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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Impact of prebriefing on emotions in a high-fidelity simulation session: A rando...
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Vol. 70. Issue 8.
Pages 447-457 (October 2023)
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Vol. 70. Issue 8.
Pages 447-457 (October 2023)
Original article
Impact of prebriefing on emotions in a high-fidelity simulation session: A randomized controlled study
Impacto del prebriefing en las emociones en una sesión de simulación de alta fidelidad: estudio controlado aleatorizado
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P. Duquea,
Corresponding author
pduque@salud.madrid.org

Corresponding author.
, J.A. Varelaa, P. Garridob, O. Valenciac, E. Terradillosa
a Anesthesiology Department, Gregorio Marañon Hospital, Madrid, Spain
b Anesthesiology Department, La Paz Hospital, Madrid, Spain
c Anesthesiology Department, 12 de Octubre Hospital, Madrid, Spain
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Tables (2)
Table 1. Characteristics and variables of the study population.
Table 2. Comparison between groups according to clinical characteristics and results.
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Additional material (2)
Abstract
Introduction

Medical simulation is associated with intense emotions which influence human behavior. We aim to investigate how prebriefing impacts on learners’ emotions during a high-fidelity simulation (HFS) session.

Methods

This is a prospective randomized controlled study. Participants were randomly allocated to receive a standardized prebriefing (SP group) versus not receiving it (NSP group). Debriefing following the «good judgment» approach, structured in reactions, understanding and summary phases, was used in both groups. In order to assess emotions, we used the circumplex model of affect applying the Affect Grid scale, which was performed prior to prebriefing, following case performance and following debriefing. Debriefing times were also assessed.

Results

A total of 128 physicians participate in the study (64 vs. 64). Following case performance, this HFS session was experienced with significantly more pleasant emotions compared to baseline, that were maintained during debriefing (p < 0.01) while alertness increased after case performance diminishing after debriefing (p < 0.01). There were no statistical significant differences between groups. In the NSP group, total debriefing (p = 0.003) and understanding phase (p = 0.002) times were significantly longer.

Conclusions

This HFS session was experienced as pleasant with high alertness with no specific emotional impact attributable to prebriefing. Prebriefing leads to a freer flowing debriefing.

Keywords:
High fidelity simulation training
Emotions
Prebriefing
Debriefing
Education
Arousal
Resumen
Introducción

La simulación médica está asociada a emociones intensas, que influyen en el comportamiento humano. Nuestro objetivo fue investigar el modo en que el prebriefing repercute en las emociones de los alumnos durante una sesión de simulación de alta fidelidad (SAF).

Métodos

Estudio controlado aleatorizado prospectivo. Se asignó aleatorizadamente a los participantes para recibir un prebriefing estandarizado (grupo PE) o no recibirlo (grupo NPE). Se utilizó en ambos grupos el debriefing tras el enfoque de «buen juicio», estructurado en fases de reacciones, comprensión y resumen. A fin de evaluar las emociones, utilizamos el modelo circunflejo de afecto aplicando la escala Affect grid antes del prebriefing, tras el desempeño del caso y tras el debriefing. También se evaluaron los tiempos de debriefing.

Resultados

Participaron 128 facultativos en el estudio (64 frente a 64). Tras el desempeño del caso, la experiencia de esta sesión de SAF reflejó emociones significativamente más agradables en comparación con el nivel basal, que se mantuvieron durante el debriefing (p < 0,01), mientras que el nivel de alerta se incrementó tras el desempeño del caso y disminuyó tras el debriefing (p < 0,01). No se encontraron diferencias estadísticamente significativas entre los grupos. En el grupo NPE, los tiempos totales del debriefing (p = 0,003) y de la fase de comprensión (p = 0,002) fueron significativamente más prolongados.

Conclusiones

La experiencia de esta sesión de SAF fue agradable y con elevado nivel de alerta, sin impacto emocional específico atribuible al prebriefing, lo que da lugar a un debriefing con un flujo más libre.

Palabras clave:
Formación en simulación de alta fidelidad
Emociones
Prebriefing
Debriefing
Formación
Activación

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