Comparison of High and Low Fidelity Simulation on Adult Advanced Life Support Skill Attainment and Knowledge Improvement on FMUI Students

Abstract

Teaching of adult advanced life support (ALS) using low fidelity simulation (LFS) and high fidelity simulation (HFS) gives different results, that can be caused by cultural background difference among students. This study aims to determine the comparison of HFS and LFS in ALS skill attainment and knowledge improvement on FMUI students. An experimental, randomized, single-blinded study with descriptive and analytic data presentation was conducted. Subjects were 39 FMUI students on the 3rd semester. All subjects had written pretest, lecture, and watched video demonstration. In training session, subjects were divided into two groups: LFS and HFS group. LFS group used ResusciAnne® and HFS group used SIMMAN3G®. There were written posttest and skill examination using SIMMAN3G®. Data collected were skill examination and written test scores. Statistical tests used were unpaired T test and Mann Whitney. The skill score in the LFS group was 47.8(39.1–56.5) and in the HFS group was 65.2(39.1–78.2), p = 0.02. The increase of knowledge score in LFS group was 42,75±13,90 (pretest knowledge score 35,25±9,93, posttest knowledge score 78,00±14,73) and HFS group 45.26±10.99 (pretest knowledge score 34.47±7.80, posttest knowledge score 79,74±10,20), p = 0.53. The use of HFS is better than LFS in attaining adult ALS skill on FMUI students and both methods provide equal result in knowledge improvement.