Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors

Abstract The current coronavirus pandemic has necessitated rapid intensive care infrastructure expansion with corresponding demand for training healthcare staff. At the NHS Nightingale Hospital, London, the staff underwent a training programme prior to entering the clinical environment with simulati...

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Main Author: Ranjev Kainth
Format: Article
Language:English
Published: BMC 2021-10-01
Series:Advances in Simulation
Subjects:
Online Access:https://doi.org/10.1186/s41077-021-00185-x
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author Ranjev Kainth
author_facet Ranjev Kainth
author_sort Ranjev Kainth
collection DOAJ
description Abstract The current coronavirus pandemic has necessitated rapid intensive care infrastructure expansion with corresponding demand for training healthcare staff. At the NHS Nightingale Hospital, London, the staff underwent a training programme prior to entering the clinical environment with simulation being a core component. This paper describes the rationale for choosing an initial debriefing model which evolved overtime to consider multiple contextual factors: demands of the clinical environment, the diverse participants and their learning needs, the variable experience of faculty, and the dynamic nature of available debriefing time. The new approach, termed here as the Dynamic Plus-Delta model, blends the traditional Plus-Delta approach with specific dynamic elements which considers the unique demands of rapidly training large number of staff. We outline the core features of this model and detail specific considerations around psychological safety. This debriefing approach can be used in similar simulation intervention settings where rapid training of participants is required with multiple and varying contextual factors.
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spelling doaj.art-118b0660e8f74b1583dea5fa6862bdc22022-12-21T23:09:19ZengBMCAdvances in Simulation2059-06282021-10-01611910.1186/s41077-021-00185-xDynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factorsRanjev Kainth0Faculty of Life Sciences and Medicine, King’s College LondonAbstract The current coronavirus pandemic has necessitated rapid intensive care infrastructure expansion with corresponding demand for training healthcare staff. At the NHS Nightingale Hospital, London, the staff underwent a training programme prior to entering the clinical environment with simulation being a core component. This paper describes the rationale for choosing an initial debriefing model which evolved overtime to consider multiple contextual factors: demands of the clinical environment, the diverse participants and their learning needs, the variable experience of faculty, and the dynamic nature of available debriefing time. The new approach, termed here as the Dynamic Plus-Delta model, blends the traditional Plus-Delta approach with specific dynamic elements which considers the unique demands of rapidly training large number of staff. We outline the core features of this model and detail specific considerations around psychological safety. This debriefing approach can be used in similar simulation intervention settings where rapid training of participants is required with multiple and varying contextual factors.https://doi.org/10.1186/s41077-021-00185-xDynamicPlus-DeltaDebriefingMass-scale simulationNightingalePsychological safety
spellingShingle Ranjev Kainth
Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors
Advances in Simulation
Dynamic
Plus-Delta
Debriefing
Mass-scale simulation
Nightingale
Psychological safety
title Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors
title_full Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors
title_fullStr Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors
title_full_unstemmed Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors
title_short Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors
title_sort dynamic plus delta an agile debriefing approach centred around variable participant faculty and contextual factors
topic Dynamic
Plus-Delta
Debriefing
Mass-scale simulation
Nightingale
Psychological safety
url https://doi.org/10.1186/s41077-021-00185-x
work_keys_str_mv AT ranjevkainth dynamicplusdeltaanagiledebriefingapproachcentredaroundvariableparticipantfacultyandcontextualfactors