Table 3.
Changes in nurse mentors’ debriefing skills over time in Bihar, India, 2015–2017 (N = 73 simulation debrief videos)
| Early: months 3–4 n = 33 |
Mid: month 5 n = 18 |
Late: months 6–7 n = 22 |
|||
|---|---|---|---|---|---|
| Indicator | N | Mean (SD*) | p-value | ||
| CAPE Tool | |||||
| Communication | |||||
| Instructor questions | 73 | 34 (22) | 48 (26) | 49 (27) | < 0.01 § |
| Trainee response | 73 | 50 (24) | 69 (25) | 64 (27) | < 0.01 § |
| Trainee responses to instructor questions + statements ratio | 73 | 0.75 (0.15) | 0.79 (0.16) | 0.78 (0.15) | 0.20 § |
| Structure | |||||
| Video Length | 71 | 17.6 (8.1) | 20.3 (8.7) | 17.8 (8.1) | 0.74 § |
| Length of description phase (min) | 73 | 1.0 (0.8) | 1.0 (0.5) | 1.1 (0.8) | 0.83 § |
| Length of analysis phase (min) | 73 | 13.7 (8.5) | 17.4 (8.9) | 15.6 (7.4) | 0.18 § ‡ |
| Length of application phase (min) | 73 | 1.1 (0.8) | 1.4 (1.1) | 0.8 (0.9) | 0.22 § |
| All three phases present (%) | 73 | 71 (46) | 86 (35) | 61 (49) | 0.37 # |
| Objectives | |||||
| Behavioral objectives mentioned | 73 | 5.6 (4.0) | 7.0 (4.0) | 6.3 (4.9) | 0.33 § |
| Technical objectives mentioned | 73 | 3.3 (3.7) | 3.4 (4.0) | 3.1 (2.9) | 0.78 § |
| Video use | |||||
| Use of video playback (%) | 73 | 85 (36) | 89 (32) | 73 (45) | 0.14 # |
| Number of times tape paused during | 73 | 6.7 (6.7) | 8.8 (4.8) | 5.6 (5.8) | 0.48 § |
| Length of tape segments played (min) | 73 | 4.5 (3.4) | 4.3 (2.5) | 3.3 (2.9) | 0.06 § |
| DASH | |||||
| Elements | |||||
| 2: Organize the debrief | 72 | 3.3 (1.0) | 3.8 (0.7) | 3.5 (0.9) | 0.04 § α |
| 3: Facilitate discussion | 72 | 3.4 (0.7) | 3.8 (0.7) | 3.6 (0.8) | 0.14 § # |
§ Linear regression adjusting for rater.
# Logistic regression adjusting for rater.
* Standard Deviation (SD)
‡ This value was not significant at the 0.05 in the GEE model.