Examples from Diebriefing Assessment for Simulation in Healthcare DASH link for survey examples for student and faculty members
https://harvardmedsim.org/debriefing-assesment-simulation-healthcare.php
General and Facilitator Survey Template
General and Facilitator Survey Template |
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To help us provide the best simulation design that meets your needs, please complete this survey and return it to to the Simulation Director.
Statement | Strongly Agree | Agree | Neutral | Disagree | Strongly Disagree |
Pre-brief | |||||
Did your facilitator convey a positive regard to you? |
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Did your facilitator convey interest in you as a student? |
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Did your facilitator provide clarity for the scenario encounter to be covered during the pre-brief? |
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Did your facilitator do what they said they would do in the pre-brief during the simulation? |
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Was a pre-simulation relaxation activity provided? |
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Did you perceive the relaxation activity as beneficial to reducing stress during the scenario? |
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Objectives and Information | |||||
There was enough information provided at the beginning of the simulation(s) to provide direction and encouragement. |
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I clearly understood the purpose and objectives of the simulation(s). |
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The simulation(s) provided enough information in a clear manner for me to problem-solve the situation. |
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There was enough information provided to me during the simulation(s). |
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The cues were appropriate and geared to promote my understanding. |
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Support | |||||
Support was offered in a timely manner. |
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My need for help was recognized. |
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I felt supported by the facilitator’s assistance during the simulation. |
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I was supported in the learning process. | |||||
Problem Solving |
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Independent problem-solving was facilitated. |
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I was encouraged to explore all the possibilities of the simulation(s). |
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The simulation(s) were designed for my specific level of knowledge and skills. |
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The simulation(s) allowed me the opportunity t prioritize nursing assessments and care. |
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The simulation(s) provided me an opportunity to goal set for my patient. |
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Feedback/Guided Reflection | |||||
Feedback provided was constructive. |
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Feedback was provided in a timely manner. |
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The simulation(s) allowed me to analyze my own behavior and actions. |
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There was opportunity after the simulation(s) to obtain guidance/feedback from the facilitator in order to build knowledge to another level. |
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There was opportunity after the simulation(s) to obtain guidance/feedback from the facilitator in order to build knowledge to another level. |
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Fidelity (Realism) |
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The scenario(s) resembled a real-life situation. | |||||
Real life factors, situations, and variables were built intothe simulation scenario(s). | |||||
What were the most beneficial aspects of the simulation(s) for the course? | |||||
What were the least beneficial aspect of the simulation(s) for this course? | |||||
Thank you for your participation in this survey. Permission for use of this survey has been granted by the National League for Nursing, Inc. Modifications were made to the original survey.
References
Rudolph J, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9(6):339-349.
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Additional Comments: | |||||
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