Operationalization of teledebriefing in health education: scoping review

Authors

DOI:

https://doi.org/10.15517/q7rjzy80

Keywords:

Education, Distance, Learning, Simulation Training, Students, Health Occupations, Health Personnel

Abstract

Introduction: Telesimulation is characterized as an innovative educational technology capable of reaching remote, hard-to-access locations. However, despite its importance, one of its stages, teledebriefing, still lacks sufficient scientific exploration.

Objective: To map scientific literature on the operationalization of teledebriefing aimed at teaching students and health professionals.

Materials and methods: This is a scoping review based on the recommendations of the Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews: Checklist and Explanation, conducted in April 2025 in 13 databases.

Results: Twenty-nine studies were identified as the final sample. Two categories were identified: practice and elements for the implementation of teledebriefing in teaching and learning in health, and benefits versus challenges of teledebriefing.

Conclusion: In short, the operationalization of teledebriefing mainly involved the need for teletransmission resources, the presence of a trained facilitator/teledebriefer, the determination of a teledebriefing method and duration. The main benefit of  teledebriefing is its contribution to improving the learner’s self-confidence, motivation, decision-making, and critical thinking. A key challenge, however, is the teledebriefer’s limited ability to observe the reactions of remote participants during the discussion.

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References

Diaz MCG, Walsh BM. Telesimulation-based education during COVID-19. Clin Teach. 2021. doi: 10.1111/tct.13273

McCoy CE, Sayegh J, Alrabah R, Yarris LM. Telesimulation: an innovative tool for health professions education. AEM Educ Train. 2017;1:132‐136. doi: 10.1002/aet2.10015

Thomas A, Burns R, Sanseau E, Auerbach M. Tips for conducting telesimulation-based medical education. Cureus. 2021;13(1):e12479. doi: 10.7759/cureus.12479

Naik N, Finkelstein RA, Howell J, Rajwani K, Ching K. Telesimulation for COVID-19 ventilator management training with social-distancing restrictions during the coronavirus pandemic. Simul Gaming. 2020;51(4):571-7. doi: 10.1177/1046878120926561

McCoy CE, Alrabah R, Weichmann W, Langdorf MI, Ricks C, Chakravarthy B, et al. Feasibility of telesimulation and google glass for mass casualty triage education and training. West J Emerg Med. 2019;20(3):512-9. doi: 10.5811/westjem.2019.3.40805

Honda R, McCoy CE. Teledebriefing in medical simulation. Treasure Island (FL): StatPearls. [Internet]. 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546584/.

Ahmed R, Gardner AK, Atkinson SS, Gable B. Teledebriefing: connecting learners to faculty members. Clin Teach. 2014;11(4):270-73. doi: 10.1111/tct.12135

Ahmed RA, Atkinson SS, Gable B, Yee J, Garbner AK. Examining the impact of teledebriefing in simulation-based training. Simul Healthc. 2016;11(5):334-9. doi: 10.1097/SIH.0000000000000177

Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. doi: 10.7326/M18-0850.

Aromataris E, Munn Z (Editors). Joanna Briggs Institute Reviewer´s Manual, JBI. [Internet]. 2015. Available from: https://reviewersmanual.joannabriggs.org

Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32. doi: 10.1080/1364557032000119616

Sousa LMM, Marques JM, Firmino CF, Frade F, Valentim OS, Antunes AV. Modelos de formulação da questão de investigação na prática baseada na evidência. Rev Invest Enferm. [Internet]. 2018;31-39. Available from: https://l1nq.com/AvQHv

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev [Internet]. 2016;5(1):210. Available from: https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-016-0384-4.

Ursi ES, Galvão CM. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Rev. Lat. Am. Enfermagem. [Internet]. 2006;14(1):124-31. Available from: http://www.scielo.br/pdf/rlae/v14n1/v14n1a17.

Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. 2 ed. Philadelphia: Wolters kluwer health/pippincott williams & wilkins; 2011.

Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. São Paulo: Hucitec; 2008. p. 303-360.

Dunne CL, Parsons M. Management of cold water-induced hypothermia: a simulation scenario for layperson training delivered via a mobile tele-simulation unit. Cureus. 2017;9(12):e1990. doi: 10.7759/cureus.1990

McCoy CE, Sayegh J, Rahman A, Landgorf M, Anderson C, Lotfipour S. Prospective randomized crossover study of telesimulation versus standard simulation for teaching medical students the management of critically ill patients. AEM Educ Train. [Internet]. 2017;1(4):287-292. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001816/

Hayden EM, Khatri A, Kelly HR, Yager PH, Salazar GM. Mannequin-based telesimulation: increasing access to simulation-based education. Acad Emerg Med. 2017;25(2):144-147. doi: 10.1111/acem.13299

Beissel A, Lilot M, Bauer C, Beaulieu K, Hanacek C, Desebbe O, et al. A trans-atlantic high-fidelity mannequin based telesimulation experience. Anaesth Crit Care Pain Med. 2017;36(4):239-241. doi: 10.1016/j.accpm.2016.09.006

Gross IT, Whitfill T, Auzina L, Auerbach M, Balmaks R. Telementoring for remote simulation instructor training and faculty development using telesimulation. BMJ Simul Technol Enhanc Learn. 2020;7(2):61-65. doi: 10.1136/bmjstel-2019-000512

Yang T, Buck S, Evans L, Auerbach M. A Telesimulation elective to provide medical students with pediatric patient care experiences during the COVID pandemic. Pediatr Emerg Care. 2021;37(2):119-122. doi: 10.1097/PEC.0000000000002311

Montgomery EE, Thomas A, Abulebda K, Sanseau E, Pearson K, Chipman M, et al. Development and implementation of a pediatric telesimulation intervention for nurses in community emergency departments. J Emerg Nurs. 2021;47(5):818-823.e1. doi: 10.1016/j.jen.2021.01.013

O’Rae A, Ferreira C, Hnatyshyn T, Krut B. Family nursing telesimulation: Teaching therapeutic communication in an authentic way. Teach Learn Nurs. 2021;16(4):404-409. doi: 10.1016/j.teln.2021.06.013.

Auerbach M, Patterson M, Mills WA, Katznelson J. The implementation of a collaborative pediatric telesimulation intervention in rural critical access hospitals. AEM Educ Train. 2021;5(3):e10558. doi: 10.1002/aet2.10558

Ray JM, Wong AH, Yang TJ, Buck S, Joseph M, Bonz JW, et al. Virtual telesimulation for medical students during the COVID-19 pandemic. Acad Med. 2021;96(10):1431-1435. doi: 10.1097/ ACM.0000000000004129.

Koff A, Burns R, Auerbach M, Lee B, Pearce J, Ciener D, et al. Pediatric emergency medicine didactics and simulation (PEMDAS) telesimulation series: hyperleukocytosis. MedEdPORTAL. 2021;13(17):11205. doi: 10.15766/mep_2374-8265.11205.

Gutierrez-Barreto SE, Argueta-Muñoz FD, Ramirez-Arias JD, Scherer-Castanedo E, Hernández-Gutiérrez LS, Olvera-Cortés HE. Implementation barriers in telesimulation as an educational strategy: an interpretative description. Cureus. 2021;13(9):e17852. doi: 10.7759/cureus.17852.

Roach E, Okrainec A. Telesimulation for remote simulation and assessment. J Surg Oncol. 2021;124(2):193-199. doi: 10.1002/jso.26505.

Sanseau E, Lavoie M, Tay K-Y, Good G, Tsao S, Burns R, et al. TeleSimBox: A perceived effective alternative for experiential learning for medical student education with social distancing requirements. AEM Educ Train. 2021;5(2):e10590. doi: 10.1002/aet2.10590

Cruz-Panesso I, Perron R, Chabot V, Gauthier F, Demers M-M, Trottier R, et al. A practical guide for translating in-person simulation curriculum to telesimulation. Adv Simul (Lond). 2022;7(14). doi: 10.1186/s41077-022-00210-7

Olvera-Cortés H, Hernández-Gutiérrez LS, Scherer-Castanedo E, Ramírez-Arias J, Muñoz FDA, Gutiérrez-Barreto SE. Who can debriefing assessment for simulation in healthcare? different perspectives on teledebriefing assessments. Simul Healthc. 2022;17(5):308-312. doi: 10.1097/SIH.0000000000000642

Kurji Z, Aijaz A, Jetha Z, Cassum S. Telesimulation innovation on the teaching of spikes model on sharing bad news. Asia Pac J Oncol Nurs. 2021;8(6):623-627. doi: 10.4103/apjon.apjon-20108.

Lin E, You AX, Wardi G. Comparison of In-Person and Telesimulation for Critical Care Training during the COVID-19 Pandemic. ATS Sch. 2021;2(4):581-594. doi: 10.34197/ats-scholar.2021-0053OC

Rocha NHG. Telessimulação aplicada ao ensino da hipoglicemia neonatal. 2020. Dissertação (Mestrado em atenção à saúde) – Universidade Federal do Triângulo Mineiro, Uberaba, MG, 2021.

Chua WL, OOI SL, Chan GWH, Lau TC, Liaw SY. The effect of a sepsis interprofessional education using virtual patient telesimulation on sepsis team care in clinical practice: mixed methods study. J Med Internet Res. 2022;24(4):e35058. doi: 10.2196/35058

Yasser NBM, Tan AJQ, Harder N, Ashokka B, Chua WL, Liaw SY. Telesimulation in healthcare education: a scoping review. Nurse Educ Today. 2023;126:105805. doi: 10.1016/j.nedt.2023.105805

Fang JL, Umoren RA. Telesimulation for neonatal resuscitation training. Seminars in Perinatology. 2023;47(7):151827. doi: 10.1016/j.semperi.2023.151827

Porto DS, Cunha MLC. Validation of telesimulation in the care of late preterm newborns with hypoglycemia for nursing students. Rev Bras Enferm. 2023;76(Suppl 4):20220438. doi: 10.1590/0034-7167-2022-0438

Cheng A, Eppich W, Kolbe M, Meguerdichian M, Bajaj K, Grant V. A conceptual framework for the development of debriefing skills. Simul Healthc. 2020;15(1):55-60. doi: 10.1097/SIH.0000000000000398.

Eppich W, Cheng A. Promoting excellence and reflective learning in simulation (PEARLS): development and rationale for a blended approach to health care simulation debriefing. Simul Healthc. 2015;10(2):106-15. doi: 10.1097/SIH.0000000000000072.

Published

2025-12-03

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Section

Original articles