Métodos e técnicas de <i>debriefing</i> utilizados em simulação na enfermagem

Nascimento, Juliana da Silva Garcia; Oliveira, Jordana Luiza Gouvêa de; Alves, Mateus Goulart; Braga, Fernanda Titareli Merizio Martins; Góes, Fernanda dos Santos Nogueira de; Dalri, Maria Celia Barcellos

Juliana da Silva Garcia Nascimento

Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

http://orcid.org/0000-0003-1118-2738

Jordana Luiza Gouvêa de Oliveira

Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

http://orcid.org/0000-0001-5905-8993

Mateus Goulart Alves

Universidade do Estado de Minas Gerais (UEMG). Passos, Minas Gerais, Brasil.

http://orcid.org/0000-0003-0680-6817

Fernanda Titareli Merizio Martins Braga

Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

http://orcid.org/0000-0001-8089-788X

Fernanda dos Santos Nogueira de Góes

Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

http://orcid.org/0000-0001-6658-916X

Maria Celia Barcellos Dalri

Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

http://orcid.org/0000-0002-8173-8642

Autor correspondente:
Juliana da Silva Garcia Nascimento E-mail: mestradounesp28@yahoo.com.br

Editores associados:

Juliana Petri Tavares

Graziella Badin Aliti

Editor-chefe:

Maria da Graça Oliveira Crossetti

Base de dados	Estratégia
PubMed/MEDLINE^®	Debriefing AND (Nursing OR Nursings) AND (“Education, Nursing” OR “Nursing Education” OR “Educations, Nursing” OR “Nursing Educations”)
SCOPUS	Debriefing AND (Nursing OR Nursings) AND “Education, Nursing” OR “Nursing Education” OR “Educations, Nursing” OR “Nursing Educations”
CINAHL	Debriefing AND Nursing AND “Education, Nursing”
LILACS	Debriefing AND (Nursing OR Enfermagem OR Enfermería) AND (“Education, Nursing” OR “Educação em Enfermagem” OR “Educación, Enfermería”)
Web of Science	Debriefing AND (Nursing OR Nursings) AND (“Education, Nursing” OR “Nursing Education” OR “Educations, Nursing” OR “Nursing Educations”)

Autores	País	Nível de Evidência
Kang et al.11. Kang K, Yu M. Comparison of student self-debriefing versus instructor debriefing in nursing simulation: a quasi-experimental study. Nurse Educ Today. 2018;2:67-73. doi: https://doi.org/10.1016/j.nedt.2018.02.030 https://doi.org/10.1016/j.nedt.2018.02.0...	Coreia do Sul	III
Reed1212. Reed SJ. Written debriefing: evaluating the impact of the addition of a written component when debriefing simulations. Nurse Educ Pract. 2015;15(6):543-8. doi: https://doi.org/10.1016/j.nepr.2015.07.011 https://doi.org/10.1016/j.nepr.2015.07.0...	Estados Unidos	II
Dreifuerst2222. Dreifuerst KT. Getting started with debriefing for meaningful learning using debriefing for meaningful learning to foster development of clinical reasoning in simulation. J Nurs Educ . 2012;51(6):326-33. doi: https://doi.org/10.3928/01484834-20120409-02 https://doi.org/10.3928/01484834-2012040...	Estados Unidos	III
Johnston et al.2323. Johnston S, Coyer F, Nash R. Simulation debriefing based on principles of transfer of learning: a pilot study. Nurse Educ Pract. 2017;26:102-8. doi: https://doi.org/10.1016/j.nepr.2017.08.002 https://doi.org/10.1016/j.nepr.2017.08.0...	Austrália	II
Kuiper et al.2424. Kuiper RN, Heinrichy C, Matthias A, Graham MJ, Bell-Kotwallyy L. Debriefing with the OPT model of clinical reasoning during high fidelity patient simulation. Int J Nurs Educ Scholarsh. 2008;5:Article 17. doi: https://doi.org/10.2202/1548-923X.1466 https://doi.org/10.2202/1548-923X.1466...	Estados Unidos	VI
Poore et al.2525. Poore JA, Dawson JC, Dunbar DM, Parrish K. Debriefing interprofessionally: a tool for recognition and reflection. Nurse Educ. 2019;44(1):25-8. doi: https://doi.org/10.1097/NNE.0000000000000518 https://doi.org/10.1097/NNE.000000000000...	Estados Unidos	VI
Reierson et al.2626. Reierson IÅ, Haukedal TA, Hedeman H, Bjørk IT. Structured debriefing: what difference does it make? Nurse Educ Pract. 2017;25:104-10. doi: https://doi.org/10.1016/j.nepr.2017.04.013 https://doi.org/10.1016/j.nepr.2017.04.0...	Noruega	V
Mariani et al.2727. Mariani B, Cantrell MA, Meakim C. Nurse educators' perceptions about structured debriefing in clinical simulation. Nurs Educ Perspect. 2014;35(5):330-1. doi: https://doi.org/10.5480/13-1190.1 https://doi.org/10.5480/13-1190.1...	Estados Unidos	V
Mariani et al.2828. Mariani B, Cantrell MA, Meakim C, Prieto P, Dreifuerst KT. Structured debriefing and students' clinical judgment abilities in simulation. Clin Simul Nurs. 2013;9(5):e147-55. doi: https://doi.org/10.1016/j.ecns.2011.11.009 https://doi.org/10.1016/j.ecns.2011.11.0...	Estados Unidos	III
Grant et al.2929. Grant JS, Dawkins D, Molhook L, Keltner NL, Vance DE. Comparing the effectiveness of video-assisted oral debriefing and oral debriefing alone on behaviors by undergraduate nursing students during high-fidelity Simulation. Nurse Educ Pract. 2014;14(5):479-84. doi: https://doi.org/10.1016/j.nepr.2014.05.003 https://doi.org/10.1016/j.nepr.2014.05.0...	Estados Unidos	II
Ha3030. Ha EH. Attitudes toward Video-Assisted Debriefing after simulation in undergraduate nursing students: an application of Q methodology. Nurse Educ Today. 2014;34(6):978-84. doi: https://doi.org/10.1016/j.nedt.2014.01.003 https://doi.org/10.1016/j.nedt.2014.01.0...	Coreia do Sul	VI
Henneman et al.3131. Henneman EA, Cunningham H, Fisher DL, Plotkin K, Nathanson BH, Roche JP, et al. Eye tracking as a debriefing mechanism in the simulated setting improves patient safety practices. Dimens Crit Care Nurse. 2014;33(3):129-35. doi: https://doi.org/10.1097/DCC.0000000000000041 https://doi.org/10.1097/DCC.000000000000...	Estados Unidos	II
Maestre et al.3232. Rudolph J.W, Maestrea JM. Teorías y estilos de debriefing: el método con buen juicio como herramienta de evaluación formativa en salud. Rev Esp Cardiol. 2015;68(4):282-5. doi: https://doi.org/10.1016/j.recesp.2014.05.018 https://doi.org/10.1016/j.recesp.2014.05...	Espanha	V

Autores	Delineamento	*Método de debriefing* e precursores**
Johnston et al.2323. Johnston S, Coyer F, Nash R. Simulation debriefing based on principles of transfer of learning: a pilot study. Nurse Educ Pract. 2017;26:102-8. doi: https://doi.org/10.1016/j.nepr.2017.08.002 https://doi.org/10.1016/j.nepr.2017.08.0...	Estudo piloto, clínico randomizado, controlado com abordagem mista, que testou debriefing utilizando os princípios da teoria de transferência de aprendizagem	Debriefing based on principles of transfer of learning Precursor: Salomon et al.3434. Salomon G, Perkins DN. Rocky roads to transfer: rethinking mechanism of a neglected phenomenon. Educ Psychol. 2010;24(2):113-42. doi: https://doi.org/10.1207/s15326985ep2402_1 https://doi.org/10.1207/s15326985ep2402_...
Kuiper et al.2424. Kuiper RN, Heinrichy C, Matthias A, Graham MJ, Bell-Kotwallyy L. Debriefing with the OPT model of clinical reasoning during high fidelity patient simulation. Int J Nurs Educ Scholarsh. 2008;5:Article 17. doi: https://doi.org/10.2202/1548-923X.1466 https://doi.org/10.2202/1548-923X.1466...	Estudo descritivo, que relatou experiência com estudantes de enfermagem, comparando sua habilidade de desenvolvimento de raciocínio clínico subsidiado pelo debriefing	Debriefing com uso do OPT model of clinical reasoning Precursor: Kuiper et al.2424. Kuiper RN, Heinrichy C, Matthias A, Graham MJ, Bell-Kotwallyy L. Debriefing with the OPT model of clinical reasoning during high fidelity patient simulation. Int J Nurs Educ Scholarsh. 2008;5:Article 17. doi: https://doi.org/10.2202/1548-923X.1466 https://doi.org/10.2202/1548-923X.1466...
Poore et al.2525. Poore JA, Dawson JC, Dunbar DM, Parrish K. Debriefing interprofessionally: a tool for recognition and reflection. Nurse Educ. 2019;44(1):25-8. doi: https://doi.org/10.1097/NNE.0000000000000518 https://doi.org/10.1097/NNE.000000000000...	Estudo metodológico, de validação e aplicação de ferramenta para o debriefing	Debriefing interprofissional 443. (DIPRR) Precursor: Poore et al.2525. Poore JA, Dawson JC, Dunbar DM, Parrish K. Debriefing interprofessionally: a tool for recognition and reflection. Nurse Educ. 2019;44(1):25-8. doi: https://doi.org/10.1097/NNE.0000000000000518 https://doi.org/10.1097/NNE.000000000000...
Reierson et al. ⁽2626. Reierson IÅ, Haukedal TA, Hedeman H, Bjørk IT. Structured debriefing: what difference does it make? Nurse Educ Pract. 2017;25:104-10. doi: https://doi.org/10.1016/j.nepr.2017.04.013 https://doi.org/10.1016/j.nepr.2017.04.0...	Estudo qualitativo exploratório, realizado com estudantes de enfermagem, com realização de debriefing oral tradicional e debriefing estruturado associado à gravação de vídeo	Debriefing estruturado Precursores: Fanning et al.3535. Fanning RM, Gabba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007:2(2):115-25. doi: https://doi.org/10.1097/SIH.0b013e3180315539 https://doi.org/10.1097/SIH.0b013e318031... e Phrampus et al.3636. Phrampus PE, O’Donnell JM. Healthcare simulation: from ‘best secret’ to ‘best practice’. In: Levine AI, DeMaria Jr S, Schwartz AD, Sim A. Comprehensive textbook of healthcare simulation. New York: Springer; 2013. p. 73-84.
Mariani et al.2727. Mariani B, Cantrell MA, Meakim C. Nurse educators' perceptions about structured debriefing in clinical simulation. Nurs Educ Perspect. 2014;35(5):330-1. doi: https://doi.org/10.5480/13-1190.1 https://doi.org/10.5480/13-1190.1...	Estudo piloto, qualitativo descritivo, sobre o debriefing estruturado	Debriefing estruturado Precursores: Fanning et al.3535. Fanning RM, Gabba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007:2(2):115-25. doi: https://doi.org/10.1097/SIH.0b013e3180315539 https://doi.org/10.1097/SIH.0b013e318031... , Phrampus et al.3636. Phrampus PE, O’Donnell JM. Healthcare simulation: from ‘best secret’ to ‘best practice’. In: Levine AI, DeMaria Jr S, Schwartz AD, Sim A. Comprehensive textbook of healthcare simulation. New York: Springer; 2013. p. 73-84.
Mariani et al.2828. Mariani B, Cantrell MA, Meakim C, Prieto P, Dreifuerst KT. Structured debriefing and students' clinical judgment abilities in simulation. Clin Simul Nurs. 2013;9(5):e147-55. doi: https://doi.org/10.1016/j.ecns.2011.11.009 https://doi.org/10.1016/j.ecns.2011.11.0...	Estudo de método misto, quase-experimental com debriefing estruturado	Debriefing estruturado Precursores: Fanning et al.3535. Fanning RM, Gabba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007:2(2):115-25. doi: https://doi.org/10.1097/SIH.0b013e3180315539 https://doi.org/10.1097/SIH.0b013e318031... e Phrampus et al.3636. Phrampus PE, O’Donnell JM. Healthcare simulation: from ‘best secret’ to ‘best practice’. In: Levine AI, DeMaria Jr S, Schwartz AD, Sim A. Comprehensive textbook of healthcare simulation. New York: Springer; 2013. p. 73-84.
Maestre e Rudolph3232. Rudolph J.W, Maestrea JM. Teorías y estilos de debriefing: el método con buen juicio como herramienta de evaluación formativa en salud. Rev Esp Cardiol. 2015;68(4):282-5. doi: https://doi.org/10.1016/j.recesp.2014.05.018 https://doi.org/10.1016/j.recesp.2014.05...	Estudo descritivo, com abordagem qualitativa, sobre os princípios do debriefing com bom julgamento	Debriefing com bom julgamento Precursor: Maestre et al.3232. Rudolph J.W, Maestrea JM. Teorías y estilos de debriefing: el método con buen juicio como herramienta de evaluación formativa en salud. Rev Esp Cardiol. 2015;68(4):282-5. doi: https://doi.org/10.1016/j.recesp.2014.05.018 https://doi.org/10.1016/j.recesp.2014.05...
Dreifuerst3333. Dreifuerst KT. Getting started with debriefing for meaningful learning. Clin Simul Nurs. 2015;11(5):268-75. doi: https://doi.org/10.1016/j.ecns.2015.01.005 https://doi.org/10.1016/j.ecns.2015.01.0...	Estudo quase-experimental, com aplicação de pré-teste e pós-teste para investigar o desenvolvimento de raciocínio clínico em estudantes por meio do debriefing	Debriefing for Meaningful Learning© Precursor: Dreifuerst3333. Dreifuerst KT. Getting started with debriefing for meaningful learning. Clin Simul Nurs. 2015;11(5):268-75. doi: https://doi.org/10.1016/j.ecns.2015.01.005 https://doi.org/10.1016/j.ecns.2015.01.0...

Autores	Delineamento	*Técnicas de debriefing* e precursores**
Kang et al.11. Kang K, Yu M. Comparison of student self-debriefing versus instructor debriefing in nursing simulation: a quasi-experimental study. Nurse Educ Today. 2018;2:67-73. doi: https://doi.org/10.1016/j.nedt.2018.02.030 https://doi.org/10.1016/j.nedt.2018.02.0...	Estudo quase-experimental que comparou técnicas de debriefing	Técnica de auto-debriefing (self-debriefing) Autor desconhecido Técnica de debriefing oral sozinho 490. Precursor: Fanning et al.3535. Fanning RM, Gabba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007:2(2):115-25. doi: https://doi.org/10.1097/SIH.0b013e3180315539 https://doi.org/10.1097/SIH.0b013e318031...
Reed1212. Reed SJ. Written debriefing: evaluating the impact of the addition of a written component when debriefing simulations. Nurse Educ Pract. 2015;15(6):543-8. doi: https://doi.org/10.1016/j.nepr.2015.07.011 https://doi.org/10.1016/j.nepr.2015.07.0...	Estudo experimental que comparou as experiências de estudantes aplicando três técnicas de debriefing	Técnica de debriefing oral sozinho Precursor: Fanning et al.3535. Fanning RM, Gabba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007:2(2):115-25. doi: https://doi.org/10.1097/SIH.0b013e3180315539 https://doi.org/10.1097/SIH.0b013e318031... Técnica de debriefing oral associada ao written debriefing com registro em um blog ou debriefing colaborativo Precursor: Petranek3737. Petranek CF. Written debriefing: the next vital step in learning with simulations. Simul Gam. 2000;31(1):108-18. doi: https://doi.org/10.1177/104687810003100111 https://doi.org/10.1177/1046878100031001... Técnica de debriefing oral associada ao written debriefing com registro em diário ou journaling 500. Precursor: Petranek3737. Petranek CF. Written debriefing: the next vital step in learning with simulations. Simul Gam. 2000;31(1):108-18. doi: https://doi.org/10.1177/104687810003100111 https://doi.org/10.1177/1046878100031001...
Grant et al.2929. Grant JS, Dawkins D, Molhook L, Keltner NL, Vance DE. Comparing the effectiveness of video-assisted oral debriefing and oral debriefing alone on behaviors by undergraduate nursing students during high-fidelity Simulation. Nurse Educ Pract. 2014;14(5):479-84. doi: https://doi.org/10.1016/j.nepr.2014.05.003 https://doi.org/10.1016/j.nepr.2014.05.0...	Estudo baseado na metodologia Q, que integrou métodos quantitativos e qualitativos para identificar a percepção em relação à técnica de debriefing aplicada	Técnica de debriefing videoassistido Precursor: Grant et al.2929. Grant JS, Dawkins D, Molhook L, Keltner NL, Vance DE. Comparing the effectiveness of video-assisted oral debriefing and oral debriefing alone on behaviors by undergraduate nursing students during high-fidelity Simulation. Nurse Educ Pract. 2014;14(5):479-84. doi: https://doi.org/10.1016/j.nepr.2014.05.003 https://doi.org/10.1016/j.nepr.2014.05.0... Levett-Jones et al.3838. Levett-Jones T, Lapkin S. A systematic review of the effectiveness of simulation 372 debriefing in health professional education. Nurse Educ Today. 2014;34(6):e58-63. doi: https://doi.org/10.1016/j.nedt.2013.09.020 https://doi.org/10.1016/j.nedt.2013.09....
Ha3030. Ha EH. Attitudes toward Video-Assisted Debriefing after simulation in undergraduate nursing students: an application of Q methodology. Nurse Educ Today. 2014;34(6):978-84. doi: https://doi.org/10.1016/j.nedt.2014.01.003 https://doi.org/10.1016/j.nedt.2014.01.0...	Estudo quase-experimental, que comparou a técnica de debriefing oral associada ao vídeo com debriefing oral sozinho	Técnica de debriefing oral sozinho Precursor: Fanning et al.3535. Fanning RM, Gabba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007:2(2):115-25. doi: https://doi.org/10.1097/SIH.0b013e3180315539 https://doi.org/10.1097/SIH.0b013e318031... Técnica de debriefing videoassistido Precursor: Grant et al.2929. Grant JS, Dawkins D, Molhook L, Keltner NL, Vance DE. Comparing the effectiveness of video-assisted oral debriefing and oral debriefing alone on behaviors by undergraduate nursing students during high-fidelity Simulation. Nurse Educ Pract. 2014;14(5):479-84. doi: https://doi.org/10.1016/j.nepr.2014.05.003 https://doi.org/10.1016/j.nepr.2014.05.0...
Henneman et al.3131. Henneman EA, Cunningham H, Fisher DL, Plotkin K, Nathanson BH, Roche JP, et al. Eye tracking as a debriefing mechanism in the simulated setting improves patient safety practices. Dimens Crit Care Nurse. 2014;33(3):129-35. doi: https://doi.org/10.1097/DCC.0000000000000041 https://doi.org/10.1097/DCC.000000000000...	Estudo experimental com aplicação de pré e pós-teste para comparar a eficácia de três técnicas de debriefing e determinar a mais eficaz	Técnicas de debriefing oral sozinho Precursor: Fanning et al.3535. Fanning RM, Gabba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007:2(2):115-25. doi: https://doi.org/10.1097/SIH.0b013e3180315539 https://doi.org/10.1097/SIH.0b013e318031... Técnica de debriefing Eye-Tracking sozinho Precursor: Fisher et al.3939. Fisher DL, Wisher RA, Ranney T. Optimal static and dynamic training schedules: state models of skill acquisition. J Math Psychol. 1996;40(1):30-47. doi: https://doi.org/10.1006/jmps.1996.0002 https://doi.org/10.1006/jmps.1996.0002... Técnica de debriefing oral combinado ao Eye-Tracking Precursor: Fisher et al.3939. Fisher DL, Wisher RA, Ranney T. Optimal static and dynamic training schedules: state models of skill acquisition. J Math Psychol. 1996;40(1):30-47. doi: https://doi.org/10.1006/jmps.1996.0002 https://doi.org/10.1006/jmps.1996.0002...

[1] Autor correspondente:
Juliana da Silva Garcia Nascimento E-mail: mestradounesp28@yahoo.com.br

Brasil

Brasil

Métodos e técnicas de debriefing utilizados em simulação na enfermagem

RESUMO

Objetivo:

Métodos:

Resultados:

Conclusões: