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Standardising debriefing in Wales: the Triangular Approach

Diaz-Navarro, Cristina, Jones, Bridie, Stafford, Jodie, Mitra, Suman, Cook, Sara-Catrin and Hawker, Clare ORCID: 2023. Standardising debriefing in Wales: the Triangular Approach. Presented at: Association of Simulated Practice in Healthcare (ASPiH) Conference 2023 'Sustainable Simulation', Brighton, 6-8 November 2023.

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Background and aim/objectives: Debriefing after simulation practice offers a crucial opportunity for guided refection and learning. However there are many structures and models available [1]. Health Education and Improvement Wales (HEIW) holds regular simulation webinars, workshops and conferences. During these events, the simulation community in Wales expressed their willingness to standardise debriefing in order to facilitate faculty sharing and integration into different faculty groups as trainees rotate. Method: National debriefing experts carried out a review of the relevant literature and devised the Triangular Approach to Debriefing, incorporating agreed debriefing principles, a simple structure and recommended strategies with links to relevant key articles. This approach was shared and piloted by simulation faculty at a national workshop in September 2022. The feedback received was excellent. Comments received guided a document review. The final version was incorporated in the Essential Faculty Development Course and is currently in available in Welsh and English as part of e-learning resources. Results/Findings discussion: The triangular approach embraces a set of collaboratively identified principles, an easy to use structure and a summary of well referenced strategies: - Principles adopted include facilitating safe and constructive discussions, with Inclusion of all participants and respect for different learner needs, aiming to guide reflective practice and sharing of mental models with the highest level of facilitation possible . - A four step structure (see figure 1) invites to introduce the debriefing and facilitate a chronological review with intercalated description – analysis – application (DAA) cycles. Then the learners are invited to share their new insights and the facilitator offers opportunities for questions and summarises the discussion. The supporting cognitive aid includes examples of phrases that might be useful in each step. - Recommended strategies cover psychological safety (such as ground rules, time management, authenticity and validation of contributions), how to focus the discussion, facilitation techniques, closing and meta-debriefing. Conclusion: The Triangular Approach to debriefing has been welcome by the simulation community in Wales. It is not expected to be the only way that facilitators debrief, but a gateway into good quality debriefing for new faculty, supporting the development of national expertise and inviting to explore other available models as well as key debriefing literature. References: 1. Sawyer T, Eppich W, Brett-Fleegler M, Cheng A. More than one way to debrief. a critical review of healthcare simulation debriefing methods. 2016;2016:11.

Item Type: Conference or Workshop Item (Lecture)
Status: Unpublished
Schools: Healthcare Sciences
Subjects: L Education > L Education (General)
R Medicine > R Medicine (General)
R Medicine > RT Nursing
Date of Acceptance: 14 July 2023
Last Modified: 08 Mar 2024 12:01

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