Moussa Issa, Francis Furia, Abdallah Whaiba, Peter A Meaney, Nicole Shilkofski, Aaron Donoghue, Andrew Lockey
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Physical Realism of Simulation Training for Health Care in Low- and Middle-Income Countries-A Systematic Review.
Abstract: This systematic review was conducted, according to PRISMA standards, to examine the impact of the level of physical realism of simulation training on clinical, educational, and procedural outcomes in low- and middle-income countries (LMICs) as defined by the World Bank. A search from January 1, 2011 to January 24, 2023 identified 2311 studies that met the inclusion criteria including 9 randomized (n = 627) and 2 case-controlled studies (n = 159). Due to the high risk of bias and inconsistency, the certainty of evidence was very low, and heterogeneity prevented any metaanalysis. We observed limited evidence for desirable effects in participant satisfaction and confidence, but no significant difference in skills acquisition and performance in the clinical practice environment. When considering the equivocal evidence and cost implications, we recommend the use of lower physical realism simulation training in LMIC settings. It is important to standardize outcomes and conduct more studies in lower income settings.
期刊介绍:
Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare is a multidisciplinary publication encompassing all areas of applications and research in healthcare simulation technology. The journal is relevant to a broad range of clinical and biomedical specialties, and publishes original basic, clinical, and translational research on these topics and more: Safety and quality-oriented training programs; Development of educational and competency assessment standards; Reports of experience in the use of simulation technology; Virtual reality; Epidemiologic modeling; Molecular, pharmacologic, and disease modeling.