Nursing Students' Scenario Performance: Game Metrics in a Simulation Game

Jaana Maija Koivisto, Sara Havola, Janne Engblom, Tuija Buure, Kristiina Rosqvist, Elina Haavisto

Research output: Contribution to journalArticleScientificpeer-review

2 Citations (Scopus)


AIM The purpose of this study was to examine nursing students' scenario performance in a simulation game by utilizing game metrics. BACKGROUND A significant advantage of simulation games is that they can store large amounts of data. Although game metrics enable the objective evaluation and analysis of performance, their use in the evaluation of students' performance is limited. METHOD Nursing students (N = 376) played a simulation game at home for 1 week. The resulting data consisted of game metrics stored in the game: number of playthroughs, mean scores, and mean playing times. RESULTS The total number of playthroughs was 1,923. Statistically significant differences were found between different scenarios regarding the mean score (p <.0001). Mean playing time was significantly associated with the mean score (p <.05). CONCLUSION Game metrics demonstrate nursing students' scenario performance in clinical reasoning skills in different scenarios in a simulation game.

Original languageEnglish
Pages (from-to)222-228
Number of pages7
Issue number4
Publication statusPublished - 2023
Publication typeA1 Journal article-refereed


  • Clinical Reasoning Skills
  • Game Metrics
  • Nursing Students
  • Scenario Performance
  • Simulation Game

Publication forum classification

  • Publication forum level 1

ASJC Scopus subject areas

  • General Nursing
  • Education


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