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Using Quick Response Codes in the Classroom: Quality Outcomes

Zurmehly, Joyce PhD, DNP, RN, NEA-BC; Adams, Kellie MS, RN

CIN: Computers, Informatics, Nursing: October 2017 - Volume 35 - Issue 10 - p 505–511
doi: 10.1097/CIN.0000000000000363

With smart device technology emerging, educators are challenged with redesigning teaching strategies using technology to allow students to participate dynamically and provide immediate answers. To facilitate integration of technology and to actively engage students, quick response codes were included in a medical surgical lecture. Quick response codes are two-dimensional square patterns that enable the coding or storage of more than 7000 characters that can be accessed via a quick response code scanning application. The aim of this quasi-experimental study was to explore quick response code use in a lecture and measure students’ satisfaction (met expectations, increased interest, helped understand, and provided practice and prompt feedback) and engagement (liked most, liked least, wanted changed, and kept involved), assessed using an investigator-developed instrument. Although there was no statistically significant correlation of quick response use to examination scores, satisfaction scores were high, and there was a small yet positive association between how students perceived their learning with quick response codes and overall examination scores. Furthermore, on open-ended survey questions, students responded that they were satisfied with the use of quick response codes, appreciated the immediate feedback, and planned to use them in the clinical setting. Quick response codes offer a way to integrate technology into the classroom to provide students with instant positive feedback.

Author Affiliations: College of Nursing, The Ohio State University, Columbus (Dr Zurmehly); and Ohio University, Chillicothe (Ms Adams).

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Joyce Zurmehly, PhD, DNP, RN, NEA-BC, College of Nursing, The Ohio State University, 318 Newton Hall, 1585 Neil Ave, Columbus, OH 43210 (

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