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Review Article| Volume 16, P15-24, March 2018

Debriefing Quality Evaluation in Nursing Simulation-Based Education: An Integrative Review

Published:December 11, 2017DOI:https://doi.org/10.1016/j.ecns.2017.09.009

      Highlights

      • Reporting of debriefing evaluation in nursing simulation literature is lacking.
      • Two debriefing evaluation tools were used in nursing research: DASH & DES.
      • Debriefing evaluation is challenging and multifaceted due to various key debriefing elements.

      Abstract

      Background

      In simulation-based learning, debriefing is considered a core component. Both the National League for Nursing and the International Nursing Association for Clinical Simulation and Learning emphasize the importance of debriefing in simulation-based learning. Debriefing quality assessment is an important source of constructive feedback.

      Method

      The aim of this integrative review was to assess the use of tools for debriefing quality evaluation in nursing education. This review included studies that reported debriefing after high-fidelity simulation between 2006 and 2016.

      Results

      A total of 20 articles were included. Only six studies reported using of debriefing evaluation tools. A description of used instrument was provided. Despite the importance of debriefing quality evaluation in simulation-based learning, there is a lack of using valid and reliable tools in the nursing literature.

      Conclusions

      Debriefing evaluation tools are essential in simulation-based learning. More systematic tool development and analysis are required, focusing on all key debriefing elements.

      Keywords

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      References

        • Abatzis V.T.
        • Littlewood K.E.
        Debriefing in simulation and beyond.
        International and Anesthesiology Clinics. 2015; 53: 151-162
        • Cheng A.
        • Grant V.
        • Dieckmann P.
        • Arora S.
        • Robinson T.
        • Eppich W.
        Faculty development for simulation Programs: Five issues for the future of debriefing training.
        Simulation in Healthcare. 2015; 10: 217-222
        • Colleen R.
        • Kathleen H.
        Comparison of baccalaureate nursing students' experience of video-assisted debriefing versus oral debriefing following high-fidelity human simulation.
        International Journal of Strategic Information Technology and Applications (IJSITA). 2015; 6: 40-49
        • Dieckmann P.
        • Molin Friis S.
        • Lippert A.
        • Ostergaard D.
        The art and science of debriefing in simulation: Ideal and practice.
        Medical Teacher. 2009; 31: e287-e294
        • Dreifuerst K.T.
        Using debriefing for meaningful learning to foster development of clinical reasoning in simulation.
        The Journal of Nursing Education. 2012; 51: 326-333
        • Facione N.C.
        • Facione P.A.
        The health sciences reasoning test (HSRT): A test of critical thinking skills for health care professionals.
        Millbrae, CA. California Academic Press, 2006
        • Fanning R.M.
        • Gaba D.M.
        The role of debriefing in simulation-based learning.
        Simulation in Healthcare. 2007; 2: 115-125
        • Fey M.K.
        • Scrandis D.
        • Daniels A.
        • Haut C.
        Learning through debriefing: Students' perspectives.
        Clinical Simulation in Nursing. 2014; 10: e249-e256
        • Forneris S.G.
        • Neal D.O.
        • Tiffany J.
        • Kuehn M.B.
        • Meyer H.M.
        • Blazovich L.M.
        • Smerillo M.
        Enhancing clinical reasoning through simulation debriefing: A multisite study.
        Nursing Education Perspectives. 2015; 36: 304-310
        • Gardner R.
        Introduction to debriefing.
        Seminars in Perinatology. 2013; 37: 166-174
        • Meakim C.
        • Boese T.
        • Decker S.
        • Franklin A.E.
        • Gloe D.
        • Lioce L.
        • Borum J.C.
        Standards of best practice: Simulation standard I: Terminology.
        Clinical Simulation in Nursing. 2013; 9: S3-S11
        • Moher D.
        • Liberati A.
        • Tetzlaff J.
        • Altman D.G.
        • the PRISMA Group
        Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement.
        Annals of Internal Medicine. 2009; 151: 264-269
        • Morse K.J.
        Structured model of debriefing on perspective transformation for NP students.
        Clinical Simulation in Nursing. 2015; 11: 172-179
        • Neill M.A.
        • Wotton K.
        High-fidelity simulation debriefing in nursing education: A literature review.
        Clinical Simulation in Nursing. 2011; 7: e161-e168
        • NLN
        Debriefing across the curriculum. A living document from the National League for Nursing.
        2015 (Retrieved from)
        • Raemer D.
        • Anderson M.
        • Cheng A.
        • Fanning R.
        • Nadkarni V.
        • Savoldelli G.
        Research regarding debriefing as part of the learning process.
        Simulation in Healthcare. 2011; 6: S52-S57
        • Reed S.J.
        Comparison of debriefing methods following simulation: Development of pilot instrument.
        Doctoral thesis. Case Western Reserve University, Cleveland, OH2009
        • Reed S.J.
        Debriefing Experience Scale: Development of a tool to evaluate the student learning experience in debriefing.
        Clinical Simulation in Nursing. 2012; 8: e211-e217
        • Reed S.J.
        • Andrews C.M.
        • Ravert P.
        Debriefing simulations: Comparison of debriefing with video and debriefing alone.
        Clinical Simulation in Nursing. 2013; 9: e585-e591
        • Royle C.
        • Hargiss K.
        Comparison of baccalaureate nursing students' experience of video-assisted debriefing versus oral debriefing following high-fidelity human simulation.
        International Journal of Strategic Information Technology and Applications (IJSITA). 2015; 6: 40-49
        • Rudolph J.W.
        • Simon R.
        • Rivard P.
        • Dufresne R.L.
        • Raemer D.B.
        Debriefing with good judgment: Combining rigorous feedback with genuine inquiry.
        Anesthesiology Clinics. 2007; 25: 361-376
        • Shinnick M.A.
        • Woo M.
        • Horwich T.B.
        • Steadman R.
        Debriefing: The most important component in simulation?.
        Clinical Simulation in Nursing. 2011; 7: e105-e111
        • Simon R.
        • Raemer D.
        • Rudolph J.
        Debriefing assessment for simulation in healthcare: Rater version.
        Center for Medical Simulation, Cambridge, MA2009
        • Simon R.
        • Raemer D.
        • Rudolph J.
        Debriefing assessment for simulation in Healthcare© (DASH)©.
        in: Rater's handbook. The Center For Medical Simulation, Boston, MA2010
        • Waznonis A.R.
        Simulation debriefing practices in traditional baccalaureate nursing programs: National survey results.
        Clinical Simulation in Nursing. 2015; 11: 110-119