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Published on: January 15, 2017
A Prebriefing Framework for Simulation
Tiffeny D Atkins1, Laurie C Neely2, Kenneth L Miller3,4
1Doctor of Physical Therapy Program, School of Nursing and Health Sciences, Neumann University, Aston, Pennsylvania, USA.
Background:
Simulation-based education is widely used in nursing and medical education, but its use in physical therapy education remains inconsistent. The International Nursing Association for Clinical Simulation and Learning developed standardised benchmarks to measure good simulation and provide evidence-based guidelines for implementation. These Healthcare Simulation Standards of Best Practice (HSSOBP), particularly the prebrief, are often underutilised. Prebriefing promotes a psychologically safe learning environment and sets clear expectations, which are linked to improved student learning and confidence. This project aimed to develop, implement and evaluate a standardised prebrief aligned with HSSOBP across three Doctor of Physical Therapy programs.
Approach:
Faculty from three academic institutions collaborated to design a standardised prebrief adapted for their simulation-based learning experiences (SBLEs). Students completed the Simulation Effectiveness Tool-Modified after participating in SBLEs to assess impact.
Evaluation:
A total of 165 students participated across five SBLEs. Of those, 98% agreed prebrief improved their confidence and supported learning. Open-ended feedback reinforced that it contributed to a positive and productive simulation experience. The standardised prebrief framework is adaptable across institutions and health professions, offering a practical, scalable approach to improve readiness, confidence and learning while promoting consistency and safer patient care.
Implications:
Standardised prebriefing is a practical approach to improving simulation-based education. It promotes consistency while allowing flexibility to fit local needs. Core elements are relevant across health professions. This model offers a replicable framework for educators aiming to strengthen simulation outcomes. Future research should explore its long-term impact on learning and clinical performance.
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