1 / 13

Debriefing

Debriefing. Maria Overstreet, PhD (c), RN, CCNS. Seven Objectives for Today!. Importance of debriefing, historical perspective. Educational theory supporting debriefing. Components of debriefing nurse educators use. Various methods of debriefing. When to use which method.

roth
Download Presentation

Debriefing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Debriefing Maria Overstreet, PhD (c), RN, CCNS

  2. Seven Objectives for Today! • Importance of debriefing, historical perspective. • Educational theory supporting debriefing. • Components of debriefing nurse educators use. • Various methods of debriefing. • When to use which method. • How do you determine which method works best? • Learn while having fun.

  3. History • Term Debriefing • What does it mean to you? • Military • Psychology • Nursing

  4. History • WWII • Brigadier General Marshall • CISD (Critical Incident Stress Debriefing) • Mitchell • PD (Psychological Debriefing) • Dyregrov • Hall • Stress in nurses’ daily work life: stress debriefing

  5. Theory • Theory • educational literature supports need to debrief following an experiential learning exercise • Bloom’s Taxonomy? • Domains: Cognitive, Psychomotor, Affective

  6. Experiential Learning & Reflective Practice • Dewey (1938) • Interaction • Continuity • Kolb (1984) • Experiential learning process • Concrete Experience, Reflective Observation, Abstract Conceptualization, Active Experimentation • Schön (1987) • Reflective practice

  7. Kolb’s Experiential Learning Model Overlaid with Nursing Clinical Simulation Debriefing (by Overstreet 2008)

  8. Reflective Practice • Schön’s theory of reflective practice (1987) • Reflection in action • Reflection on action

  9. Rudolph, Simon, Dufresne, & Raemer (2006) • What is good judgment? • Judgment, bad judgment, good judgment • Experienced opinion delivered in a respectful manner • Advocacy & Inquiry • Conversational technique • Good judgment + genuine curiosity • Double loop learning • Argyris & Schön (1978) • Frames Actions Results

  10. Medical Literature • Gaba, et al. (2001): Anesthesia Crisis Resource Mgmt • Dismukes, et al. (2006): Role of facilitator • Bond, et al. (2004): Mistakes can cause reflection • Savoldelli, et al. (2006): Value of debriefing

  11. Nursing Literature • Definition • Essential components • Lasater • Baldwin • Jefferies • Johnson-Russell • NLN, Laerdal 3 year study • Jefferies • Most important design feature of simulations was debriefing • Decker • Philosophical underpinnings • Tables to offer simplicity to novice

  12. Methods to Use • Various ways to debrief: • Plus/Delta • Facilitator • Lecture • Psychological • Good Judgment • Link to real life experiences

  13. Which method? • Which method matches content of simulation exercise and goals? • What pieces of the simulation do you desire to bring forth: ethics, culture, value, moral, psychomotor skill, knowledge, or emotion? • How do you expect the student will respond? • Determine which method works best for you as the educator…most of all Be flexible!

More Related