Debriefing Research Articles

How to support teenagers in social media utilization: based on mother's experience

The complexity and vulnerability of physical, psychological and social conditions result in the possibility of adolescents slumping in the circumstance of social media addiction in the existing era of digitalization. The problem of mother’s support to adolescents is very complex and undeniably becomes very necessary in directing teenagers throughout the utilization of social media. However, research related to the assistance of a mother towards adolescents in accompanying social media is still highly restricted. This study intends to explore forms of mother assistance to adolescents in utilizing social media based on their experiences. This qualitative study applied a phenomenological approach, involving twelve mothers with adolescent children and determined based on purposive sampling techniques. Data collection is done through in-depth interviews and compiled into transcripts, further determining the code, categories, and themes. The analysis process uses Colaizzi method, so that after the theme is formulated, the validation of the theme by participants is carried out. Trustworthiness, peer de briefing is conducted to ensure the validity of research results. The three themes produced related to the mother's experiences in accompanying adolescents are educating themselves, openness in communicating and formulating a mutual commitment. It can be concluded that the mother is a strong figure in keeping teenagers from falling into the heartbreaking condition of social media addiction. It is recommended that social media addiction prevention programs be developed through the coordination of families, teachers and peers based on the policies of the education department.

MLA 2017 Debrief

MLA 2017 Debrief

Old theory, new application: A novel debriefing framework.

Old theory, new application: A novel debriefing framework.

The essentials of debriefing in simulation learning: a concept analysis.

Debriefing is essential element of simulation; however, practices vary greatly. Common elements include critique, correction, and evaluation of student performance and discussion of the experience. Learning occurs in simulation through contextual task training and repetition, but significant learning occurs when deep insight is made explicit through reflection during debriefing. The value of the student's learning is in the student's ability to engage in reflection that translates into actionable knowledge. Facilitating debriefing emphasizing reflection is an essential competency, yet little research and resources are available to guide best practices in debriefing. This article analyzes the concept of debriefing and identifies essential components. Examples that demonstrate defining attributes of debriefing are included. This work supports the identification of best practices and future research agendas to enable nurse educators to master the knowledge and strategies needed to provide students with significant learning during simulation.

Biopestisida Nabati dari Tumbuhan Tradisional Asal Gorontalo di Desa Mustika, Boalemo

VEGETABLE BIOPESTICIDE FROM GORONTALO TRADITIONAL PLANTS IN MUSTIKA VILLAGE, BOALEMO. Most of the villagers of Mustika are farmers who use chemical pesticides in dealing with pests that have negative effects on plants, the environment and public health, so biopesticides are needed as a substitute for these chemical pesticides. Tombili and tubile are plants that are often found in Mustika Village, and can be used as biopesticides. This method of service is through the preparation and briefing stages as well as the implementation phase of the program. In the preparation stage, an initial survey of the location of the Community Service Program is carried out. The surveyed location is in the village of Mustika, Kec. Paguyaman, Kab. Boalemo The debriefing phase of the Community Service Program Supervisor team to equip students with biopesticides. At the implementation stage the program begins with the preparation and application of rice plants. The yields obtained by the largest grain of tombili water extracted dried rice were at a concentration of 0.01%, with a dry grain weight of 7.998 kg/ha, while for tubile extract the largest weight of dry grain was at a concentration of 0.25% with a weight of dry grain as much as 9.331 Kg / Ha. For the control or untreated rice produces dry rice of 2,666 kg/ha, whereas for samples using chemical pesticides, 6,665 kg / ha of dry rice were produced.

A auditoria como ação pedagógica inovadora: perspectiva do acadêmico de enfermagem

O presente artigo tem objetivo relatar a vivência de um acadêmico de enfermagem ao executar uma auditoria de conformidade, ocasional, externa num serviço de internação hospitalar, durante a atividade prática de um componente curricular. Trata-se de um estudo descritivo, do tipo relato de experiência. A atividade prática foi desempenhada pelos acadêmicos no segundo semestre de 2019 em um hospital municipal da região da Fronteira Oeste do Rio Grande do Sul, Brasil. A prática componente curricular possui 4 momentos, a saber: sorteio do tema a ser avaliado; critérios da qualidade; análise documental e inspeção do serviço; e o relatório de auditoria. A partir do debriefing, como método de análise dos dados, identificou-se que as vivências de realizar a prática de auditoria em ambiente hospitalar apresentam duas categorias: perspectivas negativas da auditoria como ação pedagógica e perspectivas positivas da auditoria como ação pedagógica inovadora. Conclui-se que a auditoria como ação pedagógica no contexto hospitalar não só integra saberes apreendidos nas diversas disciplinas oferecidas durante o curso de graduação, mas permite ao acadêmico o exercício da construção de sua autonomia e responsabilidade nesta etapa de transição de identidade do futuro enfermeiro.

The End of life care tab: A Quality improvement intervention

Background: Two sentinel cases prompted an evaluation of our EOL care practice for children in our pediatric intensive care unit. Lack of clear guidelines for end of life care in the PICU and physician variability in practice resulted in communication breakdowns triggering significant moral distress amongst PICU staff. Problem Analysis: A more detailed evaluation of the problem was performed using two measures: quantitative data collection with a PICU staff needs assessment survey as well as qualitative data from staff debriefings. The survey included a self-assessment on EOL clinical skills, an assessment of inter- and intra-team communication, an assessment of communication with patients/families, and …

Student Nurses values of peer assessment and debriefing within a simulation exercise.

Simulation is a widely recognised part of nurse education utilising clinical scenarios within a safe environment. However, a planned debriefing session is not always routinely part of this. This paper explores the experience of twenty undergraduate nursing students participating in a simulation exercise and being both peer assessed and peer debriefed by their fellow student cohort.

A contribuição do debriefing no ensino baseado em simulação

Objetivo: analisar a percepção de residentes de enfermagem quanto à contribuição do debriefing para a sua aprendizagem a partir de uma experiência de Simulação de Alta Fidelidade. Método: trata-se de um estudo quantitativo, descritivo, transversal, com 103 enfermeiros do 1o ano do Programa de Residência de Enfermagem de uma universidade federal brasileira. Criou-se o workshop “Simulação na assistência de enfermagem ao paciente em alta complexidade” em cinco etapas: aula expositiva sobre o Protocolo ACLS 2015 da American Heart Association; oficina de habilidades práticas; instrução sobre o ambiente de simulação e as funções dos membros da equipe para a atuação nos cenários; debriefing e preenchimento do instrumento “Escala de Experiência com o debriefing” (EED). Considerou-se, para a análise e classificação dos dados, o ponto de corte de 70% de concordância entre os itens avaliados pela EED. Resultados: indicou-se, por 75% dos respondentes, o índice Likert “concordo totalmente” e 25%, o índice “concordo parcialmente”. Conclusão: demonstra-se, no estudo, que residentes de Enfermagem consideraram o processo de debriefing como fator de grande contribuição para sua aprendizagem e formação profissional. Descritores: Simulação; Enfermagem; Educação em Enfermagem; Aprendizagem Metodologia; Aprendizagem; Reeducação Profissional.AbstractObjective: to analyze the perception of nursing residents regarding the contribution of debriefing to their learning from a High Fidelity Simulation experience. Method: this is a quantitative, descriptive, cross-sectional study with 103 nurses from the 1st year of the Nursing Residency Program of a Brazilian federal university. The workshop “Simulation in nursing care for highly complex patients” was created in five stages: lecture on the ACLS Protocol 2015 of the American Heart Association; practical skills workshop; instruction on the simulation environment and the functions of the team members to act in the scenarios; debriefing and filling in the instrument "Debriefing Experience Scale" (DES). For the analysis and classification of the data, the cut-off point of 70% of agreement between the items evaluated by the DES was considered. Results: the Likert index “totally agree” and 25% the “partially agree” index was indicated by 75% of respondents. Conclusion: in the study, it is shown that nursing residents considered the debriefing process as a factor of great contribution to their learning and professional training. Descriptors: Simulation; Nursing; Education, Nursing; Learning Methodology; Learning; Education, Professional.ResumenObjetivo: analizar la percepción de los residentes de enfermería con respecto a la contribución del debriefing para su aprendizaje a partir de una experiencia de Simulación de Alta Fidelidad. Método: este es un estudio cuantitativo, descriptivo, transversal con 103 enfermeros del primer año del Programa de Residencia de Enfermería de una universidad federal brasileña. El taller "Simulación de la atención de pacientes de enfermería altamente compleja" se creó en cinco pasos: conferencia sobre el Protocolo ACLS 2015 de la American Heart Association; taller de habilidades prácticas; instrucción sobre el entorno de simulación y los roles de los miembros del equipo para desempeñarse en los escenarios; debriefing y completar el instrumento "Debriefing Experience Scale" (DES). Para el análisis y la clasificación de los datos, se consideró el punto de corte del 70% de acuerdo entre los elementos evaluados por el DSE. Resultados: el 75% de los encuestados indicó el índice Likert "totalmente de acuerdo" y el 25% índice "parcialmente de acuerdo". Conclusión: el estudio muestra que los residentes de Enfermería consideraron el proceso de debriefing como un factor de gran contribución a su aprendizaje y formación profesional. Descriptores: Simulación; Enfermería; Educación en Enfermería; Aprenizage Metodología; Aprendizage; Reentrenamiento en Educación Profesional.

Post-Resuscitation Debriefing in Pediatric Residency: A Needs Assessment

PURPOSE Debriefing is a facilitated discussion of actions and thought processes used to encourage reflection and assimilation of learning after stressful events. Debriefing after resuscitations can be used to facilitate learning, to improve future performance, and to reduce the stress response. Post-resuscitation debriefing (PRD) has the potential to attenuate factors leading to burnout by providing an opportunity for emotional processing, review of performance, and improvement of morale. Pediatric residents comprise a population which would benefit extensively from PRD, particularly given their relative paucity of experience with resuscitation. We surveyed residents at a large …

DECREASING THE RATE OF UNPLANNED EXTUBATION IN THE Neonatal Intensive Care Unit

Background: Unplanned extubation (UE) is the fourth most common preventable adverse event in the Neonatal Intensive Care Unit (NICU). It results from many factors and leads to patient harm. There is limited evidence in identifying contributing factors of UE and more is needed to develop targeted UE prevention methods. Methods: A multidisciplinary work group performed post-event debriefings or mini root cause analysis (RCA) after each UE in the NICU from February 1st, 2016 through September 30th, 2016 and identified contributing factors. Based on these factors, the work …

Working Memory Capacity as a Moderator of Intrusive Memories

Intrusions can appear in different forms. The occurrence of different types of intrusion can be determined by how the traumatic information was processed. This study examined whether working memory capacity (WMC) can moderate the two peritraumatic processes (conceptual processing and data-driven processing) to affect intrusions. Participants first completed a symmetry span task, viewed traumatic film footage, and completed a processing-style questionnaire concerning the film. A week later, participants handed in a tabular diary that recorded their intrusions over the past week, and completed a free recall and recognition task about the film; they were then debriefed. WMC can moderate the effect of processing style, depending on the type of intrusion. In the prediction of intrusive thoughts (ITs), we found that higher conceptual processing scores led to more ITs in participants with a high WMC. The current study has important clinical implications, in that it recognizes the existence of less-studied ITs, and the role of WMC in trauma processing.

Cultivating Gratitude During the Postconference Debrief.

Cultivating Gratitude During the Postconference Debrief.

CLASSROOM MANAGEMENT AS ENVISIONED BY ELEMENTARY SCHOOL TEACHERS OF THE POST-INDEPENDENCE GEORGIAN ELEMENTARY SCHOOLS

In this study, experiences of elementary school teachers about classroom management and the meaning they ascribe to the concept of classroom management were examined through a phenomenological research study. The opinions of teachers working at the elementary school level were investigated through the dimensions of strengths and weaknesses of the teachers, problems encountered in classroom management, and the teachers’ suggestions for how to become an ideal teacher. The sample of the study consisted of a total of 48 teachers who served in elementary schools in the cities of Tbilisi, Kutaisi, Batumi, Rustavi and Marneuli of Georgia in the 2018–2019 academic year. In the study, a semi-structured interview form consisting of 8 open-ended questions was used as a data collection instrument. The categories were created by the researchers comparing the statements of the participants by using the debriefing method. The results of the study were finalized after they were revised by the researchers and the participants working together. Various data were shared in the findings section indicating that the teachers had strong competence in ensuring a safe learning environment within a friendly environment with students; nevertheless, they experienced problems in terms of behavioral rules and communication. In the results section, it was discussed how the teachers’ experiences in classroom management were related to the topics of social culture and friendly atmosphere. Article visualizations:

NASH debrief from AASLD 2017

Non-alcoholic fatty liver disease (NAFLD) เป็นสาเหตุของโรคตับเรื้อรังที่สำคัญ ผู้ป่วย steatosis ส่วนหนึ่งจะดำเนินโรคเป็น nonalcoholic steatohepatitis (NASH) สร้าง fibrosis เป็นโรคตับแข็งและมะเร็งตับ ภาวะดื้ออินซูลินเป็นสาเหตุสำคัญของการเกิด NAFLD นำไปสู่ภาวะ adipose tissue dysfunction เสียสมดุลในการหลั่ง adipocytokine ร่วมกับมี mitochondrial dysfunction และการเปลี่ยนแปลงที่ endoplasmic reticulum ส่งผลต่อ lipid homeostasis การอักเสบและ apoptosis และ hepatic stellate cells เปลี่ยนแปลงเป็น myofibroblasts สร้าง fibrosis การทำ liver biopsy ถือว่าเป็น gold standard ในการวินิจฉัย NASH และ fibrosis พิจารณาในรายที่มี metabolic syndrome หรือมี significant fibrosis จากตรวจ noninvasive tests การรักษา NAFLD แนะนำ lifestyle modification คุมอาหาร ลดน้ำหนัก ออกกำลังกายและรักษา metabolic risk factors เช่น อ้วน เบาหวาน ความดันโลหิตสูง ไขมันในเลือดสูงและ obstructive sleep apnea ยาที่ใช้ในการรักษา biopsy-proven NASH ได้แก่ pioglitazone และ vitamin E และ promising drug ในการรักษา NASH ได้แก่ GLP-1 agonist และ SGLT2 inhibitor ในอนาคตยาที่รักษา NAFLD ออกฤทธิ์ตาม pathogenesis เช่น ลดไขมันสะสมตับ ลดการอักเสบ antioxidants ยับยั้ง apoptosis ปรับเปลี่ยน intestinal microbiomes และยับยั้งการเกิด fibrosis

Hepatitis debrief from AASLD 2017

งานประชุมโรคตับ American Association for the Study of Liver Diseases (AASLD) เมื่อปี 2017 มีงานวิจัยที่เกี่ยวข้องกับโรคไวรัสตับอักเสบต่างๆ โดยการศึกษาที่เกี่ยวข้องกับโรคไวรัสตับอักเสบ ซี มีมากสุด เป็นงานที่เกี่ยวกับการให้ยา Direct acting antivirals (DAA) ชนิดต่างๆ ได้แก่ ยา Sofosbuvir/Velpatasvir/Volxilaprevir, Glecaprevir/Pibrentasvir, Sofosbuvir/Ledipasvir และ Elbasvir/Grazoprevir ใช้ในการรักษาไวรัสตับอักเสบ ซี สายพันธุ์ต่างๆ ได้ผลการรักษาดี ส่วนการศึกษาอื่นๆ ได้แก่ความสัมพันธ์ของผู้ป่วยโรคไวรัสตับอักเสบ ซี หลังได้ยา DAA ต่อการติดเชื้อซ้ำและการเกิดโรคมะเร็งตับ สำหรับการติดเชื้อไวรัสตับอักเสบ บี พบว่ามีข้อมูลของยา Tenofovir alafenamide มากขึ้น และมีการศึกษาที่เกี่ยวข้องกับยาใหม่ๆ มากมายเช่น การให้ยา ARB-1467, SB 9200 และ JNJ-56136379

Mobile technology in a mathematics trail program: how does it works?

The aim of the study reported upon in this paper is to explore the potential of the use of mobile technology for supporting math trail program. An explorative study was conducted in the city of Semarang in Indonesia involving 30 students of SMPN 10 Semarang. The study consisted of an introduction session, a math trail activity supported by the use of mobile phone app, and a debriefing session. Data were gathered by means of participatory observation, students' work, and interviews. Findings indicate that math trail programs supported by the use of mobile phones have promoted the engagement of students in mathematical activities. The use of mobile technology has the potential to support the program. Mobile app has been able to play a role in guiding students in math trail activities with features offered, such as: navigation features, help buttons, and direct feedback.

Application of bedside simulation training in pediatric critical care medicine

Objective To investigate whether bedside simulation teaching can improve the ability to deal with critical situation in systematic and standardized way in junior medical staff, and the effect of different debriefing methods on training. Methods According to the different debriefing methods, the health care staff, as a team of 6 persons, were divided into 3 groups by randomized block method(control group, traditional debriefing group and immediate debriefing group). Each team would run 3 cases, which had the same degree of difficulty.The different scores of running case and key skills according to the goal of exam would be recorded before and after debriefing, and 1 month later respectively.We evaluated the clinical ability of medical team before and after simulation, and the ability of skill maintenance after 1 month, and effect of different debriefing methods. Results There were 54 teams(each group had 18 teams), including 270 persons, participated in this study.The scores of running case and key skills were all improved after a series of simulation training in each team of any group.The difference was statistically significant(P 0.05), when medical teams run case 1.After debriefing, medical teams run case 2 and case 3, the scores of running case and endotracheal intubation skills were significantly improved(P 0.05). There was no significant difference between different debriefing methods after running case 2 and case 3(P>0.05). Conclusion Bedside simulation training has a good clinical value in junior medical staff and repeated practice can improve the comprehensive ability, including clinical and non clinical skills.So the new teaching method is worthy of promotion. Key words: Simulation; Training; Critical care medicine; Pediatrics

Effect of Structured Debriefing on the Learning Outcomes of Nursing Students in Simulation-based Education

시뮬레이션 교육 시 구조화된 디브리핑 유형이 간호대학생의 학습몰입, 비판적사고성향과 임상수행능력에 미치는 효과를 검증하고자 시도된 비동등성 대조군 사후 시차설계의 유사실험 연구이다. 연구대상자는 P 대학교 간호학과 4학년 학생으로, 실험군 22명, 비교군 24명, 대조군 20명으로 총 66명이었다. 실험군에게는 L...

Don't Forget to Debrief Following a Call

Don't Forget to Debrief Following a Call