10 Debrief for Facilitators
The following is a group debrief script for you to follow. The debriefing questions are based on the 3D debriefing framework. It is important that you consider if this framework is appropriate based on the level of your learner, the content and your comfort with the 3D debriefing framework (for more information see https://www.sciencedirect.com/science/article/abs/pii/S0146000511000048 ). These questions can be changed to reflect the considerations noted.
Instructions: Hello my name is ______. I am a faculty member from _______ and I will lead the debrief.
This is a safe place for learning and therefore, everything that is said in this debriefing session should remain confidential. Everyone is to be treated with respect, this includes respecting others’ choices, responses and opinions and using effective communication techniques. Does everyone agree to keep this session confidential? May I have a show of hands that indicates confidentiality will be maintained?
Please note, that your answers or comments will not be graded. We recognize that there were limitations to the acute care virtual gaming simulation you completed. For example, it wasn’t always obvious and you could not control how the client and nurse would respond to your selected response. For the group debrief we are interested in the individual and collective learning that took place in the homecare virtual gaming simulation. We expect it will take approximately 45 minutes.
As we answer the questions lets first focus on the learning objectives of this virtual gaming simulation.
Learning objectives:
Apply knowledge of physical and psychosocial assessments related to the shortness of breath in an older adult.
Identify normal findings, abnormal variations and potential complications when caring for a client with congestive heart failure.
Provide appropriate education to a client and their care partners.
Demonstrate nurse-client therapeutic relationships when caring for an older adult and family caregivers.
Debriefing Questions
- Describe your thoughts and feelings while you were playing the Acute Care virtual gaming simulation. Now that you have heard your peer’s responses. What similarities and differences do you note?
- Did you play the game more than once and if you did, was it helpful to you? If not, why did you only play once?
- Describe how you felt in the role of the nurse, Juliet Carriere, during this virtual gaming simulation? What observations can be made related to how each person felt in the role as a nurse? Did any response surprise you?
- Share what you learned in relation to establishing a therapeutic nurse client relationship with Mrs. Helen Kumar and Kate Kumar. What are some of the common challenges with establishing this relationship?
- Not everyone works their way through this scenario perfectly. What can you take away from the incorrect decisions/responses you may have made? What similarities do you observe in the incorrect responses? Have any of your peers identified an issue that you have thought about before?
- As you worked your way through this simulation, did you find yourself going to other sources to learn more about caring an older adult with shortness of breath and delirium? If you did go to other sources, what types of things did you review to help increase your knowledge? What can be learned from seeking out other sources of information to inform your clinical decision making?
- If a similar situation arose where you cared for an older adult in acute care, what will you take away from this virtual gaming simulation and incorporate into your clinical practice?
- What questions remain unanswered for you in relation to this palliative virtual gaming scenario?
