DEBRIEFING IN SIMULATION-BASED LEARNING IN NURSING EDUCATION

Authors

  • Suwaluck Eaksamai The Royal Thai Army Nursing College
  • Thitaporn Siriwan The Royal Thai Army Nursing College

Keywords:

simulation-based learning, debriefing, nursing education

Abstract

        Simulation-based learning (SBL) is an instructional technique designed to engage learners and foster the development of knowledge, attitudes, practical skills, critical thinking, and decision-making in nursing practice. Debriefing is a crucial component of SBL that enables learners to achieve learning objectives and integrate theoretical knowledge with clinical nursing practice. This is accomplished through structured reflection, analytical thinking, problem-solving, and performance evaluation. The learner-centered approach ensures that scenarios are tailored to the learners’ levels of knowledge and experience. Facilitators must possess a deep understanding of the scenarios and demonstrate skills in providing constructive feedback, guiding reflective discussions, active listening, using open-ended questions, and offering rationales to support decision-making. Moreover, facilitators should create a psychologically safe environment to maximize learning outcomes. To enhance the debriefing process in SBL, widely accepted models such as the Gather, Analyze, Summarize (GAS) Model and the Promoting Excellence and Reflective Learning in Simulation (PEARLS) framework are recommended. These models provide clear structures and effective methodologies for conducting debriefing, encouraging systematic analytical thinking, and supporting learners in achieving the desired learning outcomes.

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References

Ardonk, W. (2022). Using PEARLS Debriefing in Bedside Teaching. Buddhachinaraj Medical Journal, 40(2), 135–180.

Bajaj, K., Meguerdichian, M., Thoma, B., Huang, S., Eppich, W., & Cheng, A. (2018). The PEARLS healthcare debriefing tool. Academic Medicine, 93(2), 336.

Cheng, A., Eppich, W., Grant, V., Sherbino, J., Zendejas, B., & Cook, D. A. (2014). Debriefing for technology‐enhanced simulation: A systematic review and meta‐analysis. Medical Education, 48(7), 657–666.

Cheng, A., Kolbe, M., Grant, V., Eller, S., Hales, R., Symon, B., Griswold, S., & Eppich, W. (2020). A practical guide to virtual debriefings: Communities of inquiry perspective. Advances in Simulation, 5, 1-9. https://doi.org/10.1186/s41077-020-00141-1

Cheng, A., Morse, K. J., Rudolph, J., Arab, A. A., Runnacles, J., & Eppich, W. (2016). Learner-centered debriefing for health care simulation education: lessons for faculty development. Simulation in Healthcare, 11(1), 32–40.

Dairo, Y. M., Hunter, K., & Ishaku, T. (2024). The impact of simulation-based learning on the knowledge, attitude and performance of physiotherapy students on practice placement. BMC Medical Education, 24, 786. https://doi.org/10.1186/s12909-024-05718-2

Decker, S., Alinier, G., Crawford, S. B., Gordon, R. M., Jenkins, D., & Wilson, C. (2021). Healthcare simulation standards of Best PracticeTM the debriefing process. Clinical Simulation in Nursing, 58, 27–32. https://doi.org/10.1016/j.ecns.2021.08.011

Felix, H. M., Beecham, G. B., & Simon, L. V. (2024). Debriefing theories and philosophies in medical simulation. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK551632/

Fung, J. T. C., Chan, S. L., Takemura, N., Chiu, H. Y., Huang, H. C., Lee, J. E., . . . Lin, C. C. (2023). Virtual simulation and problem-based learning enhance perceived clinical and cultural competence of nursing students in Asia: A randomized controlled cross-over study. Nurse Education Today, 123, 105721.

Ha, E. H. (2014). Attitudes toward Video-Assisted Debriefing after simulation in undergraduate nursing students: An application of Q methodology. Nurse Education Today, 34(6), 978–984. https://doi.org/10.1016/J.NEDT.2014.01.003

Hung, C. C., Kao, H. F. S., Liu, H. C., Liang, H. F., Chu, T. P., & Lee, B. O. (2021). Effects of simulation-based learning on nursing students' perceived competence, self-efficacy, and learning satisfaction: A repeat measurement method. Nurse Education Today, 97, 104725.

Levin, O., & Muchnik-Rozanov, Y. (2023). Professional development during simulation-based learning: Experiences and insights of preservice teachers. Journal of Education for Teaching, 49(1), 120–136.

MacKenna, V., Díaz, D. A., Chase, S. K., Boden, C. J., & Loerzel, V. (2021). Self-debriefing in healthcare simulation: An integrative literature review. Nurse Education Today, 102, 104907. https://doi.org/10.1016/J.NEDT.2021.104907

McDermott, D. S., Ludlow, J., Horsley, E., & Meakim, C. (2021). Healthcare simulation standards of Best PracticeTM prebriefing: Preparation and briefing. Clinical Simulation in Nursing, 58, 9–13. https://doi.org/10.1016/j.ecns.2021.08.008

O’Regan, S., Molloy, E., Watterson, L., & Nestel, D. (2016). Observer roles that optimise learning in healthcare simulation education: A systematic review. Advances in Simulation, 1(1), 1–10. https://doi.org/10.1186/S41077-015-0004-8/TABLES/5

Palaganas, J. C., Fey, M., & Simon, R. (2016). Structured debriefing in simulation-based education. AACN Advanced Critical Care, 27(1), 78–85.

Paul, P. M., Sanchosekar, M., Palo, S., Priyanka, E. M., Nair, D. R., & Sathiya, R. (2024). Effectiveness of Simulation-Based, Peer Learning Intervention in Continuing Nursing Education: An Explorative Study. Cureus, 16(6), e62613. https://doi.org/10.7759/cureus.62613

Phrampus, P. E., & O’Donnell, J. M. (2013). Debriefing Using a Structured and Supported Approach. In A. I. Levine, S. DeMaria, A. D. Schwartz, & A. J. Sim (Eds.), The comprehensive textbook of healthcare simulation (pp. 73–84). New York, NY: Springer. https://doi.org/10.1007/978-1-4614-5993-4_6

Pongtriang, P., Soontorn, T., Sumleepun, J., & Chuson, N. (2024). Emergency scenario-based training curriculum development: Enhancement of Caregivers for the elderly’emergency assistance competency in a rural Thai community. SAGE Open Nursing, 10, 23779608241255636.

Pylman, S. E., & Emery, M. T. (2023). Student perceptions of effective simulation instructor teaching. Simulation in Healthcare, 18(1), 51–57.

Reierson, I. Å., Haukedal, T. A., Hedeman, H., & Bjørk, I. T. (2017). Structured debriefing: What difference does it make? Nurse Education in Practice, 25, 104-110.

Rudolph, J. W., Raemer, D. B., & Simon, R. (2014). Establishing a safe container for learning in simulation: The role of the presimulation briefing. Simulation in Healthcare, 9(6), 339–349.

Ryoo, E. N., & Ha, E. H. (2015). The importance of debriefing in simulation-based learning: Comparison between debriefing and no debriefing. CIN: Computers, Informatics, Nursing, 33(12), 538–545.

Sabei, S. D. A., & Lasater, K. (2016). Simulation debriefing for clinical judgment development: A concept analysis. Nurse Education Today, 45, 42–47.

Sawyer, T., Eppich, W., Brett-Fleegler, M., Grant, V., & Cheng, A. (2016). More than one way to debrief: A critical review of healthcare simulation debriefing methods. Simulation in Healthcare, 11(3), 209–217.

Schertzer, K., & Waseem, M. (2023). Use of video during debriefing in medical simulation. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK554619/

Sikkander Batcha, M. U., Makker, R., & Winnett, G. (2023). Video review in simulation-based education: Perception and experience of participants. MedEdPublish, 13, 304. https://doi.org/10.12688/MEP.19944.1

Smith, M., Mosley, C., & Rogers, C. (2018). SC24 Reducing group size increases the impact of simulation training for foundation trainees. In BMJ simulation and technology enhanced learning (Vol. 4). https://doi.org/10.1136/bmjstel-2018-aspihconf.47

Tosterud, R., Hall-Lord, M. L., Petzäll, K., & Hedelin, B. (2014). Debriefing in simulation conducted in small and large groups - nursing students’ experiences. Journal of Nursing Education and Practice, 4(9), 173-182. https://doi.org/10.5430/jnep.v4n9p173

Verkuyl, M., Hughes, M., Tsui, J., Betts, L., St-Amant, O., & Lapum, J. L. (2017). Virtual gaming simulation in nursing education: A focus group study. Journal of Nursing Education, 56(5), 274–280.

Wei, Z., XU, M., Qi, T., HAN, Y., WANG, Z., & ZHANG, W. (2024). The impact of simulation-based learning on nursing decision-making ability: A meta-analysis. Clinical Simulation in Nursing, 93, 101576.

Wilson, L., & Wittmann-Price, R. A. (2014). Review manual for the certified healthcare simulation EducatorTM (CHSETM) exam.

DEBRIEFING IN SIMULATION-BASED LEARNING

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Published

2024-12-28

How to Cite

Eaksamai, S. ., & Siriwan, T. (2024). DEBRIEFING IN SIMULATION-BASED LEARNING IN NURSING EDUCATION. JOURNAL OF THE POLICE NURSES AND HEALTH SCIENCE, 16(2), 500–513. retrieved from https://he01.tci-thaijo.org/index.php/policenurse/article/view/273727

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Academic Articles