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dc.contributor.authorHegland, Pål André
dc.contributor.authorAarlie, Hege
dc.contributor.authorStrømme, Hilde
dc.contributor.authorJamtvedt, Gro
dc.date.accessioned2019-03-12T07:57:21Z
dc.date.available2019-03-12T07:57:21Z
dc.date.created2017-04-24T10:55:27Z
dc.date.issued2017
dc.identifier.citationHegland, P. A., Aarlie, H., Strømme, H., & Jamtvedt, G. (2017). Simulation-based training for nurses: Systematic review and meta-analysis. Nurse Education Today, 54, 6-20.nb_NO
dc.identifier.issn0260-6917
dc.identifier.urihttp://hdl.handle.net/11250/2589644
dc.descriptionAccepted author manuscript version (post-print).nb_NO
dc.description.abstractBackground Simulation-based training is a widespread strategy to improve health-care quality. However, its effect on registered nurses has previously not been established in systematic reviews. The aim of this systematic review is to evaluate effect of simulation-based training on nurses' skills and knowledge. Methods We searched CDSR, DARE, HTA, CENTRAL, CINAHL, MEDLINE, Embase, ERIC, and SveMed + for randomised controlled trials (RCT) evaluating effect of simulation-based training among nurses. Searches were completed in December 2016. Two reviewers independently screened abstracts and full-text, extracted data, and assessed risk of bias. We compared simulation-based training to other learning strategies, high-fidelity simulation to other simulation strategies, and different organisation of simulation training. Data were analysed through meta-analysis and narrative syntheses. GRADE was used to assess the quality of evidence. Results Fifteen RCTs met the inclusion criteria. For the comparison of simulation-based training to other learning strategies on nurses' skills, six studies in the meta-analysis showed a significant, but small effect in favour of simulation (SMD − 1.09, CI − 1.72 to − 0.47). There was large heterogeneity (I2 85%). For the other comparisons, there was large between-study variation in results. The quality of evidence for all comparisons was graded as low. Conclusion The effect of simulation-based training varies substantially between studies. Our meta-analysis showed a significant effect of simulation training compared to other learning strategies, but the quality of evidence was low indicating uncertainty. Other comparisons showed inconsistency in results. Based on our findings simulation training appears to be an effective strategy to improve nurses' skills, but further good-quality RCTs with adequate sample sizes are needed.nb_NO
dc.language.isoengnb_NO
dc.publisherElseviernb_NO
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.subjectsimulationnb_NO
dc.subjectclinical competencenb_NO
dc.subjectquality improvementnb_NO
dc.subjectsystematic reviewnb_NO
dc.subjectskillsnb_NO
dc.subjectknowledgenb_NO
dc.titleSimulation-based training for nurses: systematic review and meta-analysisnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionacceptedVersionnb_NO
dc.rights.holder© 2017.nb_NO
dc.subject.nsiVDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808nb_NO
dc.source.pagenumber6-20nb_NO
dc.source.volume54nb_NO
dc.source.journalNurse Education Todaynb_NO
dc.identifier.doi10.1016/j.nedt.2017.04.004
dc.identifier.cristin1466168
cristin.unitcode203,11,1,0
cristin.unitcode203,11,12,0
cristin.unitnameInstitutt for helse- og omsorgsvitskap
cristin.unitnameSenter for kunnskapsbasert praksis
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.fulltextpostprint
cristin.qualitycode1


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal