In-Person Healthcare Simulation: An Umbrella Review of the Literature

Given the large accumulation of research focused on the effectiveness of in-person simulation-based education (SBE), this umbrella review-or systematic review of systematic reviews-was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines to analyze collective...

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Published in:Simulation in healthcare : journal of the Society for Medical Simulation Vol. 20; no. 4; p. 229
Main Authors: Palaganas, Janice C, Mosher, Cynthia, Wawersik, Dawn, Eller, Susan, Kirkpatrick, Amanda J, Lazarovici, Marc, Brown, Kristen M, Stapleton, Stephanie, Hughes, Patrick G, Tarbet, Amanda, Morton, Alex, Duff, Jonathan P, Gross, Isabel T, Sanko, Jill
Format: Journal Article
Language:English
Published: United States 01.08.2025
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ISSN:1559-713X, 1559-713X
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Abstract Given the large accumulation of research focused on the effectiveness of in-person simulation-based education (SBE), this umbrella review-or systematic review of systematic reviews-was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines to analyze collective findings and close identified literature gaps. This study presents a descriptive analysis of the most effective modalities, methods, and measurements of in-person SBE, as well as major themes that emerged during analysis as it relates to SBE outcomes.The major patterns or themes that emerged confirm for the first time a longstanding sentiment in the literature, specifically the following: a need to produce higher-quality research with greater rigor, larger sample sizes, more randomized controlled trials, mixed methods, and longitudinal studies. These findings suggest a need to redirect scientific efforts in SBE. Despite the nearly ubiquitous issues noted across the systematic reviews' findings, results of this umbrella review seem to support the notion that in-person simulation-based education improves learning outcomes including technical and nontechnical skills and behavioral and attitudinal change. Analyses highlighted the need to improve overall research approaches and reduce redundancy, as well as the need to standardize terminology, broaden global diversity, and push for further research funding opportunities to support these efforts.
AbstractList Given the large accumulation of research focused on the effectiveness of in-person simulation-based education (SBE), this umbrella review-or systematic review of systematic reviews-was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines to analyze collective findings and close identified literature gaps. This study presents a descriptive analysis of the most effective modalities, methods, and measurements of in-person SBE, as well as major themes that emerged during analysis as it relates to SBE outcomes.The major patterns or themes that emerged confirm for the first time a longstanding sentiment in the literature, specifically the following: a need to produce higher-quality research with greater rigor, larger sample sizes, more randomized controlled trials, mixed methods, and longitudinal studies. These findings suggest a need to redirect scientific efforts in SBE. Despite the nearly ubiquitous issues noted across the systematic reviews' findings, results of this umbrella review seem to support the notion that in-person simulation-based education improves learning outcomes including technical and nontechnical skills and behavioral and attitudinal change. Analyses highlighted the need to improve overall research approaches and reduce redundancy, as well as the need to standardize terminology, broaden global diversity, and push for further research funding opportunities to support these efforts.
Given the large accumulation of research focused on the effectiveness of in-person simulation-based education (SBE), this umbrella review-or systematic review of systematic reviews-was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines to analyze collective findings and close identified literature gaps. This study presents a descriptive analysis of the most effective modalities, methods, and measurements of in-person SBE, as well as major themes that emerged during analysis as it relates to SBE outcomes.The major patterns or themes that emerged confirm for the first time a longstanding sentiment in the literature, specifically the following: a need to produce higher-quality research with greater rigor, larger sample sizes, more randomized controlled trials, mixed methods, and longitudinal studies. These findings suggest a need to redirect scientific efforts in SBE. Despite the nearly ubiquitous issues noted across the systematic reviews' findings, results of this umbrella review seem to support the notion that in-person simulation-based education improves learning outcomes including technical and nontechnical skills and behavioral and attitudinal change. Analyses highlighted the need to improve overall research approaches and reduce redundancy, as well as the need to standardize terminology, broaden global diversity, and push for further research funding opportunities to support these efforts.SUMMARY STATEMENTGiven the large accumulation of research focused on the effectiveness of in-person simulation-based education (SBE), this umbrella review-or systematic review of systematic reviews-was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines to analyze collective findings and close identified literature gaps. This study presents a descriptive analysis of the most effective modalities, methods, and measurements of in-person SBE, as well as major themes that emerged during analysis as it relates to SBE outcomes.The major patterns or themes that emerged confirm for the first time a longstanding sentiment in the literature, specifically the following: a need to produce higher-quality research with greater rigor, larger sample sizes, more randomized controlled trials, mixed methods, and longitudinal studies. These findings suggest a need to redirect scientific efforts in SBE. Despite the nearly ubiquitous issues noted across the systematic reviews' findings, results of this umbrella review seem to support the notion that in-person simulation-based education improves learning outcomes including technical and nontechnical skills and behavioral and attitudinal change. Analyses highlighted the need to improve overall research approaches and reduce redundancy, as well as the need to standardize terminology, broaden global diversity, and push for further research funding opportunities to support these efforts.
Author Palaganas, Janice C
Morton, Alex
Mosher, Cynthia
Kirkpatrick, Amanda J
Brown, Kristen M
Eller, Susan
Hughes, Patrick G
Lazarovici, Marc
Stapleton, Stephanie
Tarbet, Amanda
Wawersik, Dawn
Duff, Jonathan P
Sanko, Jill
Gross, Isabel T
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  organization: From the MGH Institute of Health Professions (J.C.P., C.M., J.S.), Boston, MA; Alfaisal University College of Medicine (C.M.), Riyadh, Saudi Arabia; Nova Southeastern University, Interprofessional Simulation Institute (D.W.), College of Nursing (J.S.), Fort Lauderdale, FL; Stanford University School of Medicine (S.E.), Stanford, CA; Creighton University College of Nursing (A.J.K.), Omaha, NE; LMU University Hospital Institut für Notfallmedizin und Medizinmanagement - INM (M.L.), München, Germany; Johns Hopkins University School of Nursing (K.M.B.), Baltimore, MD; Boston University (S.S.), Boston, MA; Spencer Fox Eccles School of Medicine (P.G.H.), University of Utah, Salt Lake City, UT; SFPE Foundation (A.T.), Gaithersburg, MD; SimConverse (A.M.), Sydney, Australia; University of Alberta (J.P.D.), Faculty of Medicine and Dentistry, Edmonton, CA; Yale University School of Medicine (I.T.G.), New Haven, CT; and Walden University College of Nursing (J.S.), Minneapolis, MN
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Title In-Person Healthcare Simulation: An Umbrella Review of the Literature
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