Debriefing the escape: Sequential patterns in facilitator strategies for nursing simulations.
• Reflection consistently initiated debriefing, followed by instruction, integration, or reception to foster clinical reasoning. • Immediate debriefing in the escape rooms helped bridge simulation activities with practical nursing skills. • Escape rooms require unique debriefing methods to align wit...
| Published in: | Clinical Simulation in Nursing Vol. 106 |
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| Main Authors: | , , |
| Format: | research Journal Article |
| Published: |
Elsevier B.V.
Sep2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187562445&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187562445 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18761399 85TC jtl: Clinical Simulation in Nursing issn: 18761399 maglogo: N pubinfo: dt: Sep2025 vid: 106 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 187562445 187562445 187562445 10.1016/j.ecns.2025.101789 187562445 ppct: 1 formats: tig: atl: Debriefing the escape: Sequential patterns in facilitator strategies for nursing simulations. aug: au: Kim, Chaewon Ke, Fengfeng Brewer, Veronica affil: Anne Spencer Daves College of Education, Health, and Human Sciences, Florida State University, Tallahassee, FL 32304, USA sug: subj: Simulations Teaching Methods Education, Nursing Program Evaluation Human Random Assignment Conceptual Framework Students, Nursing, Baccalaureate Critical Care Nursing Nursing Skills Reflection Emotions Acculturation Decision Making ab: • Reflection consistently initiated debriefing, followed by instruction, integration, or reception to foster clinical reasoning. • Immediate debriefing in the escape rooms helped bridge simulation activities with practical nursing skills. • Escape rooms require unique debriefing methods to align with their dynamic, collaborative nature. While widely studied in traditional simulations, research on debriefing practices in educational escape rooms remains sparse. This study leverages sequential pattern mining to investigate facilitators' micro-debriefing in the escape rooms on a critical care scenario. About 69 first-semester nursing students were randomly assigned to 32 groups with two to three participants per group. Transcripts of facilitator-student interactions were coded using Dreifuerst's (2009) debriefing framework, expanded with new categories relevant to the escape room context. Sequential pattern mining was applied to identify patterns in the instructors' debriefing sequences. Demonstration (26.3%), reflection (21.6%), and prompting (20.1%) were the most frequent debriefing strategies, while emotion and assimilation were infrequent. Salient sequential patterns included (reflection → integration → prompting), emphasizing knowledge scaffolding and guided decision-making. Educational escape rooms demand adaptive debriefing approaches that blend traditional and game-specific methods. The study findings inform the design of flexible debriefing frameworks to enhance learning outcomes in escape room simulations for nursing education. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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