-212.
28. Sharifzadeh N, Kharrazi H, Nazari E, Tabesh H, Edalati Khodabandeh M, Heidari S, Tara M. Health education serious games targeting health care providers, patients, and public health users: scoping review. JMIR Serious Games. 2020;8(1):e13459.
29. Malicki A, Vergara FH, Van de Castle B, Goyeneche P, Mann S, Preston Scott M, Seiler J, Meneses MZ, Whalen M. Gamification in nursing education: an integrative literature review. J Contin Educ Nurs. 2020;51(11):509-15.
30. Nowbuth AA, Asombang AW, Alaboud K, Souque C, Dahu BM, Pather K, Mwanza MM, Lotfi S, Parmar VS. Gamification as an educational tool to address antimicrobial resistance: a systematic review. JAC Antimicrob Resist. 2023;5(6):dlad130.
31. Damaševičius R, Maskeliūnas R, Blažauskas T. Serious games and gamification in healthcare: a meta-review. Information (Basel). 2023;14(2):105.
32. Whitney R, Wisniewski CS. Utilizing game-based learning in literature searching instruction for pharmacy students. Am J Pharm Educ. 2024;88(11):101291.
33. Angell K, Tewell EC. Measuring our information literacy footprint: assessing game-based learning in library instruction. In:ACRL 2015.
34. Kim B. Learning with Games in Medicine and Healthcare and the Potential Role of Libraries. Games in Libraries: Essays on Using Play to Connect and Instruct. 2014:160-1.
35. Helbing RR, Lapka S, Richdale K, Hatfield CL. In-person and online escape rooms for individual and team-based learning in health professions library instruction. J Med Libr Assoc. 2022;110(4):507.
36. Jug T. Exploring the role of games and gamification in academic libraries from the perspective of LIS educators. Education for Information. 2023;39(3):341-58.
37. Capdarest-Arest N, Opuda E, Stark RK. “Game on!” Teaching gamification principles for library instruction to health sciences information professionals using interactive, low-tech activities and design-thinking modalities. J Med Libr Assoc. 2019;107(4):566.
38. Bochennek K, Wittekindt B, Zimmermann SY, Klingebiel T. More than mere games: a review of card and board games for medical education. Med Teach. 2007;29(9-10):941-8.
39. DiCesare D, Scheveck B, Adams J, Tassone M, Diaz-Cruz VI, Van Dillen C, Ganti L, Gue S, Walker A. The pit crew card game: a novel gamification exercise to improve EMS performance in critical care scenarios. Int J Emerg Med. 2025;18(1):25.
40. Schneider L, Oliveira DS, Strapasson AC, Ferreira BP, Molina CG, Stopiglia CD, Fischer G, Scroferneker ML. White blood cell game: a teaching method. Int J Health Promot Educ. 2012;50(6):311-7.
41. Hill RV, Nassrallah Z. A game-based approach to teaching and learning anatomy of the liver and portal venous system. MedEdPORTAL. 2018;14:10696.
42. Schneider L, Oliveira DS, Strapasson AC, Ferreira BP, Molina CG, Stopiglia CD, Fischer G, Scroferneker ML. White blood cell game: a teaching method. Int J Health Promot Educ. 2012;50(6):311-7.
43. Da Rosa AC, Moreno FD, Mezzomo KM, Scroferneker ML. Viral hepatitis: an alternative teaching method. Educ Health (Abingdon). 2006;19(1):14-21.
44. Schell J. The art of game design: a book of lenses: tenth anniversary. 2020.
45. Wunderkind Games. Search&Destroy Biomedical: the daredevil game of to-the-death biomedical database searching. In:The Game Crafter. 2025:https://www.thegamecrafter.com/games/search-destroy-biomedical
46. Wunderkind Games. Search&Destroy teaching tools. In:Wunderkind Games. 2025:https://wunderkind-games.com/searchdestroy-teaching-tools/
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