Evaluation of two strategies for debriefing simulation in the development of skills for neonatal resuscitation: a randomized clinical trial

Abstract

ObjectiveTo evaluate two debriefing strategies for the development of neonatal resuscitation skills in health professionals responsible for the critical newborn care in a high-complexity university Hospital.ResultsA simple blind randomized clinical trial was conducted. Twenty-four professionals (pediatricians, nurses, and respiratory therapists) were randomly assigned for two interventions; one group received oral debriefing and the other oral debriefing assisted by video. Three standardized clinical scenarios that were recorded on video were executed. A checklist was applied for the evaluation, administered by a reviewer blinded to the assignment of the type of debriefing. The two debriefing strategies increased the technical and behavioral neonatal resuscitation skills of the participants, without one being superior to the other. The coefficient of the difference in the compliance percentage between the two types of debriefing was − 3.6% (95% CI − 13.77% to 6.47%). When comparing the development of technical and behavioral skills among the professionals evaluated, no significant differences were found between the types of debriefing. The two debriefing strategies increase compliance percentages, reaching or approaching 100%.Trial Registration ClinicalTrials.gov NCT03606278. July 30, 2018. Retrospectively registeredElectronic supplementary materialThe online version of this article (10.1186/s13104-018-3831-6) contains supplementary material, which is available to authorized users.

Simulation in Neonatal Resuscitation

“…The importance of constructive debriefing cannot be underestimated. Both oral debriefing and use of a video are effective (77). Video debriefing can be beneficial as part of the NRP and has been found to improve teamwork (78).…”

Video-assisted debriefing technique for nursing simulation: how to proceed?

“…Scientific production about the VAD technique, specifically about its elements, was considered incipient for this research. It may be contradictory to view the current literary collection on the VAD technique and to affirm that there are few studies in this scope, however, the number of studies that aim to describe the components that, in fact, make this technique feasible is scarce (6,20,23) , which justifies the small sample of this research.…”

“…The quasi-experimental studies identified demonstrated that the VAD technique is effective for the development of clinical skills in nursing (21)(22) . The only experimental study that compared the oral debriefing technique and the video technique, describing its elements and procedure, did not show statistically significant results, concluding that there is no superiority of one over the other (20) .…”

“…A balance in the study evidence level classification that comprised the sample of this review is evidenced, dividing it between experimental and quasi-experimental studies (20)(21)(22) , and qualitative approach research (6,7,23) . The quasi-experimental studies identified demonstrated that the VAD technique is effective for the development of clinical skills in nursing (21)(22) .…”

“…Use of audiovisual capture from simulation for debriefing, to support learning, allow students to see and hear their own performance, and identify needs for improvement (6,(22)(23) Objectives To visualize student performance, looking for specific behaviors, reflect and develop competence (6,20) .…”