Evidence map›Paper›PMID 41864894›Full record

Trial reportBMC medical education2026

Effectiveness of situational simulation and case-based learning in pediatric intern cardiopulmonary resuscitation training: a pilot study.

Li-Dan Zhang, Li Wang, Zhuang-Gui Chen, He-Yan Wu, Xing Nie, Zhen Li, Chao-Jie Zhang, Xiao-Ting Ye, Hua-Bao Chen, Yan-Lai Tang and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Li-Dan Zhang *Department of pediatric Intensive Care Unit, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, Guangdong, China.
Li Wang *Department of pediatric Intensive Care Unit, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, Guangdong, China.
Zhuang-Gui Chen *Department of pediatric Intensive Care Unit, The Third Affiliated Hospital of Sun Yat- sen University, Guangzhou, Guangdong, China.
He-Yan WuDepartment of pediatric Intensive Care Unit, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, Guangdong, China.
Xing NieDepartment of pediatric Intensive Care Unit, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, Guangdong, China.
Zhen LiDepartment of pediatric Intensive Care Unit, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, Guangdong, China.
Chao-Jie ZhangDepartment of pediatric Intensive Care Unit, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, Guangdong, China.
Xiao-Ting YeDepartment of pediatric Intensive Care Unit, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, Guangdong, China.
Hua-Bao ChenDepartment of pediatric Intensive Care Unit, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, Guangdong, China.
Yan-Lai Tang *Pediatrics, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China. tangylai@mail.sysu.edu.cn.
Chun Chen *pediatric Hematology Laboratory, Division of Hematology/Oncology, Department of pediatrics, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, 518107, Guangdong, China. chenchun@mail.sysu.edu.cn.
Ling-Ling Xu *Pediatrics, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China. xulingl2@mail.sysu.edu.cn.

Funding

2020 University-level undergraduate Quality Engineering and Teaching Reform research project "Application of TBL Combined with Case Teaching in Paediatric Undergraduate Clinical Practice Teaching" 80000-31911130Research Project on Undergraduate Teaching Reform of Clinical Teaching Bases in Guangdong Province Issued by Department of Education of Guangdong Province Project No. 2025JD024Sun Yat-sen University School-level Education Reform Fund: The Application of Role-playing Combined with Typical Case Teaching Method in Pediatric Clinical Teaching 31911130-210409The 2024Teaching Quality Project of Sun Yat-sen University, "Application of High-End Simulated Patients Combined with Case-Based Guided Teaching Method in Pediatric Internship Teaching" No. 78000-12253001The 2025-year Guangdong Province Clinical Teaching Base Undergraduate Teaching Reform Research Project "Exploration of the Application of the Joint Team Learning Teaching Method of AI Teachers and High-End Simulated Humans in Pediatric Interns' Cardiopulmonary Resuscitation Training" No. 2025JD153Undergraduate Teaching Quality and Teaching Reform Cultivation Project of the First Affiliated Hospital of Sun Yat-sen University No. P12220011-230125 and P12220011-230142
6 · The paper itself

Abstract

BACKGROUND AND

objectivespediatric Cardiopulmonary resuscitation (CPR) is critical for saving children who experience cardiac arrest, but traditional teaching is often ineffective at improving clinical competence and teamwork. This study evaluates an innovative, understudied model: situational simulation combined with case-based learning (CBL) in CPR training among pediatric intern.

methodsThis randomized controlled pilot study involved 100 pediatric interns from an academic teaching hospital. Participants were randomly assigned to either the traditional teaching group or the new teaching model group (i.e., situational simulation with CBL). Semi-structured interviews were conducted and recorded among students participating in the situational simulation with CBL. Data collection continued until data saturation was achieved. The collected data were analyzed using an inductive thematic analysis method within the constructivist paradigm. Two researchers independently coded transcripts using NVivo 12.0, identified themes iteratively, and ensured rigour through member checking.

resultsThe situational simulation with CBL approach produced significant improvements in clinical operation scores: hands-on CPR (79.56 ± 6.04 vs. 94.20 ± 4.17) and bag-valve-mask ventilation (81.14 ± 6.33 vs. 93.47 ± 3.57) (P < 0.05). For the qualitative component, semi-structured interviews were conducted with 12 participants, and analysis identified 9 core themes grouped into four clusters: "social interactive construction of knowledge," "contextualized construction of knowledge," "active construction of knowledge," and "cultivation of clinical core competencies and professional qualities."

conclusionsThe adoption of situational simulation combined with CBL approach can enhance the teaching effectiveness for pediatric interns and improve their overall clinical emergency response capabilities. Consequently, it offers an innovative teaching methodology for CPR training of pediatric interns.

Indexed as

Cardiopulmonary ResuscitationInternship and ResidencyPediatricsProblem-Based LearningSimulation TrainingClinical CompetenceFemaleHumansMalePilot ProjectsCase-Based LearningClinical teachingInternpediatricsSituational simulation

Identifiers

PMID41864894
PMCPMC13130562

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.