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Table 3 Changes in nurse mentors’ debriefing skills over time in Bihar, India, 2015–2017 (N = 73 simulation debrief videos)

From: Training and evaluating simulation debriefers in low-resource settings: lessons learned from Bihar, India

  Early: months 3–4
n = 33
Mid: month 5
n = 18
Late: months 6–7
n = 22
 
IndicatorNMean (SD*)p-value
CAPE Tool
Communication
 Instructor questions7334 (22)48 (26)49 (27)< 0.01 §
 Trainee response7350 (24)69 (25)64 (27)< 0.01 §
 Trainee responses to instructor questions + statements ratio730.75 (0.15)0.79 (0.16)0.78 (0.15)0.20 §
Structure
 Video Length7117.6 (8.1)20.3 (8.7)17.8 (8.1)0.74 §
 Length of description phase (min)731.0 (0.8)1.0 (0.5)1.1 (0.8)0.83 §
 Length of analysis phase (min)7313.7 (8.5)17.4 (8.9)15.6 (7.4)0.18 § ‡
 Length of application phase (min)731.1 (0.8)1.4 (1.1)0.8 (0.9)0.22 §
 All three phases present (%)7371 (46)86 (35)61 (49)0.37 #
Objectives
 Behavioral objectives mentioned735.6 (4.0)7.0 (4.0)6.3 (4.9)0.33 §
 Technical objectives mentioned733.3 (3.7)3.4 (4.0)3.1 (2.9)0.78 §
Video use
 Use of video playback (%)7385 (36)89 (32)73 (45)0.14 #
 Number of times tape paused during736.7 (6.7)8.8 (4.8)5.6 (5.8)0.48 §
 Length of tape segments played (min)734.5 (3.4)4.3 (2.5)3.3 (2.9)0.06 §
DASH
Elements
 2: Organize the debrief723.3 (1.0)3.8 (0.7)3.5 (0.9)0.04 § α
 3: Facilitate discussion723.4 (0.7)3.8 (0.7)3.6 (0.8)0.14 § #
  1. § Linear regression adjusting for rater.
  2. # Logistic regression adjusting for rater.
  3. * Standard Deviation (SD)
  4. ‡ This value was not significant at the 0.05 in the GEE model.