LAUSR

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.