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Design principles for simulation games for learning clinical reasoning: A design-based research approach

Research output: Contribution to journalArticleScientificpeer-review


Original languageEnglish
Pages (from-to)114-120
Number of pages7
JournalNurse Education Today
Early online date24 Oct 2017
Publication statusPublished - 2018
Publication typeA1 Journal article-refereed


Background Nurses sometimes lack the competence needed for recognising deterioration in patient conditions and this is often due to poor clinical reasoning. There is a need to develop new possibilities for learning this crucial competence area. In addition, educators need to be future oriented; they need to be able to design and adopt new pedagogical innovations. The purpose of the study is to describe the development process and to generate principles for the design of nursing simulation games. Method A design-based research methodology is applied in this study. Iterative cycles of analysis, design, development, testing and refinement were conducted via collaboration among researchers, educators, students, and game designers. Results The study facilitated the generation of reusable design principles for simulation games to guide future designers when designing and developing simulation games for learning clinical reasoning. Conclusion This study makes a major contribution to research on simulation game development in the field of nursing education. The results of this study provide important insights into the significance of involving nurse educators in the design and development process of educational simulation games for the purpose of nursing education.

ASJC Scopus subject areas


  • Clinical reasoning, Design principles, Design-based research, Game design, Nursing education, Simulation game

Publication forum classification

Field of science, Statistics Finland