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Implications of Subject Matter Expertise as a Requirement for Debriefing: A Randomized Control Trial
Simulation & Gaming Pub Date : 2020-10-06 , DOI: 10.1177/1046878120945743
Desiree A. Díaz 1 , Laura Gonzalez 1 , Mindi Anderson 1 , Valorie MacKenna 1 , Erica Hoyt 1 , Peggy P. Hill 1
Affiliation  

Introduction. Healthcare certification standards do not mention subject matter expertise. This research answers the question: Is there a difference in participant perception of simulation effectiveness between simulation facilitators and SME simulation facilitators during the debrief? Methods. Senior-level nursing students (N=120) were randomized into groups to complete one pediatric critical care simulation. Simulation-based education (SBE) was delivered across five weeks. Two experienced facilitators, one with pediatric expertise and one without, used the PEARLS method to debrief each simulation. Following each debrief, participants completed a demographic survey and a SET-M. Results were analyzed using SPSS Version 24. Results. Eighty-four students completed the survey and SET-M instrument. Independent samples t-tests showed no significant difference between facilitators based on the SET-M total scores (p=.516), or mean scores (p=.492). Debriefing-specific items also showed no difference (p=.983). Conclusion. Subject matter expertise did not change the perception of simulation effectiveness for undergraduate nursing students during a critical care scenario. While SMEs are valuable for scenario creation and coaching non-SME facilitators on key elements for guided reflection, they may not be required to facilitate the debrief. Further research in this area is needed.

中文翻译:

主题专业知识作为汇报要求的意义:随机对照试验

介绍。医疗保健认证标准没有提及主题专业知识。本研究回答了以下问题:在汇报期间,模拟促进者和中小企业模拟促进者之间的参与者对模拟有效性的感知是否存在差异?方法。高级护理学生 (N=120) 被随机分组​​以完成一项儿科重症监护模拟。基于模拟的教育 (SBE) 为期五周。两位经验丰富的辅导员,一位具有儿科专业知识,一位没有,使用 PEARLS 方法对每次模拟进行汇报。在每次汇报之后,参与者完成了人口统计调查和 SET-M。使用 SPSS 24 版对结果进行分析。 结果。84 名学生完成了调查和 SET-M 工具。独立样本 t 检验显示,根据 SET-M 总分 (p=.516) 或平均分 (p=.492),辅导员之间没有显着差异。汇报特定项目也没有显示出差异 (p=.983)。结论。在重症监护场景中,学科专业知识并没有改变本科护理专业学生对模拟有效性的看法。虽然中小企业对于情景创建和指导非中小企业促进者进行指导性反思的关键要素很有价值,但他们可能不需要促进汇报。这方面需要进一步研究。在重症监护场景中,学科专业知识并没有改变本科护理专业学生对模拟有效性的看法。虽然中小企业对于情景创建和指导非中小企业促进者进行指导性反思的关键要素很有价值,但他们可能不需要促进汇报。这方面需要进一步研究。在重症监护场景中,学科专业知识并没有改变本科护理专业学生对模拟有效性的看法。虽然中小企业对于情景创建和指导非中小企业促进者进行指导性反思的关键要素很有价值,但他们可能不需要促进汇报。这方面需要进一步研究。
更新日期:2020-10-06
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