Ginger Sherrick, MSN, APRN, FNP-BC,
RN-BC, CHSE
June 2, 2017
Delivering
Constructive
Feedback in
Simulated Learning
Is there another way?
Feedback vs. Debriefing
“Debriefing is a critical
conversation to reframe the
context of a situation to clarify
perspectives and assumptions,
both subjectively and
objectively.” -Benner, Sutphen,
Leonard, & Day, 2010
What is Debriefing really?
Faculty Preparation=
Improved Acceptance
• Objectives are:
• SMART
• Congruent with the course
objectives
• Presented prior to simulation
Pre-Brief In Simulation
• Pre-Work
• Orientation
• Fiction Contract
• Confidentiality
• Use of Video
Debriefing 101
What is important?
• Facilitator must be trained
• Environment conducive to debriefing
• Facilitator needs to have observed the
simulation scenario
• Debriefing structure or formal framework
• Aligns with the objectives
Debriefing
Tools
‘I’d like to talk about “the “Can you talk about
door”’ (Preview
that?”
Statement)
“I saw” (advocacy)
“What’s your take on
that?”
“I think” (advocacy)
“I was scared” (emotion)
“It seemed to me”
How do I say it?
“I wonder” (inquiry)
“I am concerned
because” (emotion)
“I am pleased because”
(emotion)
“I wonder what
happened”
“I wonder how you see
it”
“I wonder what others
were thinking at the
time”
“I am frustrated”
“I will answer - but let
(emotion)
me turn to the rest of
the group”
“Let’s Tune that up a bit” Address using first
names – “John, I
understand that….”
“It seemed to me”
“I wonder what
happened”
What do you see?
Evaluation Tools
• DASH
• Lasater
• Interprofessional Collaborative
Competency Attainment
Survey (ICCAS):
• Readiness for
Interprofessional Learning
Scale (RIPLS):
• The TeamSTEPPS Teamwork
Attitudes Questionnaire (TTAQ):
Lessons Learned
• Be Factual
Be Consistent
• Foster Inquiry
Be a Student
What do you see now?
References:
• Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A
call for radical transformation. San Francisco, CA: Jossey-Bass.
• http://www.byui.edu/Images/newsroom/p948066401-3.jpg
• https://youtu.be/Z9C0yVgTcbs
• International Nursing Association for Clinical Simulation and Learning.
(2016). INACSL standards of best practice: Debriefing [Educational
Standard]. Retrieved from
http://www.nursingsimulation.org/article/S1876-1399(16)30129-3/fulltext
• McDermott, D. (2016, June). The prebriefing concept: A delphi study of
CHSE experts. Clinical Simulation in Nursing, 12(6), 219-227.
http://dx.doi.org/10.1016/j.ecns.2016.02.001
References:
• National League for Nursing. (2015). A vision for teaching with
simulation. Retrieved from http://www.nln.org/docs/defaultsource/about/nln-vision-series-%28position-statements%29/visionstatement-a-vision-for-teaching-with-simulation.pdf?sfvrsn=2
• National League for Nursing. (2015). Debriefing across the curriculum.
Retrieved from http://www.nln.org/docs/default-source/about/nlnvision-series-(position-statements)/nln-vision-debriefing-across-thecurriculum.pdf?sfvrsn=0
• Page-Cutrara, K. (2014, March). Use of pre-briefing in simulation: A
literature review. Journal of Nursing Education, 53(3), 136-141.
http://dx.doi.org/10.3928/01484834-20140211-07