Effect of Simulation Case Complexity on Engagement During Distance Debriefing - A Randomized Controlled Trial

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-05-10 DOI:10.1016/j.ecns.2024.101538

Cynthia J. Mosher PhD, MD, MSHS , Perman Gochyyev PhD, MA , Adam Cheng MD, FRCPC , Alex Morton PhD, MSHS , Jabeen Fayyaz MD, FCPS, MCPS, DCH, CHSE, MHPE, Ph.D. (Sim) , Susan E. Farrell MD, EdM , Janice C. Palaganas PhD, APRN

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引用次数: 0

Abstract

Background

Learner engagement in distance debriefing introduces challenges for educators. The influence of complexity in a simulation scenario on debriefing engagement is unclear. This study aimed to investigate the connection between scenario complexity and educator, social, and cognitive presence during distance debriefing, and the relationships with psychological safety and mental workload.

Methods

We investigated the influence of a more complex versus less complex simulation case on debriefing engagement of healthcare professionals using a latent regression Rasch model.

Results

There was no statistical significance found in debriefing engagement of the 30 participants in the intervention (M = 109.66, SD = 16.17) versus 30 participating in the control (M = 112.42, SD = 15.30). No statistically significant difference between the intervention and control groups in team psychological safety (M = 15.00; SD = 2.07 and M = 14.52 and SD = 1.73) or in mental workload (M = 72.28; SD = 19.52 and M= 73.13; SD = 19).

Conclusions

Our findings indicate that having an experienced and skilled debriefer who can establish high levels of psychological safety can create an engaging debriefing conversation regardless of the simulation.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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模拟案例复杂性对远程汇报时参与度的影响--随机对照试验

背景学生参与远程汇报给教育者带来了挑战。模拟情景的复杂性对汇报参与度的影响尚不明确。本研究旨在调查远程汇报中情景复杂度与教育者、社会和认知存在之间的联系，以及与心理安全和脑力劳动负荷之间的关系。结果30名干预组参与者（M = 109.66，SD = 16.17）与30名对照组参与者（M = 112.42，SD = 15.30）的汇报参与度没有统计学意义。干预组和对照组在团队心理安全（M=15.00；SD=2.07 和 M=14.52；SD=1.73）或心理工作量（M=72.28；SD=19.52 和 M=73.13；SD=19）方面没有明显的统计学差异。结论我们的研究结果表明，无论进行何种模拟，如果有一位经验丰富、技术娴熟、能够建立高度心理安全感的汇报者，都能创造出引人入胜的汇报对话。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.

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