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Dr. Kristina Dreifurst explains how her revolutionary Debriefing for Meaningful Learning (DML) model enhances clinical reasoning among nursing students through structured debriefing techniques that focus on the relationship between thinking and action. She shares her journey from using early Mrs. Chase mannequins as a nursing student to developing a pedagogical approach now utilized in over 500 nursing programs worldwide.
• Dr. Dreifurst's simulation journey began in the 1980s and gained momentum in 2005 when she received new high-fidelity mannequins
• An experience at Disney's "It's a Small World" attraction sparked insights about generational responses to mannequins
• DML originated during her PhD studies when her assumptions about simulation fidelity were challenged
• The "four square" approach examines right/wrong thinking paired with right/wrong actions
• "Right action, wrong thinking" is surprisingly common even among experienced clinicians
• Reflection Beyond Action component helps students transfer knowledge across different clinical situations
• Co-creating knowledge through Socratic questioning leads to better retention than lecture-style debriefing
• Simulation's role is evolving toward competency assessment in addition to being a safe learning environment
• Dr. Dreifurst is transitioning to a new role at Vanderbilt as senior associate dean for academics
Stay current with simulation education research and development as the field continues to evolve rapidly. Our students deserve the best that we can give them.
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