HF simulation improves ALS skill performance at course conclusion versus LF simulation and traditional training (pooled SMD = 0.63) with high heterogeneity¶

Claim · All claims
Evidence · 1 study · quant-synthesis r3 · q3 · i2 medium
Currency · newest study 2023 · checked against its sources 2026-11-01 (automated, 1 of 1 entry) · not reviewed by a person

Subclaims¶

q3 i2 Across 21 RCTs, pooled skill performance at course conclusion favored HF simulation (SMD = 0.63; 95% CI: 0.21–1.04, P = 0.003, I2 = 92%). → Zeng Qin 2023

Evidence¶

Zeng Qin 2023¶

Zeng Qin, Wang Kai, Liu Wei-xin, Zeng Jiu-zhi, Li Xing-lan, Zhang Qing-feng, Ren Shang-qing, Xu Wen-ming. (2023). Efficacy of high-fidelity simulation in advanced life support training: a systematic review and meta-analysis of randomized controlled trials. BMC Medical Education. https://doi.org/10.1186/s12909-023-04654-x

q3 · i2 · quant-synthesis · r3

Meta-analysis of 21 RCTs measuring skill performance at course conclusion. The pooled estimate was "SMD = 0.63; 95% CI: 0.21–1.04, P = 0.003, I2 = 92%"; the article's sentence states no significant difference between the HF and control groups while printing a significant P value, an internal inconsistency. Subgroup and sensitivity analyses attributed heterogeneity to different training settings and outcome measures.

"A total of twenty-one RCTs [18–20, 22–31, 33, 36–42] measured skill performance at the course conclusion. No significant difference was observed between the HF and control groups (SMD = 0.63; 95% CI: 0.21–1.04, P = 0.003, I2 = 92%)."

Discussion¶

Related Claims¶

• HF simulation improves ALS knowledge at course conclusion more than LF simulation or traditional training (pooled SMD = 0.38) — related
• Skill benefit of HF simulation holds against LF simulation (SMD = 0.36) but not against traditional training (SMD = -0.08) — related
• High-fidelity simulation training improves professional skills among practising registered nurses (moderate pooled effect) — related
• High-fidelity simulation training improves knowledge acquisition among practising registered nurses (moderate pooled effect) — related
• High-fidelity simulation training yields a large effect on learning satisfaction among practising registered nurses — related
• The effect of high-fidelity simulation on practising nurses' self-confidence is inconclusive, varying by study design — related
• HF simulation shows no significant benefit for satisfaction, confidence, or teamwork behaviors, and no long-term knowledge retention benefit — related
• HF simulation is associated with moderate benefit for retaining ALS skills at three months, based on two RCTs — related
• High-fidelity simulation produces a large short-term benefit in neonatal resuscitation skill performance in single-arm pre-post studies (pooled SMD 1.34) — related
• Effects of high-fidelity simulation on teamwork performance are mixed: one RCT found improved teamwork behaviors while three found no significant difference — related
• High-fidelity simulation shows only small-to-moderate benefits over low-fidelity simulation in skill performance (SMD 0.64) and knowledge (SMD 0.39) — related
• High-fidelity simulation outperforms traditional training in skill performance (SMD 1.63) and knowledge (SMD 0.69) immediately after training — related