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The Clinical Pause: An Augmented Approach to Simulation Debriefing in Nursing Education.

Cathy Kacalek1, Lorretta Krautscheid, Vanessa Walkley

  • 1About the Authors The authors are faculty at George Fox University Department of Nursing, Newberg, Oregon. Cathy Kacalek, MNE, RN, CNE, is assistant professor of nursing. Lorretta Krautscheid, PhD, RN, CNE, is associate professor of nursing. Vanessa Walkley, MSN, RN, CWON, CFCN, is assistant professor of nursing. For more information, contact Cathy Kacalek at ckacalek@georgefox.edu .

Nursing Education Perspectives
|August 22, 2021
PubMed
Summary

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A clinical pause during nursing simulations, a teaching innovation, enhances student learning and clinical reasoning. This method, combined with traditional debriefing, maximizes clinical judgment development.

Area of Science:

  • Nursing Education
  • Medical Simulation
  • Clinical Reasoning

Background:

  • Debriefing is a standard reflection-on-action method in nursing education.
  • A faculty-facilitated clinical pause is an alternative teaching strategy during simulations.
  • This pause occurs during natural breaks in unfolding simulation scenarios.

Purpose of the Study:

  • To evaluate the effectiveness of a clinical pause in nursing education.
  • To facilitate clinical reasoning and reflection-in-action during simulations.
  • To provide timely feedback and enhance learning.

Main Methods:

  • Faculty utilized Caputi's thinking skills during simulation breaks.
  • The clinical pause facilitated validation of correct thinking and resolution of errors.

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  • Student comments were collected post-simulation to assess learning.

    • Main Results:

    • The clinical pause teaching innovation was suggested by student comments to enhance learning.
    • Students indicated improved clinical reasoning abilities.
    • The pause provided opportunities for deliberate practice and contextual meaning construction.

    Conclusions:

    • The clinical pause is an effective teaching innovation in nursing simulation.
    • Integrating clinical pauses with end-of-simulation debriefing maximizes clinical judgment.
    • This combined approach offers a powerful strategy for nursing education.