HF simulation shows no significant benefit for satisfaction, confidence, or teamwork behaviors, and no long-term knowledge retention benefit¶
Claim · All claims
Evidence · 1 study (2 entries) · quant-synthesisr2·q3
Currency · newest study 2023 · checked against its sources 2026-11-01 (automated, 2 of 2 entries) · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i? Pooled analyses found no significant difference between HF and control groups in participants' satisfaction (SMD = 0.47; P = 0.08), confidence (SMD = 0.03; P = 0.78), or teamwork behaviors (SMD = 0.43; P = 0.08). → Zeng Qin 2023
q3 i? Four RCTs measuring knowledge three months after training found both groups lost knowledge, with no significant difference between HF and control groups (P = 0.28). → Zeng Qin 2023 (2)
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 · i? · quant-synthesis · r2
Meta-analysis of five studies surveying confidence and three reporting satisfaction, plus teamwork analyses (Figs. 4–6). Satisfaction was "SMD = 0.47; 95% CI: -0.06–0.99, P = 0.08, I2 = 77%"; confidence "SMD = 0.03; P = 0.78"; teamwork "SMD = 0.43; P = 0.08" — none significant.
"Quantitative pooled data revealed that there was no difference in participants’ satisfaction between the HF and control groups (SMD = 0.47; 95% CI: -0.06–0.99, P = 0.08, I2 = 77%) (Fig. 4). Similarly, the confidence of the participants and teamwork behaviors in the HF group was not different from that of the control group (SMD = 0.03; 95% CI: −0.21–0.28, P = 0.78, I2 = 0%) (SMD = 0.43; 95% CI: −0.05–0.91, P = 0.08, I2 = 79%) (Figs. 5 and 6)."
Zeng Qin 2023 (2)¶
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 · i? · quant-synthesis · r2
Retention analysis of four RCTs measuring knowledge three months after training. Both groups lost knowledge (P < 0.001), and "no significant difference was observed between the HF and control groups (P = 0.28)"; equivalence was not tested.
"Four RCTs [19, 32, 36, 40] measured knowledge 3 months after training and have reported that both groups suffered a loss of knowledge (P < 0.001). However, no significant difference was observed between the HF and control groups (P = 0.28)."
Discussion¶
Related Claims¶
- HF simulation improves ALS knowledge at course conclusion more than LF simulation or traditional training (pooled SMD = 0.38) — related
- HF simulation improves ALS skill performance at course conclusion versus LF simulation and traditional training (pooled SMD = 0.63) with high heterogeneity — related
- High-fidelity simulation training yields a large effect on learning satisfaction among practising registered nurses — reports the opposite
- The effect of high-fidelity simulation on practising nurses' self-confidence is inconclusive, varying by study design — related
- High-fidelity simulation improves ECT procedural skills substantially but does not reliably improve theoretical knowledge or confidence — related
- Skill benefit of HF simulation holds against LF simulation (SMD = 0.36) but not against traditional training (SMD = -0.08) — related
- Effects of high-fidelity simulation on teamwork performance are mixed: one RCT found improved teamwork behaviors while three found no significant difference — possibly the same claim (merge candidate)
- High-fidelity simulation outperforms traditional training in skill performance (SMD 1.63) and knowledge (SMD 0.69) immediately after training — related
- HFPS based on life-threatening scenarios shows no significant difference from other teaching methods on nursing students' satisfaction — related
- High-fidelity simulation training produced knowledge and skill gains in nursing students that persisted at three months — reports the opposite
- Workshop, simulation, and team-review methods significantly improve teamwork behaviors, while the pooled effect of didactic education alone was not significant — reports the opposite
- Teamwork training interventions produce significant positive effects on teamwork behaviors in controlled studies — related
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