Skip to main content

Looking in the mirror: Self-debriefing versus instructor debriefing for simulated crises

96Citations
Citations of this article
187Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Objective: To examine the effectiveness of self-debriefing as compared to instructor debriefing in the change of nontechnical skills performance of anesthesiology residents. Design: Prospective, randomized, controlled study. Setting: A university hospital simulation center. Subjects: Fifty anesthesiology residents. Interventions: Subjects were instructed in the principles of nontechnical skills for crisis management. Subsequently, each resident participated in a high-fidelity simulated anesthesia crisis scenario (pretest). Participants were randomized to either a video-assisted self-debriefing or instructor debriefing. In the self-debriefing group, subjects reviewed their pretest scenario by themselves, guided by the Anesthetists' Non-Technical Skills scale. The instructor debriefing group reviewed their pretest scenario guided by an expert instructor also using the Anesthetists' Non-Technical Skills scale as a framework. Immediately following their respective debriefings, subjects managed a second simulated crisis (post-test). Measurements and Main Results: After all data were collected, two blinded experts independently rated videos of all performances in a random order using the Anesthetists' Non-Technical Skills scale. Performance significantly improved from pretest to post-test (p < .01) regardless of the type of debriefing received. There was no significant difference in the degree of improvement between self-debriefing and instructor debriefing (p = .58). Conclusions: Nontechnical skills for crisis resource management improved with training, as measured by the Anesthetists Non-Technical Skills scale. Crisis resource management can be taught, with measurable improvements. Effective teaching of nontechnical skills can be achieved through formative self-assessment even when instructors are not available. Copyright © 2011 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins.

Cite

CITATION STYLE

APA

Boet, S., Bould, M. D., Bruppacher, H. R., Desjardins, F., Chandra, D. B., & Naik, V. N. (2011). Looking in the mirror: Self-debriefing versus instructor debriefing for simulated crises. Critical Care Medicine, 39(6), 1377–1381. https://doi.org/10.1097/CCM.0b013e31820eb8be

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free