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DE-CODE: a coding scheme for assessing debriefing interactions.

Julia C Seelandt1,2, Bastian Grande2,3, Sarah Kriech2

  • 1Quality Management and Patient Safety, University Hospital Zurich, Zurich, Switzerland.

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

A new coding scheme, DE-CODE, reliably assesses communication in simulation-based training (SBT) debriefings. This tool aids in understanding effective debriefing strategies for improved learning outcomes.

Keywords:
coding schemecommunicationdebriefingsinteractions.simulation based-training

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Area of Science:

  • Medical Education
  • Healthcare Simulation
  • Communication Studies

Background:

  • Debriefings are vital for learning in simulation-based training (SBT).
  • Few studies analyze actual debriefing conversations to understand interaction dynamics.
  • Understanding debriefer-learner communication is key to improving educational strategies.

Purpose of the Study:

  • To develop DE-CODE, a valid and reliable coding scheme for analyzing communication in debriefings.
  • To assess the utility of DE-CODE for both live and video-based coding of debriefing sessions.
  • To contribute to the scientific understanding of effective debriefing practices in SBT.

Main Methods:

  • Developed DE-CODE deductively from literature and inductively from observed debriefings.
  • Included 32 codes for debriefer communication and 15 for learner communication.
  • Calculated inter-rater reliability using Cohen's kappa for live and video-based coding.

Main Results:

  • DE-CODE demonstrated good to substantial inter-rater reliability for most codes in both live and video-based settings.
  • Minor exceptions in reliability were noted for a few specific debriefer and learner communication codes.
  • The scheme is applicable across various fields of SBT, excluding 'medical input' codes.

Conclusions:

  • DE-CODE is a reliable micro-level measurement tool for coding debriefing conversations in SBT.
  • It is effective for both direct observation and video analysis.
  • DE-CODE provides insights into effective and ineffective debriefing practices, advancing the science of debriefing.