SynthesisGlobal health, science and practice2024
Simulation-Based Education of Health Workers in Low- and Middle-Income Countries: A Systematic Review.
Synthesis in Global health, science and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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Who cites it
16 citing papers in PubMed.
- Global challenges and perspectives in acute and emergency general surgery in low and middle-income countries: a scoping review.BMJ global health · 2026Article
- Practicing for life: landscape and priorities for simulation-based education in global children's surgery.Pediatric surgery international · 2026Article
- Challenges, Strategies, and Explanatory Mechanisms in Clinical Skills Remediation Programs in Undergraduate and Postgraduate Medical Education in Low- and Middle-Income Countries: Realist Review Protocol.JMIR research protocols · 2026Article
- The evolution of cardiothoracic surgery training: from apprenticeship to AI-assisted simulation.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026Review
- Healthcare simulation and contextually relevant primary care training curricula in Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Perceptions and Experiences of Professional Nurse Educators and Midwives on Simulation-Based Education in Tanzania: A Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Effectiveness of Gamification with a Narrative Adapted to the Player's Profile in Obstetric Nursing Competencies: A Cluster Randomized Controlled Pilot Trial Protocol.Nursing reports (Pavia, Italy) · 2026Article
- Enhancing Emergency Trauma Management Skills Through Simulation: A Quality Improvement Initiative in Ghana.Cureus · 2026Article
- Developing sustainable Emergency Urology Simulation Training in sub-Saharan Africa.BJUI compass · 2026Article
- Development and evaluation of an external cephalic version simulation-based educational program.AJOG global reports · 2026Article
- Bridging the mentorship divide: how large language models could reshape medical workforce equity.NPJ digital medicine · 2026Article
- Simulation-Based CPR Education for Student Nurses: A Narrative Review of Effects on Knowledge, Skills, and Confidence.Advances in medical education and practice · 2026Review
- Training without Harm: Rethinking Ethics, Simulation and the Evolving Future of Medical Education in West Africa.Advances in medical education and practice · 2026Article
- Low-Cost 3D-Printed Temporal Bone Models for Surgical Simulation: A Pilot Study.Ochsner journal · 2026Article
- Progress in educational theory and translational implementation of simulation-based education for healthcare professionals: an integrative analysis from theory to effectiveness.Frontiers in medicine · 2026Review
- Competency gaps in emergency obstetric and neonatal care: Assessing knowledge, skills, and confidence in the use of magnesium sulfate among providers in Malawi.Women's health (London, England)Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSimulation-based education (SBE) is increasingly used to improve clinician competency and patient care and has been identified as a priority by the World Health Organization for low- and middle-income countries (LMICs). The primary aim of this review was to investigate the global distribution and effectiveness of SBE for health workers in LMICs. The secondary aim was to determine the learning focus, simulation modalities, and additional evaluation conducted in included studies.
methodsA systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta Analysis guidelines, searching Ovid (Medline, Embase, and Emcare) and the Cochrane Library from January 1, 2002, to March 14, 2022. Primary research studies reporting evaluation at Level 4 of The Kirkpatrick model were included. Studies on simulation-based assessment and validation were excluded. Quality and risk-of-bias assessments were conducted using appropriate tools. Narrative synthesis and descriptive statistics were used to present the results.
resultsA total of 97 studies were included. Of these, 54 were in sub-Saharan Africa (56%). Forty-seven studies focused on neonatology (48%), 29 on obstetrics (30%), and 16 on acute care (16%). Forty-nine used mannequins (51%), 46 used scenario-based simulation (47%), and 21 used synthetic part-task trainers (22%), with some studies using more than 1 modality. Sixty studies focused on educational programs (62%), while 37 used SBE as an adjunct to broader interventions and quality improvement initiatives (38%). Most studies that assessed for statistical significance demonstrated at least partial improvement in Level 4 outcomes (75%, n=81).
conclusionSBE has been widely applied to improve outcomes in a variety of contexts across LMICs. Modalities of simulation are typically low-technology versions. However, there is a lack of standardized reporting of educational activities, particularly relating to essential features of SBE. Further research is required to determine which approaches are effective in specific contexts.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.