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

Aeri Jang1, Moonju Oh2, Mi Ok Song1

  • 1Department of Nursing, Mokpo National University, Muan-gun, Jeollanam-do, Republic of Korea.

Nurse Education in Practice
|September 6, 2025
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Summary
This summary is machine-generated.

This study introduces an AI-powered instructional debriefing model for nursing simulations, enhancing clinical reasoning. The validated model significantly improved AI competency, knowledge, and confidence in nursing students.

Keywords:
ChatGPTDebriefingNursing educationPrompt engineeringQuestion-centered learningSimulation

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Area of Science:

  • Nursing Education
  • Artificial Intelligence in Healthcare
  • Simulation-Based Learning

Background:

  • Current nursing simulation debriefing models lack integration of AI methodologies like prompt engineering.
  • There is a need for structured frameworks to enhance clinical reasoning through AI in nursing education.

Purpose of the Study:

  • To develop and validate an instructional debriefing model integrating question-centered learning and AI prompt engineering for nursing simulations.
  • To assess the model's effectiveness in improving nursing students' AI competency and clinical reasoning skills.

Main Methods:

  • A four-phase development approach: literature review, instructor interviews, expert validation, and external evaluation.
  • Utilized nursing simulation environments with participation from instructors and educational technology experts.

Main Results:

  • Established a framework aligning question types with debriefing phases and AI prompt engineering strategies.
  • Achieved strong validity (CVI=3.67, IRA=1.0) and significant improvements in AI competency, class interest, knowledge, and confidence.

Conclusions:

  • The validated model offers a structured approach to integrate AI into nursing simulation debriefing.
  • Demonstrated potential for broader application in developing AI-enhanced clinical problem-solving skills for healthcare professionals.