Debriefing Models

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There are several models of debriefing.  It is important to appreciate the different styles of debriefing and to develop your own style over time.

The key to a successful debrief is not to use any one particular technique, but to ensure your verbal and non-verbal cues match, and that your participants are perceiving you as genuinely interested in their actions and behaviours.

Below are three examples commonly used in debriefing.

Modified Pendletons

  • Vent

    How did it feel?

    Eliciting emotional reactions

  • Body

    What went well and why?

    Reinforcement

  • Body

    What could be done better and how?

    Change

  • Summary

    What will you do next time?

    New learning experimentation

PLUS + / DELTA Δ

Plus/Delta is an inclusive strategy that enables participants to consider the pluses (what went well) and the deltas (what they could do better next time). This is a generic approach to debriefing that can be used to structure and guide a debriefing session. Examples of questions that can be used to incorporate the Plus/Delta technique in a structured debriefing session are:

PlusDeltaWhite-NEW

Advocacy-inquiry

Advocacy allows the facilitator to share their objective observations and subjective judgment of the participant’s actions.  Inquiry then allows the facilitator to come from a stance of genuine curiosity as to what lead the participants to take those actions revealing the participant’s frames that can then be explored and reset if required.

Advocacy

I saw (objective observation) - 'I saw there was a long delay in starting chest compression's when the patient suffered a cardiac arrest ...'

I think (subjective judgement) - '....that concerned me because early effective compression's is required when a patient suffers a cardiac arrest.'

I wonder (genuine curiosity) - 'I'm interested to know what was happening at that time that stopped the team from recognising the patient had suffered a cardiac arrest.'

Another model used in debriefing is ‘Debriefing with Good Judgement’.

References

1.Eppich, O’Connor and Adler, 2013