Effects of High-fidelity Simulations on Skill Improvement: A Meta-analysis


A systematic review was conducted to provide available evidence on the effects of highfidelity simulations on skill improvement. Computerized searches from 2000-2011 in CINAHL, Medline, Chinese Academic Journal (CAJ), etc. were performed. 21 empirical studies determining the effects of high-fidelity simulations on skill improvement in nursing and medical education were retrieved. Results showed that high-fidelity simulations did enhance the scores on skill exams, but the results of meta-analysis indicated a mixed contribution of high-fidelity simulations to Objective Structured Clinical Examination (OSCE) performance. There were a lack of formal measurement tools available to evaluate simulations, and a lack of high quality RCTs with large sample size. Clearly, it is necessary to develop measurement tools particularly for high-fidelity simulations, and conduct additional research with larger sample sizes and higher quality to determine whether OSCE performance can be enhanced by high-fidelity simulations among different student groups in a variety of educational contexts.


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