Briefing and debriefing during simulation-based training and beyond: Content, structure, attitude and setting. Issue 1 (March 2015)

• Record Type: Journal Article
• Authors: Kolbe, Michaela; Grande, Bastian; Spahn, Donat R.
• Is Part Of: Best practice & research. Volume 29:Issue 1(2015)
• Page Start: 87
• Page End: 96
• Publication Date: 2015-03
• Subjects: communication -- debriefing -- learning -- patient simulation -- safety; Anesthesiology -- Periodicals; Anesthesia -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Anesthesia; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1016/j.bpa.2015.01.002
• Languages: English
• ISSNs: 1521-6869

Abstract

Abstract : In this article, we review the debriefing literature and point to the dilemma that although debriefings especially intend to enhance team (rather than individual) learning, it is particularly this team setting that poses risks for debriefing effectiveness (e.g., preference-consistent information sharing, lack of psychological safety inhibiting structured information sharing, ineffective debriefing models). These risks can be managed with a mindful approach with respect to content (e.g., specific learning objectives), structure (e.g., reactions phase, analysis phase, summary phase), attitude (e.g., honesty, curiosity, holding the trainee in positive regard) and setting (e.g., briefings to provide orientation and establish psychological safety). We point to the potential of integrating systemic methods such as circular questions into debriefings, discuss the empirical evidence for debriefing effectiveness and highlight the importance of faculty development.