Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network study

Abstract Background Debriefing is effective and inexpensive to increase learning benefits of participants in simulation-based medical education. However, suitable communication patterns during debriefings remain to be defined. This study aimed to explore interaction patterns during debriefings and t...

Full description

Bibliographic Details
Main Authors: Sandra Abegglen, Robert Greif, Yves Balmer, Hans Joerg Znoj, Sabine Nabecker
Format: Article
Language:English
Published: BMC 2022-09-01
Series:Advances in Simulation
Online Access:https://doi.org/10.1186/s41077-022-00222-3
_version_ 1798003092853096448
author Sandra Abegglen
Robert Greif
Yves Balmer
Hans Joerg Znoj
Sabine Nabecker
author_facet Sandra Abegglen
Robert Greif
Yves Balmer
Hans Joerg Znoj
Sabine Nabecker
author_sort Sandra Abegglen
collection DOAJ
description Abstract Background Debriefing is effective and inexpensive to increase learning benefits of participants in simulation-based medical education. However, suitable communication patterns during debriefings remain to be defined. This study aimed to explore interaction patterns during debriefings and to link these to participants’ satisfaction, perceived usefulness, and self-reported learning outcomes. Methods We assessed interaction patterns during debriefings of simulation sessions for residents, specialists, and nurses from the local anaesthesia department at the Bern University Hospital, Bern, Switzerland. Network analysis was applied to establish distinctive interaction pattern categories based on recorded interaction links. We used multilevel modelling to assess relationships between interaction patterns and self-reported learning outcomes. Results Out of 57 debriefings that involved 111 participants, discriminatory analyses revealed three distinctive interaction patterns: ‘fan’, ‘triangle’, and ‘net’. Participants reported significantly higher self-reported learning effects in debriefings with a net pattern, compared to debriefings with a fan pattern. No effects were observed for participant satisfaction, learning effects after 1 month, and perceived usefulness of simulation sessions. Conclusions A learner-centred interaction pattern (i.e. net) was significantly associated with improved short-term self-reported individual learning and team learning. This supports good-practice debriefing guidelines, which stated that participants should have a high activity in debriefings, guided by debriefers, who facilitate discussions to maximize the development for the learners.
first_indexed 2024-04-11T12:02:30Z
format Article
id doaj.art-ffc013e27f454fa6b63a7ea41716bf29
institution Directory Open Access Journal
issn 2059-0628
language English
last_indexed 2024-04-11T12:02:30Z
publishDate 2022-09-01
publisher BMC
record_format Article
series Advances in Simulation
spelling doaj.art-ffc013e27f454fa6b63a7ea41716bf292022-12-22T04:24:48ZengBMCAdvances in Simulation2059-06282022-09-017111010.1186/s41077-022-00222-3Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network studySandra Abegglen0Robert Greif1Yves Balmer2Hans Joerg Znoj3Sabine Nabecker4Department of Health Psychology and Behavioural Medicine, University of BernDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of BernDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of BernDepartment of Health Psychology and Behavioural Medicine, University of BernDepartment of Anaesthesiology and Pain Management, Sinai Health System, University of TorontoAbstract Background Debriefing is effective and inexpensive to increase learning benefits of participants in simulation-based medical education. However, suitable communication patterns during debriefings remain to be defined. This study aimed to explore interaction patterns during debriefings and to link these to participants’ satisfaction, perceived usefulness, and self-reported learning outcomes. Methods We assessed interaction patterns during debriefings of simulation sessions for residents, specialists, and nurses from the local anaesthesia department at the Bern University Hospital, Bern, Switzerland. Network analysis was applied to establish distinctive interaction pattern categories based on recorded interaction links. We used multilevel modelling to assess relationships between interaction patterns and self-reported learning outcomes. Results Out of 57 debriefings that involved 111 participants, discriminatory analyses revealed three distinctive interaction patterns: ‘fan’, ‘triangle’, and ‘net’. Participants reported significantly higher self-reported learning effects in debriefings with a net pattern, compared to debriefings with a fan pattern. No effects were observed for participant satisfaction, learning effects after 1 month, and perceived usefulness of simulation sessions. Conclusions A learner-centred interaction pattern (i.e. net) was significantly associated with improved short-term self-reported individual learning and team learning. This supports good-practice debriefing guidelines, which stated that participants should have a high activity in debriefings, guided by debriefers, who facilitate discussions to maximize the development for the learners.https://doi.org/10.1186/s41077-022-00222-3
spellingShingle Sandra Abegglen
Robert Greif
Yves Balmer
Hans Joerg Znoj
Sabine Nabecker
Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network study
Advances in Simulation
title Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network study
title_full Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network study
title_fullStr Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network study
title_full_unstemmed Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network study
title_short Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network study
title_sort debriefing interaction patterns and learning outcomes in simulation an observational mixed methods network study
url https://doi.org/10.1186/s41077-022-00222-3
work_keys_str_mv AT sandraabegglen debriefinginteractionpatternsandlearningoutcomesinsimulationanobservationalmixedmethodsnetworkstudy
AT robertgreif debriefinginteractionpatternsandlearningoutcomesinsimulationanobservationalmixedmethodsnetworkstudy
AT yvesbalmer debriefinginteractionpatternsandlearningoutcomesinsimulationanobservationalmixedmethodsnetworkstudy
AT hansjoergznoj debriefinginteractionpatternsandlearningoutcomesinsimulationanobservationalmixedmethodsnetworkstudy
AT sabinenabecker debriefinginteractionpatternsandlearningoutcomesinsimulationanobservationalmixedmethodsnetworkstudy