Comparison of instructor-led versus peer-led debriefing in nursing students

Nurs Health Sci. 2016 Jun;18(2):238-45. doi: 10.1111/nhs.12259. Epub 2016 Feb 1.

Abstract

Despite its widespread support, the most effective simulation-based debriefing method has little evidence to support its efficacy. In this study, we compared the effect of peer-led and instructor-led debriefing among nursing students. The study was conducted with a non-equivalent control group using a pretest-post-test design. A convenience sample of third-year nursing students was used for the study, where 65 students enrolled in a 2-week clinical placement rotation were randomly assigned to the instructor-led group or peer-led group. The quality of cardiopulmonary resuscitation skills, satisfaction with simulation, and quality of debriefing in the peer-led group were compared to those in the instructor-led group. Group differences at each testing interval were analyzed using independent t-test. Nursing students in the instructor-led debriefing group showed better subsequent cardiopulmonary resuscitation performance, more satisfaction with simulation experience, and higher debriefing scores compared to the peer-led group. From our study, instructor-led debriefing is an effective method in improving skills performance, inducing favorable satisfaction, and providing better quality of debriefing among nursing students.

Keywords: Korea; debriefing; nursing student; patient simulation; performance; satisfaction.

MeSH terms

  • Adult
  • Cardiopulmonary Resuscitation / nursing
  • Cardiopulmonary Resuscitation / standards
  • Clinical Competence / standards
  • Faculty, Nursing / psychology*
  • Faculty, Nursing / standards
  • Female
  • Focus Groups / methods*
  • Focus Groups / standards
  • Humans
  • Male
  • Peer Group*
  • Republic of Korea
  • Simulation Training / standards
  • Students, Nursing / psychology*