PRE-scripted debriefing for Paediatric simulation Associated with Resuscitation EDucation (PREPARED): A multicentre,...

Area of Science:

• Medical Education
• Resuscitation Training
• Simulation-based Learning

Background:

• Novice performance in resuscitation debriefings can be variable.
• Standardized debriefing tools may enhance learning outcomes.
• The impact of scripted debriefing on paediatric resuscitation courses was previously unmeasured.

Purpose of the Study:

• To evaluate the effect of a debriefing script on the quality of debriefs in a statewide paediatric resuscitation course.
• To determine if debriefing scripts improve specific elements of debriefing, such as reflection and analysis.
• To assess the impact of debriefing scripts based on debriefer experience and training site size.

Main Methods:

• A cluster-randomised controlled trial compared scripted versus non-scripted debriefing.
• The study included participants in a paediatric resuscitation course across Queensland, Australia.
• Debriefing quality was assessed using the Observational Structured Assessment of Debriefing (OSAD) tool.

Main Results:

• Scripted debriefing led to a statistically significant increase in overall OSAD scores (MD = 3.5, p = 0.01).
• Improvements were most notable in the 'reflection' and 'analysis' domains of debriefing.
• Novices and participants at large training sites showed significant improvements in debriefing quality with scripts.

Conclusions:

• Debriefing scripts enhance the quality of simulated paediatric resuscitation training.
• The positive impact of scripts is particularly evident for novice instructors and in larger training settings.
• Implementing debriefing scripts in large-scale paediatric resuscitation courses is recommended.