Do you debrief? - Kotisivukone · Do you debrief? Annette Berit Larsen SimPro 2015 Annette Berit Larsen, Coursedirektor and ICU nurse [email protected]. SimPro 2015

Do you debrief?

SimPro 2015 Annette Berit Larsen

Annette Berit Larsen, Coursedirektor and ICU nurse [email protected] SimPro 2015 Jyväskylä Angora 24.– 25.8. 2015

mailto:[email protected]

History of debriefing

Originated from the military

• Collection of information

• Discuss lessons learned for future missions

• Reinforce the protection of sensitive information

Defining Excellence in Simulation Programs SSH Janice C. Palaganas et.al


History of debriefing • Arose in Aviation in CRM • Cockpit ressource management Crew ressource management



Debriefing in Health Care


Plus-delta as a method

• First Column: Actions

• Second column: Positive or effective actions

• Third column: opportunities for improvement


GAS as a method

• Gather • Analyze • Summeraize



4 E´s as a method

• Events

• Emotions • Empathy • Explanations

Defining Excellence in Simulation Programs

SSH Janice C. Palaganas et.al

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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


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


Prepare debriefing

• Make a plan • Observed behavior • Observed clinical practice

• Remembering the learning goals while observing • Maybe use film clips


How to start the debriefing? • Set the scene

• Explain the purpose of the debriefing is reflection

• Set the time frame

• The 3 phases


The 3 phases

• Description Phase – short

• Analysis phase - the longest

• Application phase - short

Steinwachs 1992


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 listening


Analysis phase

• Explore the elements, which the learners find positive

• It reinforces good practice


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 to understand the current frame of reference of the paticipant so that both future actions and frames can be improved or substained


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)


Does it work?

• Debriefing contributes to effective learning » Tracy Levett-Jones et Al

• All simulation- based training should include a planned debriefing session aimed toward promoting reflective thinking

» Sharon Decker et al.


Learning goal in the scenario: Leadership

What will you have focus on? -why?



Learning goal in the scenario: Leadership

How can you use patient safety as an argument?


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


Faculty development

• Academy of Medical Educators (UK)

Peter Dieckmann


Person


Thank you

Annette Berit Larsen, RN, ICU nurse, Course director Dims Herlev Gentofte Hospital Herlev Ringvej 75 2730 Herlev Phone: +4538689384 [email protected]


Goodbye Dims

• From the first of September. • Dims and Ceku will become one academy

CAMES Copenhagen Academy for Education and Simulation


Documents

Do you debrief? - Kotisivukone · Do you debrief? Annette Berit Larsen SimPro 2015 Annette Berit Larsen, Coursedirektor and ICU nurse [email protected]. SimPro 2015