Asset Details
Do you wish to reserve the book?
Simulation-Based Training and its Effect on Clinical Decision-Making and Performance among Paramedics
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Simulation-Based Training and its Effect on Clinical Decision-Making and Performance among Paramedics
Do you wish to request the book?
Simulation-Based Training and its Effect on Clinical Decision-Making and Performance among Paramedics
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Simulation-Based Training and its Effect on Clinical Decision-Making and Performance among Paramedics
2025
Overview
Background: Paramedics operate in dynamic, high-stakes prehospital environments that demand rapid, accurate decisionmaking and technical proficiency. Traditional training methods may not adequately expose learners to rare, critical scenarios. Simulation-based training (SBT) provides a controlled, feedback-driven environment that enhances both cognitive and procedural skills essential to emergency medical services (EMS). Objective: This systematic review evaluated evidence published between 2020 and 2025 regarding the impact of SBT on clinical decision-making and performance among paramedics and emergency medical technicians (EMTs). Methods: The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines. Six databases-PubMed, Scopus, CINAHL, Web of Science, ScienceDirect, and Google Scholar- were searched for English-language empirical studies. Eligible studies involved licensed or student paramedics/EMTs participating in simulation-based interventions measuring decision-making, technical performance, or teamwork outcomes. Quality appraisal was conducted using the Joanna Briggs Institute (JBI) checklists. Results: Out of 642 identified records, 10 studies met the inclusion criteria. Interventions included high-fidelity manikin simulations, mixed and virtual reality (VR/MR) systems, and hybrid models. Across studies, SBT significantly improved diagnostic accuracy, reasoning quality, task efficiency, and teamwork performance. For example, simulation-based point-of-care ultrasound (POCUS) training increased diagnostic accuracy by 31% (p < 0.001). Mixed-reality environments enhanced situational awareness and communication effectiveness. Structured debriefing and repetitive exposure consistently emerged as key predictors of skill retention. Most studies demonstrated high methodological quality, though limited long-term follow-up and small sample sizes constrained generalizability. Conclusion: Simulation-based training effectively enhances clinical decision-making, procedural accuracy, and non-technical competencies among paramedics. High-fidelity and technology-enhanced simulations, coupled with deliberate practice and debriefing, offer scalable strategies for strengthening EMS education and operational readiness. Future research should focus on long-term retention, real-world transferability, and integration of artificial intelligence-assisted feedback systems to optimize training outcomes.
Publisher
مركز البحث وتطوير الموارد البشرية - رماح
Subject
