Twelve tips for facilitating and implementing clinical debriefing programmes

被引:25
作者
Coggins, Andrew [1 ]
Zaklama, Ramez [1 ]
Szabo, Rebecca A. [2 ,3 ]
Diaz-Navarro, Cristina [4 ]
Scalese, Ross J. [5 ]
Krogh, Kristian [6 ,7 ]
Eppich, Walter [8 ,9 ]
机构
[1] Univ Sydney, Sydney Med Sch, Discipline Emergency Med, Sydney, NSW, Australia
[2] Univ Melbourne, Royal Womens Hosp, Dept Obstet & Gynaecol, Melbourne, Vic, Australia
[3] Univ Melbourne, Royal Womens Hosp, Dept Med Educ, Melbourne, Vic, Australia
[4] Cardiff & Vale Univ Hlth Board, Dept Perioperat Care, Cardiff, Wales
[5] Univ Miami, Miller Sch Med, Michael S Gordon Ctr Simulat & Innovat Med Educ, Miami, FL 33136 USA
[6] Aarhus Univ Hosp, Dept Anaesthesiol & Intens Care, Aarhus, Denmark
[7] Aarhus Univ, Res Ctr Emergency Med, Aarhus, Denmark
[8] Northwestern Univ, Dept Pediat, Feinberg Sch Med, Chicago, IL 60611 USA
[9] Northwestern Univ, Dept Med Educ, Feinberg Sch Med, Chicago, IL 60611 USA
关键词
Debriefing; continuing education; communication skills; work-based learning; PEDIATRIC EMERGENCY-DEPARTMENT; HEALTH-CARE SIMULATION; CRITICAL INCIDENTS; LEARNING OUTCOMES; PERFORMANCE; STRESS; EDUCATION; SURVIVAL; VICTIMS; IMPACT;
D O I
10.1080/0142159X.2020.1817349
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Contemporary clinical practice places a high demand on healthcare workforces due to complexity and rapid evolution of guidelines. We need embedded workplace practices such as clinical debriefing (CD) to support everyday learning and patient care. Debriefing, defined as a 'guided reflective learning conversation', is most often undertaken in small groups following simulation-based experiences. However, emerging evidence suggests that debriefing may also enhance learning in clinical environments where facilitators need to simultaneously balance psychological safety, learning goals and emotional well-being. This twelve tips article summarises international experience collated at the recent Association for Medical Education in Europe (AMEE) debriefing symposium. These tips encompass the benefits of CD, as well as suggested approach to facilitation. Successful CD programmes are frequently team focussed, interdisciplinary, implemented in stages and use a clear structure.
引用
收藏
页码:509 / 517
页数:9
相关论文
共 79 条
[1]  
American Heart Association, 2018, HOT DEBR FORM EX GET
[2]  
[Anonymous], 2014, CLIN SIMULATION NURS
[3]  
[Anonymous], 2005, ADV PATIENT SAFETY R
[4]  
[Anonymous], 2016, ADV SIMULATION
[5]   Randomised controlled trial of psychological debriefing for victims of acute burn trauma [J].
Bisson, JI ;
Jenkins, PL ;
Alexander, J ;
Bannister, C .
BRITISH JOURNAL OF PSYCHIATRY, 1997, 171 :78-81
[6]  
Carlier IVE, 1998, STRESS MEDICINE, V14, P143, DOI 10.1002/(SICI)1099-1700(199807)14:3<143::AID-SMI770>3.3.CO
[7]  
2-J
[8]  
Cheng A, 2015, J CARDIOTHOR SURG, V10, pA25
[9]   Debriefing for technology-enhanced simulation: a systematic review and meta-analysis [J].
Cheng, Adam ;
Eppich, Walter ;
Grant, Vincent ;
Sherbino, Jonathan ;
Zendejas, Benjamin ;
Cook, David A. .
MEDICAL EDUCATION, 2014, 48 (07) :657-666
[10]   The Way Forward for Simulation & Gaming (S&G) [J].
Clapper, Timothy C. .
SIMULATION & GAMING, 2016, 47 (01) :3-30