1. Delivering Constructive Feedback in Simulated Learning
Ginger Sherrick, MSN, APRN, FNP-BC, RN-BC, CHSE
June 2, 2017
Delivering Constructive Feedback in Simulated Learning

2. Is there another way?

3. Feedback vs. Debriefing

4. What is Debriefing really?
“Debriefing is a critical conversation to reframe the context of a situation to clarify perspectives and assumptions, both subjectively and objectively.” -Benner, Sutphen, Leonard, & Day, 2010
What is Debriefing really?

5. Faculty Preparation= Improved Acceptance
Objectives are:
SMART
Congruent with the course objectives
Presented prior to simulation

6. Pre-Brief In Simulation
Pre-Work
Orientation
Fiction Contract
Confidentiality
Use of Video

7. Debriefing 101 What is important?
Facilitator must be trained
Environment conducive to debriefing
Facilitator needs to have observed the simulation scenario
Debriefing structure or formal framework
Aligns with the objectives

8. Debriefing Tools
NLN-2015 Vision Statement called for theory based debriefing INACSL Standards revised for Debriefing.
IPE Tools-
NLN called for debriefing across the curriculum in June 2015.

9. How do I say it?
‘I’d like to talk about “the door”’ (Preview Statement)
“Can you talk about that?”
“I wonder what happened”
“I saw” (advocacy)
“What’s your take on that?”
“I wonder how you see it”
“I think” (advocacy)
“It seemed to me”
“I was scared” (emotion)
“I wonder what others were thinking at the time”
“I wonder” (inquiry)
“I am frustrated” (emotion)
“I will answer - but let me turn to the rest of the group”
“I am concerned because” (emotion)
“Let’s Tune that up a bit”
Address using first names – “John, I understand that….”
“I am pleased because” (emotion)
Avoid the use of “but”– this is easier said than done)
 When stating a positive observation add “because” (re-enforce what was done well!)

10. What do you see?

11. Evaluation Tools DASH Lasater
Interprofessional Collaborative Competency Attainment Survey (ICCAS):
Readiness for Interprofessional Learning Scale (RIPLS):
The TeamSTEPPS Teamwork Attitudes Questionnaire (T- TAQ):

12. Lessons Learned
Be Factual Be Consistent
Foster Inquiry Be a Student

13. What do you see now?

14. References:
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. San Francisco, CA: Jossey-Bass.
International Nursing Association for Clinical Simulation and Learning. (2016). INACSL standards of best practice: Debriefing [Educational Standard]. Retrieved from
McDermott, D. (2016, June). The prebriefing concept: A delphi study of CHSE experts. Clinical Simulation in Nursing, 12(6),

15. References:
National League for Nursing. (2015). A vision for teaching with simulation. Retrieved from source/about/nln-vision-series-%28position-statements%29/vision- statement-a-vision-for-teaching-with-simulation.pdf?sfvrsn=2
National League for Nursing. (2015). Debriefing across the curriculum. Retrieved from vision-series-(position-statements)/nln-vision-debriefing-across-the- curriculum.pdf?sfvrsn=0
Page-Cutrara, K. (2014, March). Use of pre-briefing in simulation: A literature review. Journal of Nursing Education, 53(3),