Impact of simulation debriefing structure on knowledge and skill acquisition for postgraduate critical care nursing students: three-phase vs. multiphase

被引:12
作者
Guerrero, Jefferson Garcia [1 ]
Tungpalan-Castro, Grace Medalyn [1 ]
Pingue-Raguini, Minerva [1 ]
机构
[1] Fakeeh Coll Med Sci, Nursing Dept, Jeddah 23323, Saudi Arabia
关键词
High fidelity simulation; Debriefing structure; Constructive criticism; Knowledge acquisition; Skills development; Clinical competence; LEARNING OUTCOMES; EDUCATION; SATISFACTION;
D O I
10.1186/s12912-022-01100-z
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background Simulation is part of the training provided to nurses enrolled in the master's degree for critical care nursing programmes at our institution. Although the students are practicing nurses, many still make mistakes when performing nursing procedures related to critical care during simulation sessions, and these mistakes must be addressed during the debriefing session. The aim of the study is to compare the knowledge and skills acquired by groups of postgraduate critical care nursing students who were exposed to high-fidelity simulation (HFS) by using different debriefing structures. Methods A quasi-experimental crossover design was utilised during the post-tests and objective structured clinical examinations (OSCEs). The students were divided into two groups: one was exposed to HFS with a 3-phase debriefing, and the other was exposed to HFS with a multiphase debriefing. Both groups involved facilitator-guided and video-assisted debriefings. Results Overall, the post-test scores (p-value: Phase 1 = 0.001 and Phase 2 = 0.000) and post-OSCE scores (p-value: Phase 1 = 0.002 and Phase 2 = 0.002) support that the group of postgraduate students who underwent HFS with a multiphase debriefing structure gained significantly higher scores compared to the group who underwent HFS with a 3-phase debriefing structure. Conclusion Debriefing is a critical component of successful simulation. Learning requires assessment that creates constructive criticism based on feedback and reflection. A multiphase debriefing structure, specifically the healthcare simulation after-action review, provides a significant advantage for knowledge and skills acquisition.
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页数:9
相关论文
共 51 条
[1]   The impact of debriefing modalities on nurse practitioner students' knowledge and leadership skills in managing fatal dysrhythmias: A pilot study [J].
Ali, Abeer Alhaj ;
Miller, Elaine ;
Ballman, Kathleen ;
Bakas, Tamilyn ;
Geis, Gary ;
Ying, Jun .
NURSE EDUCATION IN PRACTICE, 2020, 42
[2]   The role of simulation in developing communication and gestural skills in medical students [J].
Bagnasco, Annamaria ;
Pagnucci, Nicola ;
Tolotti, Angela ;
Rosa, Francesca ;
Torre, Giancarlo ;
Sasso, Loredana .
BMC MEDICAL EDUCATION, 2014, 14
[3]   Simulation: Enhancing Pediatric, Advanced, Practice Nursing Education [J].
Beauchesne, Michelle A. ;
Douglas, Brenda .
NEWBORN AND INFANT NURSING REVIEWS, 2011, 11 (01) :28-34
[4]  
Chameides Leon., 2011, Pediatric Advanced Life Support Provider Manual
[5]   Evolution of the Pediatric Advanced Life Support course: Enhanced learning with a new debriefing tool and Web-based module for Pediatric Advanced Life Support instructors [J].
Cheng, Adam ;
Rodgers, David L. ;
van der Jagt, Elise ;
Eppich, Walter ;
O'Donnell, John .
PEDIATRIC CRITICAL CARE MEDICINE, 2012, 13 (05) :589-595
[6]   A COEFFICIENT OF AGREEMENT FOR NOMINAL SCALES [J].
COHEN, J .
EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT, 1960, 20 (01) :37-46
[7]   Standards of Best Practice: Simulation Standard VI: The Debriefing Process [J].
Decker, Sharon ;
Fey, Mary ;
Sideras, Stephanie ;
Caballero, Sandra ;
Rockstraw, Leland ;
Boese, Teri ;
Franklin, Ashley E. ;
Gloe, Donna ;
Lioce, Lori ;
Sando, Carol R. ;
Meakim, Colleen ;
Borum, Jimmie C. .
CLINICAL SIMULATION IN NURSING, 2013, 9 (06) :S26-S29
[8]  
Dismukes R Key, 2006, Simul Healthc, V1, P23
[9]   Using Debriefing for Meaningful Learning to Foster Development of Clinical Reasoning in Simulation [J].
Dreifuerst, Kristina Thomas .
JOURNAL OF NURSING EDUCATION, 2012, 51 (06) :326-333
[10]   Successful debriefing - Best methods to achieve positive learning outcomes A literature review [J].
Dufrene, Claudine ;
Young, Anne .
NURSE EDUCATION TODAY, 2014, 34 (03) :372-376