Featured Article| Volume 25, P12-19, December 2018

Effects of Prebriefing on Psychological Safety and Learning Outcomes

Published:November 10, 2018DOI:


      • Implementing structured prebriefing activities including concept mapping and fiction contract resulted in improvement of team psychological safety and cardiopulmonary resuscitation performance.
      • Academic safety scores including two subscales—1) academic safety and comfort and 2) anxiety—were compared of which only academic safety and comfort subscale showed significant improvements.
      • Our results did not support the effect of structured prebriefing activities on satisfaction with debriefing.



      Prebriefing is an essential strategy recommended for simulation-based education for learner's psychological safety and learning outcomes.


      The experimental group received prebriefing activities consisting of skills practice, scenario review and concept mapping, orientation on simulation environment and equipment, and fiction contract. Control group had the same prebriefing activities except concept mapping and fiction contract.


      Nursing students in the experimental group showed higher team psychological safety and cardiopulmonary resuscitation performance. However, there were no differences in overall academic safety or satisfaction with debriefing scores.


      Prebriefing strategies that incorporate the fiction contract and concept mapping could help nursing students to improve team psychological safety and performance.


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