This is most important for simulation programs in academia as well as for those new to clinical practice in residential training programs. Best practices include a comprehensive pre-briefing session that orients the learner to the simulation environment in order to most effectively measure the potential to grasp new concepts and or clinical competencies in the simulation experience equitably.Ĭonclusion: Comprehensive simulation educational strategies in debriefing such as familiarity of the participants with the simulation environment are essential when educating nursing students and or clinicians in order to build a culture of safety towards quality patient care and positive outcomes. Simulation programs need to be most aware of current simulation standards in order to produce learning outcomes that are beneficial for the learner equitable. Implications for Practice: It is widely accepted that comprehensive debriefing is the essence of the simulation experience, however the literature is not so clear when addressing the value of pre-briefing consistently. Furthermore, the insufficient degree of facilitation pre-simulation can negatively impact the learner when the simulation experience fails to include a variety of learning concerns such as: the objective of the experiential exercise, the complexity of the scenarios, the experience level of the participants as individuals and or a team, and the familiarity of the participants with the simulation environment, (Fanning and Gaba, 2007). This pre-brief phase is a time when the facilitator illustrates the purpose of the simulation, the learning objectives, the process of debriefing, and what it demands, inclusive of the clinical simulation environment. Specifically, how pre-briefing may enrich simulation for learners without adequate prior clinical experience or how it may develop complex thinking skills and clinical judgment is not well understood.ĭiscussion: It is essential that simulation programs create a learning environment of confidence and familiarity for the learner, specifically in preparation for a rewarding simulation experience. The comprehensive technology and clinical debriefing inclusive of the familiarity with the simulation environment provides a balanced forum for student learners to best reflect on priority action, identifying performance gaps, discussing areas for improvement, and consolidating knowledge and skills when effectively learning in simulation, (Cheng et al 2014). Review of the Literature: Comprehensive pre-briefing is an important technique conducive to learning achievement when effectively simulating nursing students for successful clinical knowledge and application of practice in a supportive simulation learning environment. Methodology: An all-inclusive literature search of electronic databases was done, journal references and citation searching, and reviewing articles derived from ww., Cinahl, ProQuest, and Cochran databases were viewed from 2007-2015 (Polit & Beck, 2016) Purpose: The purpose of this literature review is to affirm the importance of comprehensive pre-briefing inclusive of the familiarity with the simulation environment for learners when promoting student success in simulation based learning. This is not only a negative indicator for the simulation program but in future time may not help to produce nursing graduates who can effectively operate in a new learning simulation environment specifically those involved in a healthcare cohort nursing residency program. Problem: Failure to pre-brief students in the familiarity of the simulation environment may result in a negative learning variability when the information provided prior to the simulation experience excludes the familiarity of the participants with the simulation environment. Valdes DNP, MSN-HCS, RN-BC and Roxana Orta DNP, MSN Ed., ARNP-BC Yolanda Nitti, MSN, RN Antonio Navarro MSN, BSN, ARNP Betty Valdes Ph.D, MSN, MBA, RN, Ruth Everett Thomas, PhD.
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