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Reflective learning conversations model for simulation debriefing: a co-design process and development innovation.

Emad Almomani1, Jacqueline Sullivan2, Omar Saadeh2

  • 1Hamad Medical Corporation, HMC-Qatar, PO Box: 3050, Doha, Qatar. Ealmomani@hamad.qa.

BMC Medical Education
|November 8, 2023
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Summary
This summary is machine-generated.

A new model enhances clinical reasoning in healthcare professionals through simulation debriefing. It considers participant experience and case complexity for safer patient care and improved decision-making.

Keywords:
Clinical reasoningPost-simulation debriefingReflective learning conversations modelSBE

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Area of Science:

  • Healthcare Education
  • Medical Simulation
  • Clinical Reasoning

Background:

  • Effective clinical reasoning is crucial for safe healthcare decisions, especially in critical care.
  • Underdeveloped skills can lead to patient safety risks and delayed treatment.
  • Simulation-based education with reflective debriefing aims to improve these skills.

Purpose of the Study:

  • To develop a model for post-simulation reflective learning conversations.
  • To address factors influencing clinical reasoning optimization in simulation debriefing.
  • To enhance patient safety and clinical decision-making.

Main Methods:

  • A co-design working group of 18 healthcare professionals and patient representatives developed the model.
  • The process involved workshops, theoretical frameworks, and expert reviews.
  • Methods like appreciative inquiry, plus/delta, and Bloom's Taxonomy were integrated.

Main Results:

  • A Post-simulation reflective learning conversations model was successfully co-designed and piloted.
  • The model includes worked examples and scripted guidance for facilitators.
  • Face and content validity were confirmed through established methods.

Conclusions:

  • The model accounts for participant seniority, competence, information load, and case complexity.
  • These considerations aim to optimize clinical reasoning during group-based simulation debriefing.
  • The model supports the development of safer and more effective clinical decision-making skills.