Highlights
- •Self-debrief can be combined with an in-person group debrief.
- •Self-debrief plus group debrief can optimize learning.
- •Evidence-informed debriefing options are available for educators to consider.
Abstract
Background
Self-debrief alone and in combination with group debrief methods has not been well
explored. Self-debrief requires self-assessment and reflection by the learner where
one's strengths and areas for growth are identified. These skills are critical to
the development of reflexive practitioners.
Method
A mixed methods study was conducted to examine debriefing methods. Participants completed
a prenatal virtual gaming simulation and then were randomly assigned by lab section
to one of three debriefing methods: self-debrief, self-debrief and small-group debrief,
self-debrief and large-group debrief. Data were collected regarding two outcomes:
prenatal knowledge and the debriefing experience.
Results
All groups made significant knowledge gains. The self-debrief–only participants had
the lowest debriefing experience scores. The small- and large-group debriefing after
self-debriefing offered many benefits.
Conclusion
Self-debrief after a virtual simulation encourages reflection and self-awareness.
Combining self-debrief with a small- or large-group debrief can optimize the learning
experience.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical Simulation In NursingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Student’s participation in classroom: what motivates them to speak up?.Procedia - Social and Behavioral Sciences. 2012; 51: 516-522
- A systematic review of the literature related to the NLN/Jeffries simulation framework.Nursing Education Perspectives. 2015; 36: 281-291https://doi.org/10.5480/15-1655
- Simulation debriefing for clinical judgment development: a concept analysis.Nurse Education Today. 2016; 45: 42-47https://doi.org/10.1016/j.nedt.2016.06.008
- “I will go if I don't have to talk”: nursing students' perceptions of reflective, debriefing discussions and intent to participate.Nurse Education Today. 2018; 70: 96-102https://doi.org/10.1016/j.nedt.2018.08.019
- From game design to gamification and serious games-how game design principles apply to educational gaming.in: Conference proceedings of »eLearning and Software for Education« (eLSE) 01. 2016: 334-341
- Looking in the mirror: self-debriefing versus instructor debriefing for simulated crises.Critical Care Medicine. 2011; 39: 1377-1388https://doi.org/10.1097/CCM.0b013e31820eb8be
- Examination of the quality of multiple-choice items on classroom tests.The Canadian Journal for the Scholarship of Teaching and Learning. 2011; 2: 1-23https://doi.org/10.5206/cjsotl-rcacea.2011.2.4
- Online virtual simulation and diagnostic reasoning: a scoping review.Clinical Simulation in Nursing. 2016; 12: 377-384https://doi.org/10.1016/j.ecns.2016.04.001
- Promoting excellence and reflective learning in simulation (PEARLS): development and rationale for a blended approach to health care simulation debriefing.Simulation in Healthcare. 2015; 10: 106-115https://doi.org/10.1097/SIH.0000000000000072
- INACSL standards of best practice: Simulation Debriefing.Clinical Simulation in Nursing. 2016; 12: S21-S25https://doi.org/10.1016/j.ecns.2016.09.008
- A systematic review of the experience of using second life in the education of undergraduate nurses.Journal of Nursing Education. 2015; 54: 572-577https://doi.org/10.3928/01484834-20150916-05
- Sharing student performance information in simulation: a debate.Clinical Simulation in Nursing. 2018; 17: 58-62https://doi.org/10.1016/j.ecns.2017.12.003
- Effectiveness of a second life? Simulation as a teaching strategy for undergraduate mental health nursing students.Journal of Psychosocial Nursing & Mental Health Services. 2012; 50: 28-37https://doi.org/10.3928/02793695-20120605-04
- Experiential Learning: Experience as the Source of Learning and Development.2nd ed. Pearson Education, Upper Saddle River, NJ2015
- Self- debriefing in virtual simulation.Nurse Educator. 2018; ([Epub ahead of print].): 1-3https://doi.org/10.1097/NNE.0000000000000639
- Nursing students' perceptions of learning after high fidelity simulation: effects of a three-step post-simulation reflection model.Nurse Education Today. 2016; 40: 219-224https://doi.org/10.1016/j.nedt.2016.03.011
- Asynchronous online debriefing with health care workers: lessons learned.Clinical Simulation in Nursing. 2018; 20: 38-45https://doi.org/10.1016/j.ecns.2018.04.007
- Self- debriefing vs instructor debriefing in a pre-internship simulation curriculum: night on call.Hawaii Journal of Medicine & Public Health. 2016; 75: 127-132
- Students' perceptions of their learning experiences using high-fidelity simulation to teach concepts relative to obstetrics.Nursing Education Perspectives. 2011; 32: 186-188https://doi.org/10.5480/1536-5026-32.3.186
- Assessing readiness for self-directed learning within a non-traditional nursing cohort.Nurse Education Today. 2015; 35: e1-e7https://doi.org/10.1016/j.nedt.2014.12.003
- Debriefing simulations: comparison of debriefing with video and debriefing alone.Clinical Simulation in Nursing. 2013; 9: e585-e591https://doi.org/10.1016/j.ecns.2013.05.007
- Debriefing experience scale: development of a tool to evaluate the student learning experience in debriefing.Clinical Simulation in Nursing. 2012; 8: e211-e217https://doi.org/10.1016/j.ecns.2011.11.002
- Survey of factors influencing learner engagement with simulation debriefing among nursing students.Nursing Health Science. 2017; 19: 485-491https://doi.org/10.1111/nhs.12371
- Second life virtual learning in public health nursing.Journal of Nursing Education. 2016; 55: 536-540https://doi.org/10.3928/01484834-20160816-09
- Emerging evidence toward a 2:1 clinical to simulation ratio: a study comparing the traditional clinical and simulation settings.Clinical Simulation in Nursing. 2019; 30: 34-41https://doi.org/10.1016/j.ecns.2019.03.003
- Debriefing in simulation conducted in small and large groups - nursing students’ experiences.Journal of Nursing Education and Practice. 2014; 4: 173-182https://doi.org/10.5430/jnep.v4n9p173
- Virtual gaming simulation in nursing education: a focus group study.Journal of Nursing Education. 2017; 56: 274-280https://doi.org/10.3928/01484834-20170421-04
- Virtual gaming simulation: exploring self, virtual and in-person debriefing.Clinical Simulation in Nursing. 2018; 20: 7-14https://doi.org/10.1016/j.ecns.2018.04.006
- Comparison of debriefing methods following a virtual simulation: an experiment.Journal of Clinical Simulation in Nursing. 2018; 19: 1-7https://doi.org/10.1016/j.ecns.2018.03.002
- Simulation debriefing practices in traditional baccalaureate nursing programs: national survey results.Clinical Simulation in Nursing. 2015; 11: 110-119https://doi.org/10.1016/j.ecns.2014.10.002
- Mixed Methods: Integrating Quantitative and Qualitative Data Collection and Analysis While Studying Patient-Centered Medical Home Models.(AHRQ Publication No.13-0028-EF) Agency for Healthcare Research and Quality, Rockville, MD2013
- The 3D model of debriefing: defusing, discovery, and deepening.Seminars in Perinatology. 2011; 35: 52-58https://doi.org/10.1053/j.semperi.2011.01.003
Article info
Publication history
Published online: October 08, 2019
Identification
Copyright
© 2019 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.