Question-centered prompt engineering for nursing simulation debriefing: Model development and validation

This study aims to develop and validate an instructional debriefing model that combines question-centered learning methodology with AI prompt engineering techniques for nursing simulations.

Integrating artificial intelligence (AI)-based prompt engineering into nursing simulation offers structured strategies to enhance clinical reasoning. However, current debriefing models insufficiently incorporate AI methodologies such as question-centered learning and prompt engineering, indicating a lack of theoretical and procedural frameworks METHODS: The model was developed using a four-phase approach: (1) literature review, (2) instructor interviews, (3) expert validation and (4) external evaluation of effectiveness. The study was conducted in nursing simulation learning environments with participation from nursing simulation instructors and educational technology experts.

The literature review successfully established a framework that aligned specific question types with debriefing phases and prompt engineering strategies. A structured implementation worksheet was developed based on instructor interviews. The model demonstrated strong validity with a Content Validity Index of 3.67 and an Inter-Rater Agreement of 1.0. Implementation of the model showed statistically significant improvements across multiple domains: AI competency, class interest, student knowledge and confidence levels.

The validated instructional model provides a structured framework for integrating AI capabilities into nursing simulation debriefing. The findings indicate potential broader applications in developing AI-enhanced clinical problem-solving competencies for future healthcare professionals.