The effect of mannequin fidelity on the achievement of learning outcomes for nursing, midwifery and allied healthcare practitioners: Systematic review and meta-analysis

Nurse Education Today
Rebecca J Sherwood, Gary Francis

Abstract

Simulation has demonstrated superiority over purely didactic instruction in multiple contexts, and educationalists have embraced this modality for enhancing access to clinical skills. However, there remains uncertainty if increasing the realism (fidelity) of simulation equipment heightens performance. To address this within nursing and allied health, this review examines if increasing equipment fidelity improves learning outcomes. A systematic search of; CINAHL, Academic Search Complete, AMED; British Education Index, ERIC, MEDLINE, PsycARTICLES, PsycINFO, Maternity and Infant Care, INTERMID, Google Scholar, American Doctoral Dissertations, EThOS, ClinicalTrials.gov and ISRCTN registers was conducted for trials comparing two or more fidelity levels for knowledge, psychomotor or affective/non-technical outcomes. Data extraction and quality appraisal were performed and independently verified. Subgroup meta-analyses were undertaken (where viable), at post-intervention, intermediate, and long-term assessment time-frames. 18 RCTs and quasi-experimental trials containing ~1192 participants met the inclusion criteria. Almost ¾ of included trials exhibited high risk-of-bias. Training on higher-fidelity mannequins was associated with im...Continue Reading

Citations

Apr 11, 2019·British Journal of Nursing : BJN·Gary Francis, Martina O'Brien
Sep 19, 2019·World Journal of Urology·Cora GriffinKamran Ahmed
Jan 26, 2021·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Olivia S AndersonAnna Sadovnikova
Apr 4, 2021·International Journal of Environmental Research and Public Health·Ujin LeeYeseul Jeon
Sep 8, 2021·Advances in Simulation·Diego Andrés Díaz-GuioAlfonso J Rodríguez-Morales

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