In-Situ Simulation Different Debriefing Methods

Study Overview
=================
Brief Summary
-----------------
The goal of this pre-test-post-test randomized controlled experimental study is to examined the effects of the learning conversation (LC)-based, 3D model-based, and standard debriefing methods on critical thinking, debriefing experience, and satisfaction after in-situ simulation among intensive care unit (ICU) nurses. A total of 186 ICU nurses working in a training and research hospital participated in the study. Researchers will compare learning conversation (LC)-based, 3D model-based, and standard debriefing methods on critical thinking, debriefing experience, and satisfaction.

Official Title
-----------------
In-Situ Simulation Study Among Nurses Using Different Debriefing Methods

Conditions
-----------------
Nursing Caries, Satisfaction, Simulation of Physical Illness

Intervention / Treatment
-----------------
* Behavioral: LC-Based Debriefing
* Behavioral: 3D Model-Based Debriefing


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Volunterring Beclohers degree graduated 22- 55 years min 1 year to work as a nurse open to communication Exclusion Criteria: individuals outside the inclusion criteria

Ages Eligible for Study
-----------------
Minimum Age: 23 Years
Maximum Age: 49 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: LC-Based Debriefing<br>LC-based debriefing session in one intervention group. | Behavioral: LC-Based Debriefing<br>* LC-based debriefing encourages reflection by allowing learners to identify and explore topics of particular interest. The model is defined as a structured post-event LC, which is useful for improving competence, professional development, and clinical judgment among intensive care unit and trauma nurses. The model is useful not only for one recipient by allowing reflection on positive and negative experiences but also for the whole group by allowing them to make connections to their own practice that day or to previous experiences, supporting teamwork. It also helps them understand what good practice is by doing their own self-assessment with peers' benchmarking.<br>|
| Experimental: 3D Model-Based Debriefing<br>One facilitator conducted a 3D model-based debriefing session in the other intervention group. | Behavioral: 3D Model-Based Debriefing<br>* The model has three parts: defusing, discovering, and deepening. The experiential learning theory on which this model is based facilitates learning goals. This model allows its participants to create new mental models for future practice, develop critical thinking skills, and identify knowledge gaps. In the model, a debriefing session starts with preliminary information and ends with a summary of what has been learned. Participants' gaps in understanding and learning are identified, and how they can apply their learnings to practice is discussed.<br>|
| No Intervention: Standard Debriefing<br>One facilitator conducted a non-model-based unstructured debriefing session in the control group | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Examined criticical thinking knownledge test score of intervention and control groups | The criticical thinking knownledge test was also created by the researchers and comprised 10 questions about learning objectives and critical thinking, particularly regarding decision-making while performing elimination, nutritional, and respiratory activities of ICU patients. | 2 months | 
| Determinating satisfaction scores of intervention and control groups | A visual analog scale (0 = not at all satisfied, 10 = very satisfied), the participants were asked to rate their satisfaction. | 2 months | 
| Determinating debriefing experince score of intervention and control groups | The Debriefing Experience Scale consists of 20 items and is a 5-point Likert-type scale. It consists of two parts-experience with debriefing and importance of items-and four subscales-analyzing thoughts and feelings, learning and making connections, facilitator skill in conducting the debriefing, and appropriate facilitator guidance. A high score on the scale indicates increased gains from the debriefing experience | 2 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
in-situ simulation, critical thinking, debriefing, nurse, intensive care