Skill benefit of HF simulation holds against LF simulation (SMD = 0.36) but not against traditional training (SMD = -0.08)¶

Claim · All claims
Evidence · 1 study · quant-synthesis r2 · q3 · i1 small
Currency · newest study 2023 · checked against its sources 2026-11-01 (automated, 1 of 1 entry) · not reviewed by a person

Subclaims¶

q3 i1 In subgroup analysis, HF simulation showed a moderate skill benefit compared with LF simulation (SMD = 0.36; 95% CI: 0.16–0.57, P = 0.0004, I2 = 0%) but no improvement compared with traditional training (SMD = -0.08; 95% CI: −0.37–0.22, P = 0.62, I2 = 0%). → 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 · i1 · quant-synthesis · r2

Subgroup analysis of the skill meta-analysis by comparator type (Supplement 4). Against LF simulation the estimate was "SMD = 0.36; 95% CI: 0.16–0.57, P = 0.0004"; against traditional training "SMD = -0.08; 95% CI: −0.37–0.22, P = 0.62", i.e. no benefit.

"In the subgroup analysis, a moderate benefit was observed for HF simulation compared with LF simulation at the course conclusion (SMD = 0.36; 95% CI: 0.16–0.57, P = 0.0004, I2 = 0%).(Supplement 4) However, no improvement in skill performance was observed in the HF group compared with those who received traditional training (SMD = -0.08; 95% CI: −0.37–0.22, P = 0.62, I2 = 0%)."

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
• HF simulation shows no significant benefit for satisfaction, confidence, or teamwork behaviors, and no long-term knowledge retention benefit — related
• High-fidelity simulation training improves professional skills among practising registered nurses (moderate pooled effect) — related
• HF simulation is associated with moderate benefit for retaining ALS skills at three months, based on two RCTs — related
• Knowledge benefit of HF simulation is greater against traditional training (SMD = 0.71) than against LF simulation (SMD = 0.22) — 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 — reports the opposite