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Exploring effects of resilience-focused debriefing on reflection and teamwork in interprofessional simulation-based
Torben Nordahl Amorøe1,2, Hans Rystedt3, Lena Oxelmark4
1Department of Anesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. torben.nordahl.amoroe@gu.se.
Advances in Simulation (London, England)
|December 19, 2025
Summary
Resilience-focused debriefing (RFD) in interprofessional simulation-based education (IPSE) enhances healthcare students' awareness of complex teamwork and their ability to overcome challenges. While not significantly improving measured team performance, RFD shows potential for better interprofessional collaboration.
Area of Science:
- Healthcare Education
- Medical Simulation
- Teamwork Dynamics
Background:
- Interprofessional simulation-based education (IPSE) prepares healthcare students for complex healthcare environments.
- Traditional IPSE often neglects the deliberate integration of complexity and resilience.
- This study investigates the impact of resilience-focused debriefing (RFD) on reflection and teamwork in IPSE.
Purpose of the Study:
- To explore the effect of resilience-focused debriefing (RFD) on reflection and teamwork in interprofessional simulation-based education (IPSE).
- To assess how RFD addresses complexity and resilience in pre-graduate healthcare students' training.
- To evaluate the impact of RFD on students' ability to manage complex situations and learn from challenging experiences.
Main Methods:
- Convergent mixed methods intervention study involving 149 nursing and medical students.
- Participants engaged in a full-day IPSE course with five challenging scenarios, facilitated using RFD.
- Qualitative topic analysis of debriefing transcripts and quantitative pre-post assessment of team performance (TEAM) and perceived challenges.
Main Results:
- RFD guided students to focus on teamwork complexity and resilient actions, improving their ability to manage difficult situations.
- Students demonstrated increased recognition of successful actions and a greater tolerance for complexity, despite initial difficulties.
- No significant pre-post difference in overall team performance was observed using the TEAM measure, though perceived challenges decreased.
Conclusions:
- Resilience-focused debriefing (RFD) effectively increases healthcare students' awareness of interprofessional teamwork complexity in dynamic situations.
- RFD aids students in recognizing and learning from both successful actions and the process of overcoming challenges.
- Further research is needed to refine team performance measures sensitive to resilience and deepen the understanding of RFD's role in simulation-based education.
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