Promoting excellence and reflective learning in simulation (PEARLS): Development and rationale for a blended approach to health care simulation debriefing

Simulation in Healthcare

Volumn 10, Issue 2, 2015, Pages 106-115

  Eppich, Walter ^a   Cheng, Adam ^b  

^a CHILDREN'S MEMORIAL HOSPITAL   (United States)

^b ALBERTA CHILDREN'S HOSPITAL   (Canada)

Author keywords

Debriefing; Debriefing script; Feedback; Health care simulation

Indexed keywords

CLINICAL COMPETENCE; CONSTRUCTIVE FEEDBACK; EDUCATION; HUMAN; LEARNING; MEDICAL EDUCATION; PROCEDURES; SIMULATION TRAINING; TEACHING;

CLINICAL COMPETENCE; EDUCATION, MEDICAL; EDUCATIONAL MEASUREMENT; FORMATIVE FEEDBACK; HUMANS; LEARNING; PATIENT SIMULATION; SIMULATION TRAINING;

EID: 84927937259     PISSN: 15592332     EISSN: 1559713X     Source Type: Journal    
DOI: 10.1097/SIH.0000000000000072     Document Type: Article

References (76)

1. Dreifuerst KT. The essentials of debriefing in simulation learning: a concept analysis. Nurs Educ Perspect 2009;30(2):109-114.
2. Steinwachs B. How to facilitate a debriefing. Simul Gaming 1992;23: 186-195.
3. Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc 2007;2(2):115-125.
4. Rudolph JW, Simon R, Dufresne RL, Raemer DB. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Simul Healthc 2006;1(1):49-55.
5. Dieckmann P, Molin Friis S, Lippert A, Ostergaard D. The art and science of debriefing in simulation: ideal and practice. Med Teach 2009;31(7):e287Ye294.
6. Ahmed M, Sevdalis N, Paige J, Paragi-Gururaja R, Nestel D, Arora S. Identifying best practice guidelines for debriefing in surgery: a tri-continental study. Am J Surg 2012;203(4):523-529.
7. Arafeh JM, Hansen SS, Nichols A. Debriefing in simulated-based learning: facilitating a reflective discussion. J Perinat Neonatal Nurs 2010;24(4):302-309.
8. Zigmont JJ, Kappus LJ, Sudikoff SN. The 3D model of debriefing: defusing, discovering, and deepening. Semin Perinatol 2011;35(2):52-58.
9. Yardley S, Teunissen PW, Dornan T. Experiential learning: AMEE guide no. 63. Med Teach 2012;34(2):e102Ye115.
10. Kolb D. Experiential Learning: Experience as a Source of Learning and Development. Upper Saddle River, NJ: Prentice Hall; 1984.
11. Jarvis P. Adult and Continuing Education: Theory and Practice. 2nd ed. New York: Routledge; 1999.
12. Yardley S, Teunissen PW, Dornan T. Experiential learning: transforming theory into practice. Med Teach 2012;34(2):161-164.
13. Raemer D, Anderson M, Cheng A, Fanning R, Nadkarni V, Savoldelli G. Research regarding debriefing as part of the learning process. Simul Healthc 2011;6(suppl):S52YS57.
14. Tannenbaum SI, Cerasoli CP. Do team and individual debriefs enhance performance? A meta-analysis. Hum Factors 2013;55(1):231-245.
15. van de Ridder JM, Stokking KM, McGaghie WC, ten Cate OT. What is feedback in clinical education? Med Educ 2008;42(2):189-197.
16. Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach 2005;27(1):10-28.
17. McGaghieWC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003-2009. Med Educ 2010;44(1):50-63.
18. Edelson DP, Litzinger B, Arora V, et al. Improving in-hospital cardiac arrest process and outcomes with performance debriefing. Arch Intern Med 2008;168(10):1063-1069.
19. Edelson DP, Lafond CM. Deconstructing debriefing for simulation-based education. JAMA Pediatr 2013;167:586-587.
20. Morrison JE, Meliza LL. Foundations of the After Action Review Process (Special Report 42). Alexandria, VA: US Army Research Institute for Behavioral and Social Sciences; 1999:42.
21. Salas E, Klein C, King H, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf 2008;34(9):518-527.
22. Ericsson KA. Deliberate practice and acquisition of expert performance: a general overview. Acad Emerg Med 2008;15(11):988-994.
23. McGaghie WC. Research opportunities in simulation-based medical education using deliberate practice. Acad Emerg Med 2008;15(11):995-1001.
24. Siassakos D, Bristowe K, Draycott T, et al. Clinical efficiency in a simulated emergency and relationship to team behaviours: a multisite cross-sectional study. BJOG 2011;118(5):596-607.
25. Hunt EA, Fiedor-Hamilton M, Eppich WJ. Resuscitation education: narrowing the gap between evidence-based resuscitation guidelines and performance using best educational practices. Pediatr Clin North Am 2008;55(4):1025-1050 xii.
26. McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med 2011;86(6):706-711.
27. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med 2004;79(suppl 10):S70YS81.
28. Rudolph JW, Simon R, Raemer DB, Eppich WJ. Debriefing as formative assessment: closing performance gaps in medical education. Acad Emerg Med 2008;15(11):1010-1016.
29. Salas E, DiazGranados D, Klein C, et al. Does team training improve team performance? A meta-analysis. Hum Factors 2008;50(6):903-933.
30. Ellis S, Davidi I. After-event reviews: drawing lessons from successful and failed experience. J Appl Psychol 2005;90(5):857-871.
31. Flanagan B. Debriefing: theory and techniques. In: Riley RH, ed. A Manual of Simulation in Healthcare. New York: Oxford University Press USA; 2008:155-170.
32. Van Heukelom JN, Begaz T, Treat R. Comparison of postsimulation debriefing versus in-simulation debriefing in medical simulation. Simul Healthc 2010;5(2):91-97.
33. Walsh CM, Ling SC, Wang CS, Carnahan H. Concurrent versus terminal feedback: it may be better to wait. Acad Med 2009;84(suppl 10):S54YS57.
34. Ahmed M, Sevdalis N, Vincent C, Arora S. Actual vs perceived performance debriefing in surgery: practice far from perfect. Am J Surg 2013;205(4):434-440.
35. Husebo SE, Dieckmann P, Rystedt H, Soreide E, Friberg F. The relationship between facilitators' questions and the level of reflection in postsimulation debriefing. Simul Healthc 2013;8(3):135-142.
36. Brett-Fleegler M, Rudolph J, Eppich W, et al. Debriefing assessment for simulation in healthcare: development and psychometric properties. Simul Healthc 2012;7(5):288-294.
37. Arora S, Ahmed M, Paige J, et al. Objective structured assessment of debriefing: bringing science to the art of debriefing in surgery. Ann Surg 2012;256(6):982-988.
38. Dieckmann P. Simulation settings for learning in acute medical care. In: Dieckmann P, ed. Using Simulations for Education, Training, and Research. Lengerich: Pabst; 2009.
39. SimonR, RaemerD, B, RudolphJW.Debriefing assessment for simulation in healthcare: rater handbook. 2009. From https://harvardmedsim.org/-media/DASH.handbook.2010.Final.Rev.2.pdf. Accessed September 27, 2012.
40. Wickers MP. Establishing a climate for a successful debriefing. Clin Simul Nurs 2010;6:e83Ye86.
41. Rudolph JW, Simon R, Rivard P, Dufresne RL, Raemer DB. Debriefing with good judgment: combining rigorous feedback with genuine inquiry. Anesthesiol Clin 2007;25(2):361-376.
42. Rall M, Manser T, Howard SK. Key elements of debriefing for simulator training. Eur J Anaesthesiol 2000;17(8):516-517.
43. Baron RA. Negative effects of destructive criticism: impact on conflict, self-efficacy, and task performance. J Appl Psychol 1988;73(2):199-207.
44. Ende J. Feedback in clinical medical education. JAMA 1983;250(6):777-781.
45. Eva KW, ArmsonH, Holmboe E, et al. Factors influencing responsiveness to feedback: on the interplay between fear, confidence, and reasoning processes. Adv Health Sci Educ Theory Pract 2012;17(1):15-26.
46. Kluger AN, Van Dijk D. Feedback, the various tasks of the doctor, and the feedforward alternative. Med Educ 2010;44(12):1166-1174.
47. Cheng A, Hunt EA, Donoghue A, et al. Examining pediatric resuscitation education using simulation and scripted debriefing: a multicenter randomized trial. JAMA Pediatr 2013;167: 1-9.
48. Cheng A, Rodgers DL, van der Jagt E, EppichW, O'Donnell J. Evolution of the Pediatric Advanced Life Support course: enhanced learning with a new debriefing tool andWeb-based module for Pediatric Advanced Life Support instructors. Pediatr Crit Care Med 2012;13(5):589-595.
49. Gaba DM, Howard SK, Fish KJ, Smith BE, Sowb YA. Simulation-based training in anesthesia crisis resource management: a decade of experience. Simul Gaming 2001;32(2):175-193.
50. Lederman LC. Debriefing: toward a systematic assessment of theory and practice. Simul Gaming 1992;23: 145-160.
51. Dismukes RK, Gaba DM, Howard SK. So many roads: facilitated debriefing in healthcare. Simul Healthc 2006;1(1):23-25.
52. Fanning RM, Gaba DM. Debriefing. In: Gaba DM, Fish KJ, Howard SK, Burden AR, eds. Crisis Management in Anesthesiology. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2015:65-78.
53. Mullan PC, Wuestner E, Kerr TD, Christopher DP, Patel B. Implementation of an in situ qualitative debriefing tool for resuscitations. Resuscitation 2013;84(7):946-951.
54. Ahmed M, Arora S, Russ S, Darzi A, Vincent C, Sevdalis N. Operation debrief: a SHARP improvement in performance feedback in the operating room. Ann Surg 2013;258(6):958-963.
55. Kolbe M, Weiss M, Grote G, et al. TeamGAINS: a tool for structured debriefings for simulation-based team trainings. BMJ Qual Saf 2013;22(7):541-553.
56. Sawyer TL, Deering S. Adaptation of the US Army's After-Action Review for simulation debriefing in healthcare. Simul Healthc 2013;8(6):388-397.
57. Dieckmann P, Reddersen S, Zieger J, Rall M. Video-assisted debriefing in simulation-based training of crisis resource management. In: Kyle RR, Murray WB, eds. Clinical Simulation: Operations, Engineering, and Management. Burlington: Academic Press; 2008:667-676.
58. Hamilton NA, Kieninger AN, Woodhouse J, Freeman BD, Murray D, Klingensmith ME. Video review using a reliable evaluation metric improves team function in high-fidelity simulated trauma resuscitation. J Surg Educ 2012;69(3):428-431.
59. Savoldelli GL, Naik VN, Park J, Joo HS, Chow R, Hamstra SJ. Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback. Anesthesiology 2006;105(2):279-285.
60. Sawyer T, Sierocka-Castaneda A, Chan D, Berg B, Lustik M, Thompson M. The effectiveness of video-assisted debriefing versus oral debriefing alone at improving neonatal resuscitation performance: a randomized trial. Simul Healthc 2012;7(4):213-221.
61. Eppich W, O'Connor L, Adler M. Providing effective simulation activities. In: Forrest K, McKimm J, Edgar S, eds. Essential Simulation in Clinical Education. Chichester: Wiley-Blackwell; 2013:213-234.
62. Dieckmann P. Debriefing olympics-a workshop concept to stimulate the adaptation of debriefings to learning contexts. Simul Healthc 2012;7(3):176-182.
63. Hewson MG, Little ML. Giving feedback in medical education: verification of recommended techniques. J Gen Intern Med 1998;13(2):111-116.
64. Archer JC. State of the science in health professional education: effective feedback. Med Educ 2010;44(1):101-108.
65. Dolmans DH, De Grave W, Wolfhagen IH, van der Vleuten CP. Problem-based learning: future challenges for educational practice and research. Med Educ 2005;39(7):732-741.
66. Estes C. Promoting student-centered learning in experiential education. J Experiential Educ 2004;27(2):141-160.
67. Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA 2006;296(9):1094-1102.
68. Duffy FD, Holmboe ES. Self-assessment in lifelong learning and improving performance in practice: physician know thyself. JAMA 2006;296(9):1137-1139.
69. Eva KW, Regehr G. Self-assessment in the health professions: a reformulation and research agenda. Acad Med 2005;80(suppl 10): S46YS54.
70. McDonnell LK, Jobe KK, Dismukes RK. Facilitating LOS Debriefings: A Training Manual. Moffett Field, CA. National Aeronautical and Space Administration; 1997.
71. Smith-Jentsch KA, Cannon-Bowers JA, Tannenbaum SI, Salas E. Guided team self-correction: impacts on team mental models, processes, and effectiveness. Small Group Research 2008;39(3):303-327.
72. Kriz WC. A systemic-constructivist approach to facilitation and debriefing of simulations and games. Simul Gaming 2008;41(5):663-680.
73. Rudolph JW, Raemer DB, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc 2014;9(6):339-349.
74. van Merrienboer JJ, Sweller J. Cognitive load theory in health professional education: design principles and strategies. Med Educ 2010;44(1):85-93.
75. Bearman M, Ajjawi R. Avoiding tokenism in health professional education. Med Educ 2013;47(1):9-11.
76. Molloy E, Borrell-Carrio F, Epstein R. The impact of emotions in feedback. In: Boud D, Molloy E, eds. Feedback in Higher and Professional Education: Understanding It and Doing It Well. London and New York: Routledge; 2013:50-71.