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Article

Educational Effects of Simulation and Non-Simulation Training in Airway Management according to Levels of the Kirkpatrick Model: A Systematic Review and Network Meta-Analysis

by
Koichi Ando
1,2,*,
Akane Ando
3,
Akihiko Tanaka
1,
Shinji Koba
2,4 and
Hironori Sagara
1
1
Division of Respiratory Medicine and Allergology, Department of Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan
2
Division of Internal Medicine, Showa University Dental Hospital Medical Clinic, Senzoku Campus, Showa University, 2-1-1 Kita-senzoku, Ohta-ku, Tokyo 145-8515, Japan
3
Department of Anesthesiology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan
4
Division of Cardiology, Department of Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2022, 11(19), 5614; https://doi.org/10.3390/jcm11195614
Submission received: 12 August 2022 / Revised: 20 September 2022 / Accepted: 22 September 2022 / Published: 23 September 2022
(This article belongs to the Section Respiratory Medicine)
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Abstract

There is insufficient validation of the effectiveness of simulation-based training (Sim) or non-simulation-based training (non-Sim) for teaching airway management to healthcare professionals within the literature. We thus conducted a network meta-analysis comparing the effectiveness of Sim, non-Sim, and no educational intervention (NI) for airway management. The primary endpoints were knowledge scores (KnS) and behavioral performance scores (BpS) corresponding to assessments at levels 2 and 3 of the Kirkpatrick model, respectively. Effect sizes were expressed as standardized mean differences (Std. MD) and 95% credible intervals (CrIs). Regarding KnS, the educational effects of Sim and non-Sim were significantly improved compared to those of NI (Std. MD [95% CI]: 1.110 [0.903–1.316] and 0.819 [0.209–1.429], respectively); there was no significant difference between Sim and non-Sim. The educational effect of Sim in BpS was significantly improved compared to that of non-Sim and NI (0.850 [0.015–1.691] and 0.660 [0.241–1.076]); there were no differences between non-Sim and NI. Surface under the cumulative rank curve values demonstrated that Sim ranked highest in efficacy for KnS and BpS. This study provides valuable information regarding the educational efficacy of Sim and non-Sim in airway management. Larger randomized controlled trials are needed to confirm these findings.
Keywords: simulation training; airway management; systematic review; network meta-analysis simulation training; airway management; systematic review; network meta-analysis

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MDPI and ACS Style

Ando, K.; Ando, A.; Tanaka, A.; Koba, S.; Sagara, H. Educational Effects of Simulation and Non-Simulation Training in Airway Management according to Levels of the Kirkpatrick Model: A Systematic Review and Network Meta-Analysis. J. Clin. Med. 2022, 11, 5614. https://doi.org/10.3390/jcm11195614

AMA Style

Ando K, Ando A, Tanaka A, Koba S, Sagara H. Educational Effects of Simulation and Non-Simulation Training in Airway Management according to Levels of the Kirkpatrick Model: A Systematic Review and Network Meta-Analysis. Journal of Clinical Medicine. 2022; 11(19):5614. https://doi.org/10.3390/jcm11195614

Chicago/Turabian Style

Ando, Koichi, Akane Ando, Akihiko Tanaka, Shinji Koba, and Hironori Sagara. 2022. "Educational Effects of Simulation and Non-Simulation Training in Airway Management according to Levels of the Kirkpatrick Model: A Systematic Review and Network Meta-Analysis" Journal of Clinical Medicine 11, no. 19: 5614. https://doi.org/10.3390/jcm11195614

APA Style

Ando, K., Ando, A., Tanaka, A., Koba, S., & Sagara, H. (2022). Educational Effects of Simulation and Non-Simulation Training in Airway Management according to Levels of the Kirkpatrick Model: A Systematic Review and Network Meta-Analysis. Journal of Clinical Medicine, 11(19), 5614. https://doi.org/10.3390/jcm11195614

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