2021
DOI: 10.1186/s41077-021-00185-x
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Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors

Abstract: The current coronavirus pandemic has necessitated rapid intensive care infrastructure expansion with corresponding demand for training healthcare staff. At the NHS Nightingale Hospital, London, the staff underwent a training programme prior to entering the clinical environment with simulation being a core component. This paper describes the rationale for choosing an initial debriefing model which evolved overtime to consider multiple contextual factors: demands of the clinical environment, the diverse particip… Show more

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Cited by 10 publications
(6 citation statements)
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References 47 publications
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“…El modelo plus/delta se basa en impulsar a los estudiantes a autoevaluar su desempeño en la simulación identificando sus fortalezas y los aspectos que podrían mejorar, creando un ambiente psicológicamente seguro. 15 Por otro lado, el enfoque con buen juicio se basa en comprender los modelos mentales que guiaron la conducta y decisiones de los participantes durante la simulación, para así discutir abiertamente los errores y que los instructores puedan aportar al aprendizaje de forma respetuosa y constructiva. 16 La simulación de alta fidelidad tiene una serie de beneficios en particular.…”
Section: Discussionunclassified
“…El modelo plus/delta se basa en impulsar a los estudiantes a autoevaluar su desempeño en la simulación identificando sus fortalezas y los aspectos que podrían mejorar, creando un ambiente psicológicamente seguro. 15 Por otro lado, el enfoque con buen juicio se basa en comprender los modelos mentales que guiaron la conducta y decisiones de los participantes durante la simulación, para así discutir abiertamente los errores y que los instructores puedan aportar al aprendizaje de forma respetuosa y constructiva. 16 La simulación de alta fidelidad tiene una serie de beneficios en particular.…”
Section: Discussionunclassified
“…A further consideration of applying Kolb's cycle to the current framework is that there is no space for active experimentation. Although experimenting in the debrief has been cited in the literature as either part of the debrief or as a concluding element, 63,64 this is less typical of debrief practice and is not characterized in the framework. Although some may argue that active experimentation occurs in clinical practice or in repeated simulation, a more fruitful line of enquiry may be to ponder the question: 'what are learners actively experimenting'?…”
Section: Cognitive Dissonance and Its Role In Reflectionmentioning
confidence: 99%
“…This was to encourage realistic responses rather than a caricature portrayal which would decrease fidelity, change participants emotional reaction and impact on depth of learning. A debrief followed each simulation utilising the Dynamic-Delta-Plus model chosen for its adaptability 7 . The model includes three key phases: opening, plus-delta and summary phases.…”
Section: Interventionmentioning
confidence: 99%