Журнал кардиореспираторных исследований 2026. №2/1

Maqola mavzusi

The effectiveness of integrating simulation-based practice into medical education: impact on medical students’ competencies and patient safety (58-62)

Mualliflar

G.A. Kasparova

Muassasa

Samarkand State Medical University

Annotatsiya

Purpose of the study. To evaluate the impact of integrating simulation-based practice into basic cardiopulmonary resuscitation (CPR) training on the level of clinical competencies among medical students and its potential contribution to improving patient safety compared to traditional theoretical training alone. Materials and Methods. A prospective comparative study was conducted. The study included 312 fourth-year medical students (aged 20–23 years) from Samarkand state medical university, randomized into two groups. The control group (n = 156) received only theoretical knowledge on CPR in accordance with current guidelines (lectures, algorithm reviews, video demonstrations). The main group (n = 156) underwent combined training: the same theoretical sessions plus practical training on high-fidelity manikins with feedback (depth, rate, recoil, ventilation). Assessment was performed 2 weeks after course completion using a standardized checklist-based CPR skills evaluation (maximum 20 points), knowledge test (maximum 30 points), and simulated scenario with recording of time to first compression, CPR quality, and patient safety-related errors. Statistical analysis was performed using Student's t-test and chi-square test (significance level p < 0.05). Results. The mean checklist score for CPR skills in the main group was 17.4 ± 1.8 points versus 11.2 ± 2.9 points in the control group (p < 0.001). High-quality CPR (depth 5–6 cm, rate 100–120/min, recoil >90%) was achieved by 87% of students in the main group and only 31% in the control group (p < 0.001). Mean time to first compressions was 12 ± 4 s versus 28 ± 11 s (p < 0.001). Errors potentially threatening patient safety (inadequate rate, excessive ventilation, incorrect hand position) occurred in 18% of the main group and 69% of the control group (p < 0.001). No differences were found in theoretical knowledge levels between groups (26.1 ± 2.4 vs 25.3 ± 2.7 points, p = 0.18). Conclusions. Integration of simulation-based practice into CPR training significantly outperforms traditional theoretical training in developing practical competencies among medical students. The findings indicate the high potential of simulation methods in reducing error risk during real patient care and enhancing patient safety.

Kalit so'zlar

simulation-based training, cardiopulmonary resuscitation, medical students, clinical competencies, patient safety, comparative study.

Adabiyotlar

1. Elendu C. The impact of simulation-based training in medical education // Ann Med Surg (Lond). 2024. Vol. 86, № 8. P. 4567– 4576. 2. Bermúdez R. S. Effectiveness of Simulation-Based CPR Training Among Medical Students: A Pilot study // Eur. J. Public Health. 2025. Vol. 35, Suppl. 4. P. ckaf161.1453. 3. Gabbouj S. B. Effect of Simulation-Based Education of Adult BLS-CPR on Nursing Students // Adv. Med. Educ. Pract. 2025. Vol. 16. P. 123–134. 4. McCoy C. E. Randomized Controlled Trial of Simulation vs. Standard Training for Medical Students // West. J. Emerg. Med. 2019. Vol. 20, № 1. P. 165–174. 5. Alharbi A. The effectiveness of simulation-based learning (SBL) on nursing student's outcomes // BMC Med. Educ. 2024. Vol. 24. P. 6080. 6. Cortegiani A. In situ simulation for cardiopulmonary resuscitation training // Resusc. Plus. 2025. Vol. 22. P. 100314. 7. Vermylen J. H. Competency-Based Simulation Training for Procedural Skills // Simul. Healthc. 2024. Vol. 19, № 4. P. 215–223. 8. Coelho D. L. Realistic simulation and medical students' performance // Adv. Physiol. Educ. 2024. Vol. 48, № 1. P. 113–120. 9. Agostino S. Impact of Simulation-Based and Flipped Classroom Training // Educ. Sci. 2024. Vol. 15, № 1. P. 31. 10. Leszczyński P. K. Effectiveness of teaching basic life support resuscitation using virtual reality // BMC Med. Educ. 2025. Vol. 25. P. 7827. 11. Yan S. et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis // Resuscitation. 2020. Vol. 152. P. 1–12. 12. Herrero-Izquierdo L. et al. Effectiveness of high-fidelity clinical simulation in cardiopulmonary resuscitation training: A systematic review and meta-analysis // Clin. Simul. Nurs. 2025. Vol. 98. P. 1–12. 13. Sun R. et al. Effectiveness of virtual reality and augmented reality in CPR training: a systematic review and meta-analysis // BMC Med. Educ. 2024. Vol. 24. P. 572. 14. Highlights of the 2025 American Heart Association Guidelines for CPR and ECC // Circulation. 2025. 15. Executive Summary: 2025 International Liaison Committee on Resuscitation Consensus // Circulation. 2025. 16. Зелинский С. С. Анализ эффективности обучения врачей практическим навыкам базовой сердечно-легочной реанимации взрослых // Медицинская симуляция. 2025. № 3. С. 45–52. 17. Горшков М. Д. Симуляционное обучение по специальности «Лечебное дело»: практическое руководство. М.: ВРНГМУ, 2025. 128 с. 18. Nasiri S. et al. Impact of flipped classroom-based simulation of CPR on self-confidence, satisfaction, knowledge, and skill of nursing students // BMC Med. Educ. 2025. Vol. 25. Art. 7525. 19. Yang X. et al. Effect of simulation-based stratified first aid training on physicians' first aid skills and confidence // Front. Med. 2025. Vol. 12. Art. 12590788. 20. Molinari P. A. et al. A Simulation-Based Randomized Controlled Trial in Schools: Retention of CPR Skills Six Months After Training // Resusc. Plus. 2025. Vol. 23. Art. 1002796. 21. Demirtas A. et al. Effectiveness of simulation-based cardiopulmonary resuscitation training on knowledge and skills of nursing students // Nurse Educ. Today. 2020. Vol. 93. P. 104567. 22. Lim X. M. A. et al. The Effectiveness of Technology-Based Cardiopulmonary Resuscitation Training for School-Aged Children: Systematic Review and Meta-Analysis // JMIR. 2022. Vol. 24, № 12. e36423. 23. Patil A. et al. The impact of simulation-based training on the knowledge and skills of postgraduate medical students in the management of cardiac arrest // Anaesth. Pain Intensive Care. 2023. Vol. 27, № 4. P. 2258. 24. Zeng Q. et al. Efficacy of high-fidelity simulation in advanced life support training: a systematic review and meta-analysis // BMC Med. Educ. 2023. Vol. 23. Art. 4654. 25. Cheng P. et al. The Effects of Serious Games on Cardiopulmonary Resuscitation Training and Education: Systematic Review With Meta-Analysis of Randomized Controlled Trials // JMIR Serious Games. 2024. Vol. 12. e52990. 26. Artero P. M. A. et al. Efficiency of virtual reality for cardiopulmonary resuscitation training of adult laypersons: A systematic review // Medicine (Baltimore). 2023. Vol. 102, № 3. e32548. 27. Tank D. Y. et al. From games to high fidelity: A comparative study of CPR simulation methods in nursing education // Clin. Simul. Nurs. 2025. Vol. 99. Art. 100510. 28. Koçkaya P. D. et al. Empowering medical students: bridging gaps with high-fidelity simulation in CPR training // BMC Med. Educ. 2024. Vol. 24. Art. 11412062. 29. Laco R. B. et al. Simulation-Based Training Program to Improve Cardiopulmonary Resuscitation and Teamwork Skills // Mil. Med. 2022. Vol. 187, № 5-6. P. e764–e770. 30. Turan D. et al. Simulation-based education in paramedic training: effects on clinical performance and self-perceived competence // BMC Med. Educ. 2026. Vol. 26. Art. 85415. 31. Wang C. et al. Using multimedia tools and high-fidelity simulations to enhance medical students' resuscitation skills // BMJ Open. 2016. Vol. 6, № 9. e012195.