Department of Pediatrics, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
Department of Intensive Care, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
Eur J Pediatr. 2021 Feb;180(2):487-493. doi: 10.1007/s00431-020-03856-5. Epub 2020 Nov 9.
High-fidelity simulation (HFS) and video-based learning (VBL) promote competence in acute care in a realistic and safe environment. These two modalities have not been compared in pediatric emergency situations. Interns rotating in the pediatric department were randomized for the two educational methods. The delivered learning subject was septic shock in children. The level of knowledge was measured before intervention, immediately after intervention (post-test 1) and 1 week later (post-test 2). Knowledge test scores improved significantly following intervention in both VBL study group and HFS study group (71.5 ± 13.2 [39.0-88.0], p < 0.001 and 80.1 ± 10.3 [57.4-94.5], p < 0.001, respectively). The improvement was significantly higher in HFS study group (p = 0.04). There was a non-significant drop in the retention score evaluated by the post-test 2 in the two groups compared to the post-test 1 score (66.9 ± 15.4 [31.5-86.1], p = 0.17 and 78.8 ± 12.4 [56.0-100.0], p = 0.72 in the VBL and HFS study groups, respectively). The retention score was significantly higher in the HFS group (p = 0.04).Conclusion: High-fidelity simulation and video-based training are both effective educational methods in teaching pediatric emergencies for interns. HFS appears to be superior in enhancing short-term retention. What is Known: • High-fidelity simulation is an effective educational tool to improve learners' knowledge and skills. • Video-based learning is an effective teaching tool in terms of short-term knowledge acquisition. What is New: • High-fidelity simulation is more effective in terms of short-term knowledge and generated more satisfaction than educational video learning.
高保真模拟 (HFS) 和基于视频的学习 (VBL) 在真实安全的环境中促进急性护理能力。这两种模式在儿科急症中尚未进行比较。在儿科轮转的实习生被随机分配到两种教育方法中。所提供的学习主题是儿童脓毒性休克。在干预前、干预后立即（后测 1）和 1 周后（后测 2）测量知识水平。在 VBL 研究组和 HFS 研究组中，干预后知识测试得分均显著提高（71.5±13.2[39.0-88.0]，p<0.001和 80.1±10.3[57.4-94.5]，p<0.001）。HFS 研究组的改善明显更高（p=0.04）。与后测 1 相比，两组的保留得分在后测 2 中均略有下降（VBL 和 HFS 研究组的 66.9±15.4[31.5-86.1]，p=0.17 和 78.8±12.4[56.0-100.0]，p=0.72）。HFS 组的保留得分明显更高（p=0.04）。结论：高保真模拟和基于视频的培训都是实习生教授儿科急症的有效教育方法。HFS 在增强短期保留方面似乎更有效。已知：•高保真模拟是提高学习者知识和技能的有效教育工具。•基于视频的学习是一种有效的教学工具，可在短期内获取知识。新内容：•高保真模拟在短期知识方面更有效，并且比教育视频学习产生更高的满意度。
