Physical Realism of Simulation Training for Health Care in Low- and Middle-Income Countries-A Systematic Review.
Simul Healthc
; 19(1S): S41-S49, 2024 Jan 01.
Article
in En
| MEDLINE
| ID: mdl-38240617
ABSTRACT
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Developing Countries
/
Simulation Training
Type of study:
Clinical_trials
/
Guideline
/
Prognostic_studies
/
Systematic_reviews
Aspects:
Determinantes_sociais_saude
Limits:
Humans
Language:
En
Journal:
Simul Healthc
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
Year:
2024
Document type:
Article
Country of publication:
United States