Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Comparative analysis of nursing students' reflection levels before and after debriefing in simulation training in South Korea: qualitative analysis design

  • Received : 2024.04.12
  • Accepted : 2024.06.10
  • Published : 2024.07.31
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Abstract

Purpose: To measure the level of reflection, this study analyzes diaries written by third-year nursing students before and after the debriefing stage in simulation training. A qualitative study using diary entries from 15 nursing students to explore reflection depth. Methods: Students engaged in simulation training and the debriefing stage, documenting their reflections in diaries. Before and after debriefing, reflections were rated from Level 1 (reflectivity) to Level 7 (theoretical reflectivity). Results: The total number of reflection levels rose significantly from 545 to 829 post-debriefing, enhancing higher-order reflection. The shift signifies a move from superficial to deep reflection, highlighting debriefing's role in fostering critical thinking. Conclusion: The findings underscore the critical role of debriefing in enhancing reflective thinking in nursing education. There is a demonstrated need for further research into the specific elements of debriefing that are most effective at promoting deep reflection. Future studies should conduct comparative analyses of different debriefing methods and approaches across various educational settings. This research could lay the foundation for designing more effective debriefing strategies that foster critical thinking and improve learning outcomes in nursing education.

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References

  1. Reime MH, Johnsgaard T, Kvam FI, Aarflot M, Engeberg JM, Breivik M, et al. Learning by viewing versus learning by doing: a comparative study of observer and participant experiences during an interprofessional simulation training. Journal of Interprofessional Care. 2017;31(1):51-58. https://doi.org/10.1080/13561820.2016.1233390
  2. Shinnick MA, Woo M, Horwich TB, Steadman R. Debriefing: the most important component in simulation? Clinical Simulation in Nursing. 2011;7(3):e105-e111. https://doi.org/10.1016/j.ecns.2010.11.005
  3. Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simulation in Healthcare. 2007;2(2):115-125. https://doi.org/10.1097/SIH.0b013e3180315539
  4. Lee J, Lee H, Kim S, Choi M, Ko IS, Bae J, et al. Debriefing methods and learning outcomes in simulation nursing education: a systematic review and meta-analysis. Nurse Education Today. 2020;87:104345. https://doi.org/10.1016/j.nedt.2020.104345
  5. Boet S, Bould MD, Sharma B, Revees S, Naik VN, Triby E, et al. Within-team debriefing versus instructor-led debriefing for simulation-based education: a randomized controlled trial. Annals of Surgery. 2013;258(1):53-58. https://doi.org/10.1097/SLA.0b013e31829659e4
  6. Kang K, Yu M. Comparison of student self-debriefing versus instructor debriefing in nursing simulation: a quasi-experimental study. Nurse Education Today. 2018;65:67-73. https://doi.org/10.1016/j.nedt.2018.02.030
  7. Harris M. Is journaling empowering? Students' perceptions of their reflective writing experience. Health SA Gesondheid. 2005;10(2):47-60. https://doi.org/10.4102/hsag.v10i2.194
  8. Bulman C, Schutz S. Reflective practice in nursing. 5th ed. John Wiley & Sons; 2013. p. 53-55.
  9. Niu Y, Liu T, Li K, Sun M, Sun Y, Wang X, et al. Effectiveness of simulation debriefing methods in nursing education: a systematic review and meta-analysis. Nurse Education Today. 2021;107:105113. https://doi.org/10.1016/j.nedt.2021.105113
  10. Dewey J. How we think: a restatement of the relation of reflective thinking to the educative process. 2nd ed. D.C. Heath; 1933. p. 301.
  11. Schon DA. The reflective practitioner: how professionals think in action. Ashgate; 1983. p. 384.
  12. Mezirow J. A critical theory of adult learning and education. Adult Education. 1981;32(1):3-24. https://doi.org/10.1177/074171368103200101
  13. Powell JH. The reflective practitioner in nursing. Journal of Advanced Nursing. 1989;14(10):824-832. https://doi.org/10.1111/j.1365-2648.1989.tb01467.x
  14. Kember D, McKay J, Sinclair K, Wong FKY. A four-category scheme for coding and assessing the level of reflection in written work. Assessment & Evaluation in Higher Education. 2008;33(4):369-379. https://doi.org/10.1080/02602930701293355
  15. Mezirow J. Transformative dimensions of adult learning. Jossey-Bass; 1991. p. 87-89.
  16. Jensen SK, Joy C. Exploring a model to evaluate levels of reflection in baccalaureate nursing students' journals. Journal of Nursing Education. 2005;44(3):139-142. https://doi.org/10.3928/01484834-20050301-08
  17. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007;19(6):349-357. https://doi.org/10.1093/intqhc/mzm042
  18. Brantlinger E, Jimenez R, Klingner J, Pugach M, Richardson V. Qualitative studies in special education. Exceptional Children. 2005;71(2):195-207. https://doi.org/10.1177/001440290507100205
  19. Silvia B, Valerio D, Lorenza G. The reflective journal: a tool for enhancing experience-based learning in nursing students in clinical practice. Journal of Nursing Education and Practice. 2013;3(3):102-111. https://doi.org/10.5430/jnep.v3n3p102
  20. Richardson G, Maltby H. Reflection-on-practice: enhancing student learning. Journal of Advanced Nursing. 1995;22(2):235-242. https://doi.org/10.1046/j.1365-2648.1995.22020235.x
  21. Peltier JW, Hay A, Drago W. The reflective learning continuum: reflecting on reflection. Journal of Marketing Education. 2005;27(3):250-263. https://doi.org/10.1177/0273475305279657
  22. Husebo SE, Dieckmann P, Rystedt H, Soreide E, Friberg F. The relationship between facilitators' questions and the level of reflection in postsimulation debriefing. Simulation in Healthcare. 2013;8(3):135-142. https://doi.org/10.1097/SIH.0b013e31827cbb5c