Chaewon Kim MEd , Fengfeng Ke PhD , Veronica Brewer EdD
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Debriefing the escape: Sequential patterns in facilitator strategies for nursing simulations
Background
While widely studied in traditional simulations, research on debriefing practices in educational escape rooms remains sparse. This study leverages sequential pattern mining to investigate facilitators’ micro-debriefing in the escape rooms on a critical care scenario.
Methods
About 69 first-semester nursing students were randomly assigned to 32 groups with two to three participants per group. Transcripts of facilitator-student interactions were coded using Dreifuerst’s (2009) debriefing framework, expanded with new categories relevant to the escape room context. Sequential pattern mining was applied to identify patterns in the instructors’ debriefing sequences.
Results
Demonstration (26.3%), reflection (21.6%), and prompting (20.1%) were the most frequent debriefing strategies, while emotion and assimilation were infrequent. Salient sequential patterns included (reflection → integration → prompting), emphasizing knowledge scaffolding and guided decision-making.
Conclusion
Educational escape rooms demand adaptive debriefing approaches that blend traditional and game-specific methods. The study findings inform the design of flexible debriefing frameworks to enhance learning outcomes in escape room simulations for nursing education.
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.