Influence of simulation fidelity on student learning in a prehospital setting

Author:

Graham Sean1,Sealey Amy2

Affiliation:

1. Emergency Planning Support Officer, Emergency Preparedness, Resilience and Response/Hazardous Area Response Team Training Manager, Hazardous Area Response Team, Northern Ireland Ambulance Service, UK

2. Paramedic, Northern Ireland Ambulance Service, UK

Abstract

Background: Simulation creates a low-risk environment for patients and participants and allows experiential learning. Aims: This literature review aims to determine whether the fidelity of simulation (the extent to which it reflects reality) influences learning. Methods: A search of databases for research within the past 10 years was carried out, and 22 articles were reviewed. Findings: Three themes emerged: models of simulation that address fidelity; the role of the facilitator; and need for sound educational theory to underpin simulation. Conclusion: Although evidence is sparse, simulation offers benefits to paramedic students and paramedics. It is particularly useful regarding rarely occurring events, especially those with significant consequences. While a high-fidelity prehospital scenario can be difficult to achieve, simulation can be educationally effective. Effectiveness depends on: the simulation model; whether fidelity is appropriate to the scenario and recognises participants' sensory capacity; having a dedicated facilitator; and being based on a sound educational strategy. This combination allows learning outcomes to be met and the gap between theory and practice to be bridged.

Publisher

Mark Allen Group

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4. Aveyard H. Doing a literature review in health and social care: a practical guide. 4th edn. Maidenhead: McGraw-Hill Education; 2018

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