Antit Saoussen, Mzoughi Khadija, Fekih Ridha, Zairi Ihsen, Zakhama Lilia
Cardiology Department, Security Forces Hospital, La Marsa, Faculty of Medicine of Tunis- University of Tunis El Manar- Tunis- Tunisia.
Department of Cardiology, Habib Thameur Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
Tunis Med. 2023 Aug-Sep;101(8-9):674-679.
Debriefing is the fundamental step in the learning process when teaching by simulation. The Debriefing Assessment for Simulation in Healthcare (DASH) guide is a tool designed to assess and develop the debriefing skills of trainers using healthcare simulation.
To evaluate the debriefing in high-fidelity mannequin simulation in the management of cardiological emergency by the DASH tool, student version.
This was a bicentric, prospective, cross-sectional and evaluative study including five groups of students in the first year of the second cycle of medical studies completing their internship in the cardiology departments of the Habib Thameur hospital and the Internal Security Forces Hospital of Marsa during the first semester of the 2021-2022 academic year. The simulation scenario included the diagnosis and emergency management of degenerative syncopal atrioventricular block.
Forty-four students completed the DASH assessment form (28 female, 16 male). According to the students, the trainers had maintained a climate conducive to learning (6.51±0.74). They had conducted the debriefing in a structured way (6.35±0.75). They had aroused engagement in the exchange leading the learner to analyze his performance (6.01±1.03). They had effectively identified the learner's strengths and areas for improvement as well as their reasons (6.39±1.04). The trainers had helped the learners to consider how to improve or maintain a good level of performance (6.57±0.77). The mean DASH score evaluating the trainers was 6.36±0.88.
The DASH tool allows trainers to highlight the strengths and areas for improvement in the debriefing, which is the key step in the simulation to optimize the clinical reasoning process and improve the quality of care.
在通过模拟进行教学时，总结汇报是学习过程中的基本步骤。医疗保健模拟总结汇报评估（DASH）指南是一种旨在评估和培养使用医疗保健模拟的培训师总结汇报技能的工具。
使用学生版DASH工具评估在心脏急症管理的高保真人体模型模拟中的总结汇报情况。
这是一项双中心、前瞻性、横断面评估研究，纳入了五组医学二年级第一学年的学生，他们于2021-2022学年第一学期在哈比卜·塔穆尔医院和马尔萨内卫部队医院的心脏科完成实习。模拟场景包括退行性晕厥房室传导阻滞的诊断和急诊处理。
44名学生完成了DASH评估表（28名女性，16名男性）。据学生反馈，培训师营造了有利于学习的氛围（6.51±0.74）。他们以结构化的方式进行总结汇报（6.35±0.75）。他们激发了交流中的参与度，促使学习者分析自己的表现（6.01±1.03）。他们有效地识别了学习者的优势和改进领域及其原因（6.39±1.04）。培训师帮助学习者思考如何改进或保持良好的表现水平（6.57±0.77）。评估培训师的DASH平均得分为6.36±0.88。
DASH工具使培训师能够突出总结汇报中的优势和改进领域，而总结汇报是模拟中优化临床推理过程和提高护理质量的关键步骤。
