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Quality of interdisciplinary postsimulation debriefing: 360° evaluation.

Louise Hull1, Stephanie Russ2, Maria Ahmed3

  • 1Health Service and Population Research Department, Center for Implementation Science, King's College London, London, UK.

BMJ Simulation & Technology Enhanced Learning
|May 6, 2022
PubMed
Summary
This summary is machine-generated.

Debriefers and learners rate debriefing quality higher than expert evaluators. This suggests overconfidence may hinder improvement, highlighting the need for external evaluation in simulation-based training.

Keywords:
debriefingfeedbackinterdisciplinary trainingsimulation-based training

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Area of Science:

  • Medical Education
  • Healthcare Simulation
  • Quality Improvement

Background:

  • Debriefing is crucial for simulation-based training.
  • Understanding perceptions of debriefing quality is essential for effective training.

Purpose of the Study:

  • To explore the value of 360° evaluation of debriefing.
  • To examine expert evaluators', debriefers', and learners' perceptions of interdisciplinary debriefing quality.

Main Methods:

  • Cross-sectional observational study of 41 teams (278 learners).
  • Post-simulation debriefing rated by debriefers and learners using the Objective Structured Assessment of Debriefing (OSAD) framework.
  • Video-recorded debriefings rated by trained expert evaluators.

Main Results:

  • Debriefers rated their own performance more favorably than expert evaluators did.
  • Learner perceptions showed weak agreement with expert evaluators on engagement and reflection.
  • Learner perceptions showed weak agreement with debriefers on application.

Conclusions:

  • Significant differences exist between debriefer, learner, and expert evaluator perceptions of debriefing quality.
  • Debriefers and learners tend to perceive debriefing quality more favorably than external evaluators.
  • Periodic external evaluation of debriefing is recommended to identify areas for improvement.