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Simulation Debriefing

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by

James Cooke

on 1 November 2013

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Transcript of Simulation Debriefing

Debriefing
Why is debriefing important?
Release tension
Reflect on what occurred
Sort and clarify thinking
Reinforce Teaching Points
Identify take aways to apply to real world
Principles of debriefing
Learning Occurs
Facilitator
Types of Debriefing
Format
Facilitator
Characteristics - calm, open, encouraging
Function - setting expectations, keeping the discussion on track, and summarizing
Three main types of debriefing questions
Clarifying - Help me understand what was happening here, what did you notice
Leading - What were you considering here, What would you have done if...
Exploring - How were you feeling? Has this happened before? How would you apply this?
Typical debriefing format
Defuse - get initial reactions, allow learners to unload, opens them up for discussion and eliminates barriers to learning
Inquire
Summarize - 'take home messages' 'facts to die for' 'what did you learn' ...about yourself, your team, your patients, your hospital...
Recipes for success
Ask what learners were seeing/thinking as this may not be known to the team or facilitator (i.e. they may have been right)
5% Rule - keep the fact that there is a 5% chance that you could be wrong in the back of your mind when clarifying
Don't lecture
Gently engage silent participants
If learners take three lessons from the simulation, the session was a success
Lessons may not always be on the objectives list (adapt to the situation)
James Cooke, MD
Kathy Lee, BSN RN
Debra Yake, RN
Don'ts
What were you thinking?
Why did you give the wrong drug?
Can you tell me what you did wrong?
Don't you care about...
Do you like to kill patients?
How did you get this job?
Do's
Help me understand what you were seeing at this point
What was going on when this occurred
Have you ever seen this occur
I didn't see/hear PE discussed as a possibility...
I'm curious about ...
References:
- Difficult Conversations: How to Discuss What Matters Most, Douglas Stone, Bruce Patton, Sheila Heen
-Post simulation debriefing to maximize clinical judgement development. Lusk JM, Fater K. Nurse Educator Vol. 38, No. 1, pp. 16-19
Summary - Each of you give me one take-away point.
How did that go/feel -or- What stood out?
What went well that we could build on?
What could have gone better?
What will you take away from this
How comfortable were you with this prior to the simulation and after (scale of 1-10)?
Basic debrief outline:

Questions

Full transcript