This study explores the integration of gamification within nursing eLearning modules at the College of Nursing and Health Sciences at a university in the southern United States. Recognizing engagement and retention challenges in online instruction, this study investigates gamification as a tool to enhance student engagement and practical skill development in remote learning environments. Using a mixed methods approach, this study examines the impact of gamified elements on student engagement, learning outcomes, and knowledge retention. Contrary to expectations, the findings show that although gamification can significantly enhance the eLearning experience, intrinsic or extrinsic motivation does not directly affect engagement or the overall effectiveness of gamified elements. This paper suggests a need for tailored gamification strategies to maximize its benefits across diverse student populations.