title: High fidelity patient simulation as an educational tool in paediatric intensive care: A systematic review.
abstract: OBJECTIVE
  The aim of this study was to examine the use of high fidelity patient simulation (HFPS) in paediatric intensive care nursing education through the use of a systematic literature review.
  
  
  METHODS
  A systematic search was undertaken in the electronic databases CINAHL (via EBSCOhost), Medline and Pubmed, ClinicalKey, Science Direct and OVID. Electronic searches were supplemented by hand searches of journals, individual article reference lists and the World Wide Web. Main outcome measures were learner outcomes. The search was limited to papers published in English between 2000 and 2015.
  
  
  RESULTS
  Eight papers satisfied the inclusion criteria of the review. Studies included in the review ranged from moderate to low on the quality assessment scale. HFPS training was associated with improved short-term learner outcomes of various measures, however this should be considered with the small number of studies examining this topic and the scarcity of high quality randomised studies.
  
  
  CONCLUSIONS
  The evidence of improved learner outcomes following HFPS training in paediatric intensive care (PICU) nursing education should be considered together with the quality and methodological limitations of existing research. There was no evidence of negative effects. The direction of research suggests that HFPS is a useful tool in the education of PICU nurses.
authors.affiliation: Queensland University of Technology, Paediatric Intensive Care Unit, Lady Cilento Children's Hospital, South Brisbane, QLD 4101, Australia. Electronic address: Jessica.O'Leary@health.qld.gov.au.
authors.forename: Jessica A
authors.initials: JA
authors.lastname: O'Leary
authors.affiliation: Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia. Electronic address: r.nash@qut.edu.au.
authors.forename: Robyn
authors.initials: R
authors.lastname: Nash
authors.affiliation: School of Nursing, Queensland University of Technology, Kelvin Grove, QLD, Australia. Electronic address: p.lewis@qut.edu.au.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Lewis
mesh_terms: D002648:Child; D002983:Clinical Competence; D003422:Critical Care; D004509:Education, Nursing, Continuing; D006801:Humans; D015278:Intensive Care Units, Pediatric; D007858:Learning; D000066908:Simulation Training
keywords: High fidelity simulation; Intensive care; Nursing education; Paediatric