Exploring the Discourse of Debriefing Interactions: Areas for Improvement

Debriefing has been widely used as part of simulation-based education (SBE) to promote reflective thinking and prepare students for real clinical practice. This study examined a real debriefing transcript to identify its structure and gain insight into communication strategies used by the participan...

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Main Author: Abeer Mohammad
Format: Article
Language:English
Published: SAGE Publishing 2023-08-01
Series:SAGE Open
Online Access:https://doi.org/10.1177/21582440231191784
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author Abeer Mohammad
author_facet Abeer Mohammad
author_sort Abeer Mohammad
collection DOAJ
description Debriefing has been widely used as part of simulation-based education (SBE) to promote reflective thinking and prepare students for real clinical practice. This study examined a real debriefing transcript to identify its structure and gain insight into communication strategies used by the participants. The sample included an extended debriefing session in which a debriefer and undergraduate students, who participated in a critical care nursing simulation, engaged in a self-reflection phase. Adopting discourse analysis approaches, the analysis revealed how this interaction unfolds. The analysis also unveiled an asymmetric relationship during the debriefing that positioned the debriefer in a position of power and interactional dominance, and placed students in a passive role. Interactional features such as the use of open-ended questions, silent pauses, and informative feedback were identified as effective communication strategies to support the interaction; however, to achieve efficient self-debriefing, debriefers in this setting are encouraged to balance the use of questions to avoid restraining students from engaging and producing extended turns. Moreover, debriefers need to establish a safe environment that optimizes students’ involvement in self-reflection. This study recommends the use of other debriefing techniques to minimize the dominance of the debriefer during the interaction.
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spelling doaj.art-db56c19224434d098a90a0a287bf37422023-08-29T19:37:09ZengSAGE PublishingSAGE Open2158-24402023-08-011310.1177/21582440231191784Exploring the Discourse of Debriefing Interactions: Areas for ImprovementAbeer Mohammad0 Ministry of the National Guard - Health Affairs, Jeddah, Kingdom of Saudi ArabiaDebriefing has been widely used as part of simulation-based education (SBE) to promote reflective thinking and prepare students for real clinical practice. This study examined a real debriefing transcript to identify its structure and gain insight into communication strategies used by the participants. The sample included an extended debriefing session in which a debriefer and undergraduate students, who participated in a critical care nursing simulation, engaged in a self-reflection phase. Adopting discourse analysis approaches, the analysis revealed how this interaction unfolds. The analysis also unveiled an asymmetric relationship during the debriefing that positioned the debriefer in a position of power and interactional dominance, and placed students in a passive role. Interactional features such as the use of open-ended questions, silent pauses, and informative feedback were identified as effective communication strategies to support the interaction; however, to achieve efficient self-debriefing, debriefers in this setting are encouraged to balance the use of questions to avoid restraining students from engaging and producing extended turns. Moreover, debriefers need to establish a safe environment that optimizes students’ involvement in self-reflection. This study recommends the use of other debriefing techniques to minimize the dominance of the debriefer during the interaction.https://doi.org/10.1177/21582440231191784
spellingShingle Abeer Mohammad
Exploring the Discourse of Debriefing Interactions: Areas for Improvement
SAGE Open
title Exploring the Discourse of Debriefing Interactions: Areas for Improvement
title_full Exploring the Discourse of Debriefing Interactions: Areas for Improvement
title_fullStr Exploring the Discourse of Debriefing Interactions: Areas for Improvement
title_full_unstemmed Exploring the Discourse of Debriefing Interactions: Areas for Improvement
title_short Exploring the Discourse of Debriefing Interactions: Areas for Improvement
title_sort exploring the discourse of debriefing interactions areas for improvement
url https://doi.org/10.1177/21582440231191784
work_keys_str_mv AT abeermohammad exploringthediscourseofdebriefinginteractionsareasforimprovement