Effectiveness of a simulation-based training in the vaccination context: A Pilot Study

Abstract Background Vaccination is one of the most effective public health strategies. However, the rise of vaccine hesitancy in recent years has challenged the preparedness and skills of the public health workforce. In Italy, postgraduate medical education often lacks practical training in this field. To address this, we developed a simulation-based education programme for public health residents combining technical, communication and emergency training. Objectives Objectives were to assess participants’ satisfaction and self-confidence after simulation and evaluate perceived improvements in knowledge and skills in vaccination, hesitancy management and implementation of the post-vaccination anaphylactic shock algorithm. Conducted over three days, the training included three simulation modules with pre- and post-intervention knowledge and skills self-assessment questionnaires and the validated Learner Satisfaction and Self-Confidence in Learning (LSSCL) scale, post intervention only. Results Participants of the pilot study (N = 24) completed all modules. Satisfaction significantly increased across modules (χ² = 6.143, p = 0.046), with Module 3 showing the highest levels. No significant differences were found in confidence scores across the modules. Increasing age positively influenced both satisfaction (p = 0.003) and confidence (p < 0.001). Knowledge and skills improved significantly pre- to post-training in all modules (p < 0.001). These preliminary results support programme effectiveness. Conclusions Overall, simulation training significantly enhanced subjective satisfaction and objective knowledge and practical skills related to vaccination contexts. Simulation is an innovative, valuable educational strategy in public health, particularly for improving vaccination-related skills. This course may be adapted by other European training centers to support a more resilient and skilled public health workforce. Key messages • Simulation improved satisfaction, knowledge and skills in vaccination practice. • This simulation model is scalable for public health training across Europe.