Whereas most educators have a good grasp on the history of simulation in healthcare, the current state and types of modalities related to simulation in healthcare education, and the future direction of healthcare simulation, many educators do not have an in-depth understanding of the metrics available to assess the use of simulation. The purpose of this literature synthesis is to build a repository of the metrics being used to evaluate nursing and healthcare provider simulation. Additionally, the level of fidelity and desired learning domains that the matrices purport to evaluate is examined. A secondary purpose of the literature synthesis is to determine if a suitable metric is available that can be used universally to evaluate nursing and healthcare related simulations. Finally, conceptual frameworks suitable for serving as the bases of instrument development related to nursing and health care simulation are explored. Primary studies, meta-analyses, and systematic reviews that discussed or evaluated metrics used to measure outcomes of simulation were analyzed. Recent articles, published within the last five years, which discussed the evaluation of nursing and or healthcare simulation, were eligible for inclusion. Additionally, descriptive, inferential, qualitative, and quantitative studies were eligible for inclusion.