Pitfalls for Debriefing Games and Simulations: Theory and Practice
Abstract
Debriefing is considered, by many scholars, to be a fundamental part of learning through games and simulations. Despite its significance, there is a lack of research in the area of debriefing, which results in unaddressed factors that inhibit debriefing. Research in the field is complicated by many influencing factors varying from context to game, the purpose of the game, conditions and player specifics, facilitators etc. Insight in the role of these influencing factors can aid in understanding how debriefing can be optimized. In doing this research so far two viewpoints are relevant, the first is the design of debriefing and the second one is the actual execution of the debriefing. The aim of this study is to identify, on the basis of literature, the influence of factors and their interrelation, and subsequently, to categorize them based on expert opinions, so as to determine which pitfalls have the highest influence on inefficiency and ineffectiveness of debriefing. Based on 12 pitfalls identified in literature, and through the use of an online questionnaire, facilitation experts evaluated the extent to which these pitfalls occur due to the design or the execution of the debriefing, and the extent to which they are influenced by the rules of games and simulations. All 12 pitfalls seem to occur in practice, to some extent, due to both the design and the execution of the debriefing. Nevertheless, some pitfalls appear to be more influenced either by design or by execution. Moreover, the results on the extent to which the pitfalls are influenced by the rules of games and simulations are inconclusive, due to the contradiction between the answers on the pre-defined questions and the comments of the experts. A method for further extending the list of pitfalls and verifying the results, hence minimizing the threat to the internal validity of the study, is proposed, which includes a more extensive literature review, interviews, and case studies.
Keywords
Debriefing Game and simulations PitfallsReferences
- 1.Dewey, J.: Experience and education. Educ. Forum 50(3), 241–252 (1986)CrossRefGoogle Scholar
- 2.Fanning, R.M., Gaba, D.M.: The role of debriefing in simulation-based learning. Simul. Healthc. 2(2), 115–125 (2007)CrossRefGoogle Scholar
- 3.Pearson, M., Smith, D.: Debriefing in experience-based learning. In: Boud, D., Keogh, R., Walker, D. (eds.) Reflection: Turning Experience into Learning, pp. 69–84. RoutledgeFalmer (1985)Google Scholar
- 4.Seymour, N.E.: Debriefing after simulation. In: Tichansky, D.S., Morton, J., Jones, D.B. (eds.) The SAGES Manual of Quality Outcomes and Patient Safety, pp. 501–506. Springer US, Boston (2012). https://doi.org/10.1007/978-1-4419-7901-8_50CrossRefGoogle Scholar
- 5.Bond, W.F., Lammers, R.L., Spillane, L.L., Smith-Coggins, R., Fernandez, R., Reznek, M.A., Vozenilek, J.A., Gordon, J.A.: The use of simulation in emergency medicine: a research agenda. Acad. Emerg. Med. 14(4), 353–363 (2007)CrossRefGoogle Scholar
- 6.Cantrell, M.A.: The importance of debriefing in clinical simulations. Clin. Simul. Nurs. 4(2), e19–e23 (2008)CrossRefGoogle Scholar
- 7.Crookall, D.: Serious games, debriefing, and simulation/gaming as a discipline. Simul. Gaming 41(6), 898–920 (2010)CrossRefGoogle Scholar
- 8.Issenberg, S.B., Mcgaghie, W.C., Petrusa, E.R., Gordon, D.L., Scalese, R.J.: Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med. Teach. 27(1), 10–28 (2005)CrossRefGoogle Scholar
- 9.Shinnick, M.A., Woo, M., Horwich, T.B., Steadman, R.: Debriefing: the most important component in simulation? Clin. Simul. Nurs. 7(3), e105–e111 (2011)CrossRefGoogle Scholar
- 10.McCausland, L.L., Curran, C.C., Cataldi, P.: Use of a human simulator for undergraduate nurse education. Int. J. Nurs. Educ. Scholarsh. 1(1) (2004)Google Scholar
- 11.Nehring, W.M., Lashley, F.R.: Current use and opinions regarding human patient simulators in nursing education: an international survey. Nurs. Educ. Perspect. 25(5), 244–248 (2004)Google Scholar
- 12.Barreteau, O., Le Page, C., Perez, P.: Contribution of simulation and gaming to natural resource management issues: an introduction. Simul. Gaming 38(2), 185–194 (2007)CrossRefGoogle Scholar
- 13.Dufrene, C., Young, A.: Successful debriefing - best methods to achieve positive learning outcomes: a literature review. Nurse Educ. Today 34(3), 372–376 (2014)CrossRefGoogle Scholar
- 14.Dismukes, K., Smith, G.M.: Facilitation and Debriefing in Aviation Training and Operations. Routledge, Abingdon (2016)Google Scholar
- 15.Arafeh, J.M.R., Hansen, S.S., Nichols, A.: Debriefing in simulated-based learning: facilitating a reflective discussion. J. Perinat. Neonatal Nurs. 24(4), 302–309 (2010)CrossRefGoogle Scholar
- 16.Ursano, R.J., Rundell, J.R.: The prisoner of war. Mil. Med. 155(4), 176–180 (1990)CrossRefGoogle Scholar
- 17.Der Sahakian, G., Alinier, G., Savoldelli, G., Oriot, D., Jaffrelot, M., Lecomte, F.: Setting conditions for productive debriefing. Simul. Gaming 46(2), 197–208 (2015)CrossRefGoogle Scholar
- 18.Sawyer, T.L., Deering, S.: Adaptation of the US Army’s after-action review for simulation debriefing in healthcare. Simul. Healthc. 8(6), 388–397 (2013)CrossRefGoogle Scholar
- 19.Husebø, S.E., Dieckmann, P., Rystedt, H., Søreide, E., Friberg, F.: The relationship between facilitators’ questions and the level of reflection in postsimulation debriefing. Simul. Healthc. 8(3), 135–142 (2013)CrossRefGoogle Scholar
- 20.Decker, S., Fey, M., Sideras, S., Caballero, S., Rockstraw, L.R., Boese, T., Franklin, A.E., Gloe, D., Lioce, L., Sando, C.R., Meakim, C., Borum, J.C.: Standards of best practice: simulation standard VI: the debriefing process. Clin. Simul. Nurs. 9(6), S26–S29 (2013)CrossRefGoogle Scholar
- 21.Kolfschoten, G.: Theoretical foundations for collaboration engineering. Ph.D. thesis, TU Delft, Delft University of Technology (2007)Google Scholar
- 22.Dyregrov, A.: The process in psychological debriefings. J. Trauma. Stress 10(4), 589–605 (1997)Google Scholar
- 23.Petranek, C.F., Corey, S., Black, R.: Three levels of learning in simulations: participating, debriefing, and journal writing. Simul. Gaming 23(2), 174–185 (1992)CrossRefGoogle Scholar
- 24.Neill, M.A., Wotton, K.: High-fidelity simulation debriefing in nursing education: a literature review. Clin. Simul. Nurs. 7(5), e161–e168 (2011)CrossRefGoogle Scholar
- 25.Kriz, W.C.: Creating effective learning environments and learning organizations through gaming simulation design. Simul. Gaming 34(4), 495–511 (2003)CrossRefGoogle Scholar
- 26.Leigh, E., Spindler, L.: Simulations and games as chaordic learning contexts. Simul. Gaming 35(1), 53–69 (2004)CrossRefGoogle Scholar
- 27.Klabbers, J.H.G.: The Magic Circle: Principles of Gaming & Simulation. Sense Publishers, Rotterdam (2009)Google Scholar
- 28.Lethbridge, T.C., Sim, S.E., Singer, J.: Studying software engineers: data collection techniques for software field studies. Empir. Softw. Eng. 10(3), 311–341 (2005)CrossRefGoogle Scholar
- 29.Bredo, E., Feinberg, W.: Part two: the interpretive approach to social and educational research. In: Knowledge and Values in Social and Educational Research, pp. 115–128. Temple University Press (1982)Google Scholar
- 30.Denzin, N., Lincoln, Y.: Handbook of Qualitative Research. SAGE Publications, Inc., Thousand Oaks (1994)Google Scholar
- 31.Grant, J.S., Dawkins, D., Molhook, L., Keltner, N.L., Vance, D.E.: 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. 14(5), 479–484 (2014)CrossRefGoogle Scholar
- 32.Savoldelli, G.L., Naik, V.N., Park, J., Joo, H.S., Chow, R., Hamstra, S.J.: Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback. Anesthesiology 105(2), 279–285 (2006)CrossRefGoogle Scholar
- 33.Scherer, L.A., Chang, M.C., Meredith, J.W., Battistella, F.D.: Videotape review leads to rapid and sustained learning. Am. J. Surg. 185(6), 516–520 (2003)CrossRefGoogle Scholar
- 34.Whelan, J.G.: Building the fish banks model and renewable resource depletion (1994)Google Scholar