Do you debrief?
SimPro 2015 Annette Berit Larsen
Annette Berit Larsen, Coursedirektor and ICU nurse Annette.Berit.Larsen@regionh.dk
SimPro 2015 Jyväskylä Angora 24.– 25.8. 2015
History of debriefing
Originated from the military
•
Collection of information•
Discuss lessons learned for future missions•
Reinforce the protection of sensitive informationDefining Excellence in Simulation Programs SSH Janice C. Palaganas et.al
SimPro 2015 Annette Berit Larsen
History of debriefing
• Arose in Aviation in CRM
• Cockpit ressource management Crew ressource management
Defining Excellence in Simulation Programs SSH Janice C. Palaganas et.al
SimPro 2015 Annette Berit Larsen
Debriefing in Health Care
SimPro 2015 Annette Berit Larsen
Plus-delta
as a method• First Column: Actions
• Second column: Positive or effective actions
• Third column: opportunities for improvement
SimPro 2015 Annette Berit Larsen
GAS
as a method• Gather
• Analyze
• Summeraize
Defining Excellence in Simulation Programs SSH Janice C. Palaganas et.al SimPro 2015 Annette Berit Larsen
4 E ´ s
as a method• Events
• Emotions
• Empathy
• Explanations
Defining Excellence in Simulation Programs SSH Janice C. Palaganas et.al
kilde SimPro 2015 Annette Berit Larsen
Why and how do we debrief?
• Paticipants reflect on the scenario
• Paticipants reflect on their role and behavior
• Paticipants reflect on their knowlegde and skills
• Paticipant create individual learning goals
- And
o It creates teamspirit
o Teammembers supportes each other
SimPro 2015 Annette Berit Larsen
Facilitator role
Facilitate reflection, by:
• Creating a positive learning experience
• Create a confident learning environment
• Asking questions
• Facilitating discussion
• Choosing the learning opportunities
• Remember to relate to the learning goals to the scenario
• Drawing parallels to the clinical work
SimPro 2015 Annette Berit Larsen
Prepare debriefing
• Make a plan
• Observed behavior
• Observed clinical practice
• Remembering the learning goals while observing
• Maybe use film clips
SimPro 2015 Annette Berit Larsen
How to start the debriefing?
• Set the scene
• Explain the purpose of the debriefing is reflection
• Set the time frame
• The 3 phases
SimPro 2015 Annette Berit Larsen
The 3 phases
• Description Phase – short
• Analysis phase - the longest
• Application phase - short
Steinwachs 1992 SimPro 2015 Annette Berit Larsen
Description phase
•
Paticipants and the facilitator reconstruct what happend during the scenario•
Creating a common picture of the scenario•
A chance to express thoughts/feelings•
Catch the ballons while listeningSimPro 2015 Annette Berit Larsen
Analysis phase
•
Explore the elements, which the learners find positive•
It reinforces good practiceSimPro 2015 Annette Berit Larsen
Analysis phase
-Advocacy and inquiry as a method
•
An observation is paired with the debriefer´s point of view and followed by a genuine inquiry tounderstand the current frame of reference of the paticipant so that both future actions and frames can be improved or substained
SimPro 2015 Annette Berit Larsen
Advocacy and inquiry
“So, Thomas, I noticed that you stepped away from the patient to find an Ambu-bag as the vital signs were deteriorating. I was thinking there were possibly alternative means to oxygenate the
patient (advocacy).
So I’m curious: how were you seeing the situation at that time? (inquiry)”
Lene Funck Petersen
Application phase
• Each participant formulates individual learning goals and state how he/she will apply this in his clinical practice (how, where and when)
SimPro 2015 Annette Berit Larsen
Does it work?
•
Debriefing contributes to effective learning» Tracy Levett-Jones et Al
•
All simulation- based training should include aplanned debriefing session aimed toward promoting reflective thinking
» Sharon Decker et al.
SimPro 2015 Annette Berit Larsen
Learning goal in the scenario:
Leadership
What will you have focus on? -why?
SimPro 2015 Annette Berit Larsen
SimPro 2015 Annette Berit Larsen
Learning goal in the scenario:
Leadership
How can you use patient safety as an argument?
SimPro 2015 Annette Berit Larsen
Faculty development
Overarching goals
Request:
Ensuring high quality in simulation-based educational activities that DIMS is responsible for
Give:
Creating an attractive educational environment for external instructors
SimPro 2015 Annette Berit Larsen
Faculty development
•
Academy of Medical Educators (UK)Peter Dieckmann SimPro 2015 Annette Berit Larsen
Person
SimPro 2015 Annette Berit Larsen
Thank you
Annette Berit Larsen, RN, ICU nurse, Course director Dims
Herlev Gentofte Hospital Herlev Ringvej 75
2730 Herlev
Phone: +4538689384
Annetteberitlarsen@regionh.dk
SimPro 2015 Annette Berit Larsen
Goodbye Dims
•
From the first of September.•
Dims and Ceku will become one academyCAMES
Copenhagen Academy for Education and Simulation
SimPro 2015 Annette Berit Larsen
