Common structural elements of the debriefing process
- Debriefer (instructor)
- Participants to debrief
- 体验(模拟场景)
- 体验的影响(模拟场景)
- Recollection & reporting (verbal or written comments)
- 时间(模拟和汇报之间的差距)
The benefits to using simulation are manifold. Whether it’s training in a simulated emergency room, intensive care unit (ICU), or birthing unit simulations impart incredible knowledge and experience without putting patients or healthcare workers at risk. Experiential learning is what every healthcare professional needs, but often what so few have access to.
For institutions that see the benefits of implementing simulation training, here are seven secrets to launching an effective program:
Simulation may involve some fairly sophisticated equipment, but there’s no need to overcomplicate the process when it comes to developing a simulation training program. Well-defined learning objectives at the outset will avoid confusion and rework later on. More importantly, they will help manage expectations and resource commitments.1
您的模型可能是一件很棒的工作,但是如果您错过了期望的目标,您可能不会看到实施劳动力的成果。
例如,如果您的目标是让参与者掌握基本的心肺复苏(CPR),则无需结合复杂的模拟场景,以处理设备故障或在混乱的火灾现场工作。为了保持专注,请根据您既定的学习目标进行所有决策。“此功能支持或损害我们要实现的目标?”
Instructors need to communicate exactly what participants are expected to take from the simulation and apply at the patient’s bedside. This will help boost sense of purpose, commitment to learning and retention of information.
如果希望学生完成心脏评估,请解释这意味着什么。是否期望他们在所有领域都倾听心脏声音,将患者固定在监视器上并解释其心电图节奏和/或获得所有相关疾病和药物的病史?讲师之间的期望可能会有所不同,因此具体说明将澄清差异。2
模拟专家认识到,为模拟而言,这意味着证明投资回报率(ROI) - 越快,越好。通常,他们转向Kirkpatrick模型来展示模拟培训如何值得投资:3

Effectively communicating short-term gains fuels engagement, enthusiasm and morale among key stakeholders. It also illustrates the link between employee engagement and ROI, showing in practical terms how simulation can deliver immediate value.
与以教师为中心的传统教室环境不同,使用模拟的指导是以学生为中心的,教师在学生的学习过程中扮演了主持人的角色。4这是一个不同的学习方式,需要一个差异erent type of teaching. This means that faculty development is a critical piece of every effective simulation program.
To design a successful debriefing session, tailor it to the learning objectives established earlier. If you’ve defined those objectives well — around mastery of a particular technical skill or aspect of team behavior, for example — your debriefing session will allow you to gauge how closely participants’ performance aligned with the objectives, and what actions must be taken to bridge any observed gaps.
基于公制的模拟可确保您的培训课程不仅仅是模拟临床“经验”,因为进步可以客观地衡量。确定您将测量什么以及如何测量它至关重要。
Training should concentrate on what should be done and the order in which it should be done, but it should also target performance errors for at least reduction, preferably elimination.5
Simulation is a sizeable investment of time, money and resources, but what your learners can gain is invaluable. By following the best practices of the sim experts who’ve paved the way, you’ll be on your way to creating a simulation program that will pay dividends for years to come.