Apara Teleireoluwa, Hogan Tom, Peterson Jennifer L H
The University of Manchester Faculty of Biology, Medicine and Health, Manchester, UK.
NICU, Manchester University NHS Foundation Trust, Manchester, UK.
BMJ Paediatr Open. 2024 Dec 2;8(1):e002941. doi: 10.1136/bmjpo-2024-002941.
Whether the manikin should die in simulation training is a controversial area, with some educators stating that manikin death is essential in providing realistic training, while others state that the psychological burden of manikin death could derail learning and impair psychological safety. This scoping review aims to explore the existing literature regarding death of the manikin in paediatric and neonatal simulation education.
The literature was searched for publications regarding paediatric and/or neonatal manikin death in simulation training. The same search strategy was used across MEDLINE (OVID), Embase (OVID), CINAHL (EBSCO) and PsycInfo (OVID) databases. Articles were screened against predefined inclusion and exclusion criteria.
810 articles were identified. 807 were excluded (duplicates/did not meet criteria). Three articles were suitable for inclusion in the final review. Included studies were analysed using an inductive thematic analysis approach.
There is a paucity of research in this important area of simulation training. From the limited research available, the following themes were identified: death of the paediatric manikin can increase scenario realism; participation in paediatric manikin death scenarios was not more stressful than participating in standard simulation; and the debrief has a crucial role in mitigating the potentially negative impacts of paediatric manikin death for learners.Death of the paediatric and neonatal manikin can provide a beneficial educational experience for participants but requires considered and experienced facilitation.
在模拟培训中人体模型是否应该“死亡”是一个存在争议的领域，一些教育工作者认为人体模型“死亡”对于提供逼真的培训至关重要，而另一些人则表示人体模型“死亡”带来的心理负担可能会干扰学习并损害心理安全感。本综述旨在探讨儿科和新生儿模拟教育中有关人体模型“死亡”的现有文献。
检索文献，查找有关模拟培训中儿科和/或新生儿人体模型“死亡”的出版物。在MEDLINE（OVID）、Embase（OVID）、CINAHL（EBSCO）和PsycInfo（OVID）数据库中使用相同的检索策略。根据预先定义的纳入和排除标准对文章进行筛选。
共识别出810篇文章。排除807篇（重复/不符合标准）。三篇文章适合纳入最终综述。对纳入的研究采用归纳主题分析法进行分析。
在这个模拟培训的重要领域，研究匮乏。从现有的有限研究中，确定了以下主题：儿科人体模型“死亡”可增加情景逼真度；参与儿科人体模型“死亡”情景并不比参与标准模拟更具压力；并且总结汇报在减轻儿科人体模型“死亡”对学习者可能产生的负面影响方面具有关键作用。儿科和新生儿人体模型“死亡”可为参与者提供有益的教育体验，但需要经过深思熟虑且经验丰富的引导。
