Effects of Manikin Fidelity on Simulation-Based Nursing Education: A Systematic Review and Meta-Analysis

Few studies have examined whether higher-fidelity manikins are superior to lower-fidelity manikins in nursing simulation-based education.

A database search initially yielded 2,656 studies written in English or Korean. Duplicates and irrelevant studies were excluded. Ancestry searches generated 3 additional studies, and 15 studies met the criteria.

Higher-fidelity manikins were more effective than lower-fidelity manikins in improving skill performance/clinical competence and perception of nursing students and nurses. In terms of learners' knowledge, satisfaction, and self-confidence, both higher- and lower-fidelity manikins were similarly effective for nursing students.

This article provides evidence that higher-fidelity manikins do not always ensure a superior educational effect compared with lower-fidelity manikins. [.