‘The Diamond’: a structure for simulation debrief

Jaye, Peter; Thomas, Libby; Reedy, Gabriel

doi:10.1111/tct.12300

Cited by 204 publications

(150 citation statements)

References 10 publications

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“…The diamond method provides a structured visual reminder of the debrief process (figure 4). 6 We find this is simple and effective for facilitators with varying levels of experience. The diamond debrief is specifically designed to explore the non-technical aspects of a simulated scenario with three phases: description, analysis and application 6…”

Section: Debriefingmentioning

confidence: 91%

Acute neurology simulation training

et al. 2018

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Acute neurology is the neurological care that a patient receives in an emergency or urgent care situation. This can be adapted successfully to training in a simulation where learners are immersed in realistic scenarios in a safe, controlled and reproducible environment. In addition to teaching important technical skills that improve knowledge of the diagnosis and management of acute neurology, the simulation laboratory provides a valuable setting to improve human factors and non-technical skills, such as teamwork and leadership. Simulations are best conducted in a multiprofessional group with scenarios that allow different team members (nurses, physician associates, core medical and specialist trainees) to participate in their actual role. These training sessions require clear learning objectives, and involve designing the scenarios, running the session and ending with a structured debriefing to consolidate learning. The ultimate aim is to improve the team's effectiveness to deliver safe acute neurological care in the emergency department and on the wards.

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Section: Debriefingmentioning

confidence: 91%

Acute neurology simulation training

et al. 2018

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“…Following the scenario, the ‘Debrief Diamond’ tool was used to facilitate reflection on the management of both the simulated patient and more widely on the management of real patients with CAP 20. The debrief explored and addressed the learning needs identified through the clinical governance mechanisms detailed above.…”

Section: Methodsmentioning

confidence: 99%

Effect of In Situ High-Fidelity Simulation Training on the Emergency management of Pneumonia (INSTEP): a mixed-methods study

et al. 2018

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BackgroundThe patient safety agenda has propelled the rise of simulation education, but relatively few evaluations of simulation-based educational interventions have focused on patient outcomes.ObjectiveTo evaluate the impact of an in situ, high-fidelity simulation teaching intervention on the management of community-acquired pneumonia in the ambulatory care unit of a district general hospital.MethodsThis study used a mixed-methods approach to evaluate the impact of a programme of 10 in situ high-fidelity simulation education sessions delivered to a total of 10 junior doctors, nine nurses and seven healthcare assistants. Participants were tasked with managing a manikin simulating a patient with pneumonia in real time in a working clinical area. Subsequent structured debrief emphasised key themes from the national guidelines on pneumonia management. The intervention was evaluated through an immediate feedback form, follow-up semistructured interviews by independent qualitative researchers that underwent content analysis and triangulation with audit data on compliance with national pneumonia guidelines before and after the simulation intervention.ResultsThe in situ simulation intervention was valued by participants both in immediate written feedback and in follow-up semistructured interviews. In these interviews, 17 of 18 participants were able to identify a self-reported change in practice following the simulation intervention. Furthermore, most participants reported observing a change in the clinical practice of their colleagues following the training. Collected audit data did not show a statistically significant change in compliance with the guidelines for the management of pneumonia.ConclusionThis study found evidence of a change in both self-reported and observed clinical practice following a simulation intervention, supporting expert opinion that simulation education can impact clinician behaviours and patient outcomes in complex clinical scenarios. Furthermore, this feasibility study provides a transferrable method to evaluate the real-world impact of simulation education that merits further investigation through an appropriately powered study.

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“…Remaining group members viewed the scenario via a live video link. A group debrief facilitated by two clinically qualified tutors using the ‘Debrief Diamond’ structure9 followed each scenario. All participants consented to complete the previously validated KidSIM ATTITUDES questionnaire10 immediately before and after their simulation.…”

Section: Methodsmentioning

confidence: 99%

Combining medical, physiotherapy and nursing undergraduates in high-fidelity simulation: determining students’ perceptions

et al. 2018

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High-fidelity simulation (Hi-Fi SIM) is increasingly used to provide undergraduate interprofessional education (IPE). Although research has reported positive student feedback, studies have predominantly involved medical and nursing specialties. The present study sought to further explore this area by determining the perceptions of medical, physiotherapy and nursing students participating in the same simulation session. A total of 145 medical, physiotherapy and nursing undergraduate students jointly participated in a novel Hi-Fi SIM IPE programme. Immediately before and after their session, students completed the KidSIM ATTITUDES questionnaire where statements were rated regarding simulation, IPE and human factors. A high score indicated a more positive attitude. Physiotherapy students reported the lowest level of previous Hi-Fi SIM experience. Students from each specialty had more positive attitudes related to simulation, IPE and human factors following their simulation. Physiotherapy students had predominantly less positive attitudes compared with nursing and medical students. Participation in an IPE Hi-Fi SIM session positively impacted on the perceptions of medical, physiotherapy and nursing students regarding the relevance of simulation, IPE and the importance of human factors. Such findings support the use of this learning modality for the provision of IPE in a range of specialties.

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‘The Diamond’: a structure for simulation debrief

Cited by 204 publications

References 10 publications

Acute neurology simulation training

Acute neurology simulation training

Effect of In Situ High-Fidelity Simulation Training on the Emergency management of Pneumonia (INSTEP): a mixed-methods study

Combining medical, physiotherapy and nursing undergraduates in high-fidelity simulation: determining students’ perceptions

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