Nurse Educ Today. 2021 Jul;102:104907. doi: 10.1016/j.nedt.2021.104907. Epub 2021 Apr 17.
Self-debriefing in healthcare simulation: An integrative literature review.
Nurse education today
Valorie MacKenna, Desiree A Díaz, Susan K Chase, Carrie J Boden, Victoria Loerzel
Affiliations
Affiliations
- University of Connecticut, School of Nursing, 231 Glenbrook Road, Storrs, CT 06269, USA. Electronic address: [email protected].
- University of Central Florida, College of Nursing, 12201 Research Pkwy Suite 300, Orlando, FL 32826, USA. Electronic address: [email protected].
- University of Central Florida, College of Nursing, 12201 Research Pkwy Suite 300, Orlando, FL 32826, USA. Electronic address: [email protected].
- Texas State University, Department of Organization, Workforce, and Leadership Studies, 601 University Drive, Pedernales 115, San Marcos, TX 78666, USA. Electronic address: [email protected].
- University of Central Florida, College of Nursing, 12201 Research Pkwy Suite 300, Orlando, FL 32826, USA. Electronic address: [email protected].
PMID: 33901867
DOI: 10.1016/j.nedt.2021.104907
Abstract
OBJECTIVES: Debriefing is an essential component of simulation-based education. In-person, facilitator-led debriefing may not always be practical for newer forms of simulation, such as individual virtual simulations. Self-debriefing addresses the issue of practicality, but evidence of implementation and design are unknown. The aims of this review were to explore the use and design of self-debriefing in healthcare simulation and to identify to what extent self-debriefing found in the literature align with the INACSL Standards of Best Practice for debriefing.
DESIGN: Integrative review.
DATA SOURCES: Peer-reviewed studies indexed within CINAHL, MEDLINE, PsycINFO, ERIC, Education Full Text (H.W. Wilson), Education Source, and Academic Search Premier databases.
REVIEW METHODS: A comprehensive database search was conducted using PRISMA guidelines. The INACSL Standard of Best Practice: Simulation Debriefing was used as a framework for analysis. Ten articles were appraised and analyzed for this review.
RESULTS: Alignment to best practice standards and presence of required criteria varied in self-debriefing designs. Self-debriefs used with graduate-level learners and self-debriefs with higher alignment to standards showed equivalent performance gains when compared to instructor-led debriefs. None of the studies measured reflection capacity despite it being a recommendation.
CONCLUSION: Findings indicate that well-designed self-debriefing provides equivalent outcomes to instructor-led debriefing. Best practice recommendations, such as promoting reflection, are underexplored in self-debriefing research.
Copyright © 2021 Elsevier Ltd. All rights reserved.
Keywords: Healthcare simulation; Integrative review; Reflection; Self-debrief; Simulation-based education; Virtual debrief
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