Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan.
School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Postgrad Med J. 2022 Aug;98(1162):604-609. doi: 10.1136/postgradmedj-2021-140076. Epub 2021 Apr 30.
This network meta-analysis aimed to assess the efficacy of different educational methods for healthcare professionals.
A systematic literature search was conducted to identify relevant randomised controlled trials. The standardised mean difference (SMD) with 95% CI was estimated using network meta-analysis for knowledge acquisition and skill performance, and ranked the effects of different educational methods using the surface under the cumulative ranking area (SCURA) technique.
Fifty-five randomised controlled trials including of 4292 participants were identified. Compared with no intervention, the results demonstrated all education methods achieved significant improvements in knowledge acquisition (SMD 1.73-2.66). Only education methods involving high fidelity virtual patient simulation reported significantly better skill performance (SMD 1.25-1.81). High fidelity virtual patient simulation plus self-directed learning was the most effective educational method both in terms of knowledge acquisition (SMD 2.66, 95% CI 1.4 to 4.12, SCURA 0.78) and skill performance (SMD 1.81, 95% CI 0.42 to 3.2, SCURA 0.89).
Our study demonstrates all educational methods have positive effects on knowledge acquisition, but education methods involving high fidelity virtual patient simulation are better at improving skill performance than other methods.
本网络荟萃分析旨在评估不同教育方法对医疗保健专业人员的疗效。
系统检索相关随机对照试验以确定研究。使用网络荟萃分析评估知识获取和技能表现的标准化均数差（SMD），并使用累积排序曲线下面积（SUCRA）技术对不同教育方法的效果进行排名。
共确定了 55 项随机对照试验，包括 4292 名参与者。与无干预相比，结果表明所有教育方法在知识获取方面均取得了显著提高（SMD 1.73-2.66）。仅涉及高保真虚拟患者模拟的教育方法在技能表现方面报告了显著改善（SMD 1.25-1.81）。高保真虚拟患者模拟加自我指导学习在知识获取（SMD 2.66，95%CI 1.4 至 4.12，SUCRA 0.78）和技能表现（SMD 1.81，95%CI 0.42 至 3.2，SUCRA 0.89）方面均是最有效的教育方法。
我们的研究表明，所有教育方法对知识获取均有积极影响，但涉及高保真虚拟患者模拟的教育方法在提高技能表现方面优于其他方法。
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