Featured ArticleThe Importance of Debriefing in Clinical Simulations
Section snippets
Method
Following institutional review board approval, 11 senior-level students concurrently enrolled in a pediatric clinical course and its corresponding pediatric theory course consented to participate in the study. Prior to consenting to participate, students were informed that if they participated in the study, they would receive oral debriefing at the conclusion of each simulation, which is a standard component of each simulation, and would also have their performance videotaped during each
Results
Content analysis of students' comments while watching their performance on the videotape during the focus groups suggested that students experienced stress and felt too intimidated to perform spontaneously in the presence of faculty during the simulations. On review of their performance, students stated that it appeared as if they were not doing anything or did not seem to know what they were doing. Content analysis also revealed three critical components that influenced students' learning
Discussion
The analyses of these qualitative findings have provided an initial step in understanding students' immediate perceptions about the differences in modes of debriefing. However, these results should be considered beginning results; further exploration in future studies is needed to provide a more complete understanding of this phenomenon. As anticipated, debriefing was a critical component that influenced students' learning though participation in the simulations. Students' comments during the
Implications for Nurse Educators
For nurse educators involved in clinical simulations, this study's findings suggest they need to be aware that students' overall satisfaction and learning outcomes are dependent on faculty's direction during the simulation as well as feedback and analysis at the completion of each simulation. Students described without hesitancy their need for direction and assistance during the simulation as well as debriefing at its conclusion to help them decompress and emphasized the importance of these
Conclusion
Clinical simulation as a teaching–learning strategy in nursing education continues to be refined and expanded. As noted in published literature and validated by the findings in this study, debriefing is crucial to the teaching–learning process in clinical simulations and highly valued by students. Debriefing's role in clinical simulation requires further exploration. Of importance for further investigation is the nature of the feedback and the interactions among and between faculty and students
References (18)
Clinical simulations: Development and validation
Nurse Education Today
(2001)- et al.
Maximizing results with focus groups: Moderators and analysis issues
Applied Nursing Research
(2001) - et al.
Strengths and weaknesses of faculty teaching performance reported by undergraduate and graduate nursing students: A descriptive study
Journal of Professional Nursing
(2004) - et al.
Effects of computer-based clinical conferencing on nursing students' self-efficacy
Journal of Nursing Education
(2004) Issues in reflection and debriefing: How nurse educators structure experiential activities
Nurse Education in Practice
(2004)- Cantrell, M. A., Meakim, C., & Cash, K. (2008). Students' perceived efficacy of pediatric-based clinical simulations....
- et al.
Clinical teaching by simulation: Lessons learned from a complex patient care scenario
Nursing Education Perspectives
(2006) Nursing students' perceptions of difficult or challenging clinical situations
Journal of Advanced Nursing
(1996)Videotaping return demonstrations
Nurse Educator
(1993)
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Cite this article:
Cantrell, M. A. (2008, July). The importance of debriefing in clinical simulations. Clinical Simulation in Nursing, 4(2). doi: 10.1016/j.ecns.2008.06.006