Graduation Year


Document Type




Degree Name

Doctor of Philosophy (Ph.D.)

Degree Granting Department


Major Professor

John M. Clochesy, Ph.D.

Committee Member

Rita D'Aoust, Ph.D.

Committee Member

Melissa Shelton, Ph.D.

Committee Member

Elizabeth Blickensderfer, Ph.D.


Aviation, Debriefing, Human Patient Simulator, Nursing Education, Self-efficacy, Simulation


The nursing discipline lacks a consensus on a best practice method for debriefing students following simulation-based training. A recognized, standardized method does not exist and various methods are utilized within the domain. The similarities between aviation and healthcare are well documented. Training members of both disciplines require standardization and methods of best practice. The aviation industry through the Federal Aviation Administration has found Learner Centered Grading (LCG) to be a successful educational format. The utilization of the LCG Debriefing method in simulation-based training is the standardized debriefing format for a technologically dynamic industry.

The aim of this research was to examine the LCG debriefing approach and determine the added value of the approach using a scenario-specific behavioral checklist as an instrument for the nursing faculty and the learner to assess the learner’s performance. A repeated measures was conducted to evaluate whether there were differences between the control and treatment groups across the pre and post-test. The test statistic demonstrated no statistical significance between the control and treatment groups. Results of Pearson’s correlations showed that self-efficacy was not significantly correlated with change in performance by debriefing method.

A number of factors contribute to this finding, one of which is the small sample size. The small sample size led to insufficient power to detect an effect if one did exist. Other factors included time allotted for data gathering, simulation space availability and participants’ prior exposure to the control debriefing method.

This study served as a pilot for future research. Implications for the next study include extending the time allotted for gathering data to allow for a larger sample size, utilizing the Certified Healthcare Simulation Educator (CHSE) designees to function as facilitators as well as evaluators and to design the study to evaluate performance immediately after the debriefing session and once again at a different interval of time. A second simulation session conducted one week after the initial participation would be beneficial to evaluate if knowledge acquisition occurred.

Included in

Nursing Commons