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The critical nature of debriefing in high‐fidelity simulation‐based training for improving team communication in emergency resuscitation
Author(s) -
Chamberland Cindy,
Hodgetts Helen M.,
Kramer Chelsea,
Breton Esther,
Chiniara Gilles,
Tremblay Sébastien
Publication year - 2018
Publication title -
applied cognitive psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.719
H-Index - 100
eISSN - 1099-0720
pISSN - 0888-4080
DOI - 10.1002/acp.3450
Subject(s) - debriefing , psychology , resuscitation , medical emergency , medical education , psychological safety , fidelity , communication skills training , applied psychology , medicine , communication skills , computer science , emergency medicine , telecommunications
Summary Emergency resuscitation in intensive care units (ICUs) requires effective team communication to orchestrate the joint performance of several individuals. Although team simulation training has proven an effective means to improve communication skills in high‐risk environments, the influence of debriefing content on simulation‐based learning is less clear. In this study, 10 ICU teams completed three consecutive cardiac resuscitation scenarios, followed by a 3‐month follow‐up. Control teams received a debriefing on the basis of resuscitation technical skills after each of the first three scenarios, whereas the experimental teams' debriefing focused on team communication. Results showed that although information sharing improved for all teams, communication quality improved only for experimental teams, and these training benefits dissipated after 3 months. The study helps develop a methodology for assessing team communication and highlights the importance of frequent team simulation‐based training and debriefing in emergency medicine that includes both technical and nontechnical skills.