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Using co-design to create a fit-for-purpose debriefing framework for at-scale healthcare simulation.

Michelle A Kelly1, David Freer2, Lyn Gum2

  • 1School of Nursing and Midwifery, College of Health, Adelaide University, North Terrace, Adelaide, South Australia, 5000, Australia. Michelle.Kelly@adelaide.edu.au.

Advances in Simulation (London, England)
|May 1, 2026
PubMed
Summary
This summary is machine-generated.

A co-designed debriefing framework was developed to reintroduce effective post-simulation reflection in educational settings. This evidence-informed tool enhances staff engagement and ownership for context-specific implementation.

Keywords:
At-scaleCo-designContext specificDebriefing frameworksHealthcareNursing studentsSimulation-based education

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Area of Science:

  • Medical Education
  • Healthcare Simulation
  • Educational Frameworks

Background:

  • Debriefing in simulation-based education is crucial for reflection on practice.
  • Post-COVID-19 resumption of in-person simulations highlighted a lack of effective debriefing.
  • Existing debriefing frameworks require adaptation for undergraduate educational settings.

Purpose of the Study:

  • To develop a fit-for-purpose debriefing framework for undergraduate simulation-based education.
  • To enhance staff engagement, ownership, and adoption of a new debriefing approach.
  • To create an evidence-informed tool adaptable for various university learning contexts.

Main Methods:

  • Utilized an educational co-design approach to maximize staff engagement.
  • Applied the 5 steps of the Connected Learning at Scale framework.
  • Focused on developing a localized, flexible debriefing tool.

Main Results:

  • Successfully developed an evidence-informed, fit-for-purpose debriefing framework.
  • The co-design process fostered significant staff engagement and ownership.
  • The framework is designed for scalable, context-specific implementation.

Conclusions:

  • The developed debriefing framework addresses the need for effective post-simulation reflection in educational settings.
  • The co-design methodology proved effective in creating an adaptable and adopted tool.
  • The framework's flexibility allows for application beyond simulation to other university learning contexts.