Laura Killam, Dr. Marian Luctkar-Flude, and Dr. Jane Tyerman

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Example
A publication about this example that is more detailed is in press – Watch for: Killam, L. A., Luctkar-Flude, M., & Tyerman, J. (Accepted). Shaping social justice values through inclusive assessment and debriefing of eLearning modules. Journal of Nursing Education.
Planning
- 62 year three Canadian undergraduate pre-licensure nursing students
- Course focus: Empowerment, critiquing health inequities, advocate for social change
- 10 open access modules including simulations were selected to be completed asynchronously
- Pre-simulation: planned to discuss and co-create the assignment expectations based on a brief self-assessment of their learning needs
- Participation: Asynchronous, from the nurse’s perspective
- Debriefing: three methods of debriefing
- Initial reflections including proof of module completion (10%)
- Large-group debriefing (not graded)
- Final reflections (10%)
- Feedback from the Wabnode Center’s Indigenous Elders, the Accessibility Office, the Manager of Equity, Diversity, and Inclusion, and persons with lived experience
- Progressed from simple to complex to decrease cognitive load
Discussion
- To ensure all students ‘voices’ were heard syllabus discussion happened during class time, time was given for everyone to reflect and respond after class, and decisions were made and explained during the next class.
- Initial reflection expectations did not change
- The process for in-class debriefing evolved to include more anonymous methods of debriefing (an anonymous Google Document)
- Options were added for final reflection completion (such as a paper instead of a video)
Implementation
- Grading criteria were influenced by co-creation
- Used a traditional approach (where the educator determines a grade)
- Comments from initial reflections were listed in a document and discussed with the large group (individual comments were typically not made)
- Large group discussions were not graded and primarily used for open and honest reflection
- Strengths-based video feedback was provided for final reflections, which were graded using a marking guide
- Limiting comments on initial reflections improved efficiency and did not seem to harm learning
References
Barradell, S., & Bell, A. (2021). Is health professional education making the most of the idea of ‘students as partners’? Insights from a qualitative research synthesis. Adv Health Sci Educ Theory Pract, 26(2), 513-580. https://doi.org/10.1007/s10459-020-09998-3
Bovill, C. (2020a). Co-creating learning and teaching: Towards relational pedagogy in higher education. Critical Publishing. https://www.criticalpublishing.com/co-creating-learning-and-teaching Bovill, C. (2020b). Co-creation in learning and teaching: The case for a whole-class approach in higher education. Higher Education, 79(6), 1023–1037. https://doi.org/10.1007/s10734-019-00453-w
CAST. (n.d.). UDL on campus: UDL and assessment. http://udloncampus.cast.org/page/assessment_udl
Chinn, P. L., & Falk‐Rafael, A. (2018). Embracing the focus of the discipline of nursing: Critical Caring Pedagogy. Journal of Nursing Scholarship, 50(6), 687-694. https://doi.org/10.1111/jnu.12426
Colbert, A., & Kronk, R. (2020). Equity access: Online nursing education on care for people with disabilities. Journal of Nursing Education, 59(6), 349-351. https://doi.org/10.3928/01484834-20200520-10
Dreifuerst, K. T. (2015). Getting started with Debriefing for Meaningful Learning. Clinical Simulation in Nursing, 11(5), 268-275. https://doi.org/10.1016/j.ecns.2015.01.005
Dreifuerst, K. T., Bradley, C. S., & Johnson, B. K. (2020). Using debriefing for meaningful learning with screen-based simulation. Nurse Educator, 46(4). https://doi.org/10.1097/NNE.0000000000000930
Foronda, C. L., Fernandez-Burgos, M., Nadeau, C., Kelley, C. N., & Henry, M. N. (2020). Virtual simulation in nursing education: A systematic review spanning 1996 to 2018. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 15(1), 46–54. https://doi.org/10.1097/sih.0000000000000411
Freire, P. (1973). Education for critical consciousness. Seabury Press.
Freire, P. (2005). Pedagogy of the oppressed (30th anniversary edition ed.). Continuum.
Harder, N., Lemoine, J., Chernomas, W., & Osachuk, T. (2021). Developing a Trauma-Informed Psychologically Safe Debriefing Framework for Emotionally Stressful Simulation Events. Clinical Simulation in Nursing, 51, 1-9. https://doi.org/10.1016/j.ecns.2020.11.007
International Nursing Association of Clinical and Simulation Learning Standards Committee, Decker, S., Alinier, G., Crawford, S. B., Gordon, R. M., Jenkins, D., & Wilson, C. (2021). Healthcare simulation standards of best practiceTM: The debriefing process. Clinical Simulation in Nursing, 58, 27-32. https://doi.org/10.1016/j.ecns.2021.08.011
International Nursing Association of Clinical and Simulation Learning Standards Committee, Watts, P. I., McDermott, D. S., Alinier, G., Charnetski, M., Ludlow, J., Horsley, E., Meakim, C., & Nawathe, P. A. (2021). Healthcare Simulation Standards of Best PracticeTM Simulation Design. Clinical Simulation in Nursing, 58, 14-21. https://doi.org/10.1016/j.ecns.2021.08.009
Killam, L. A., & Camargo-Plazas, P. (2022). Revisioning assessment and evaluation in nursing education through Critical Caring Pedagogy: Using authentic examinations to promote critical consciousness. Advances in Nursing Science, 45(1), 15-30. https://doi.org/10.1097/ANS.0000000000000382
Killam, L. A., Camargo-Plazas, P., Sawhney, M., & Luctkar-Flude, M. (2022). Learner-educator co-creation: A case for enhancing authentic assessment in nursing education [Manuscript under review]. Queen’s University.
Luctkar-Flude, M. (2020). Simulation Approaches. In K. Page-Cutrara & P. Bradley (Eds.), The role of nurse educator in Canada. Canadian Association Of Schools of Nursing.
Mayer, R. E. (2014). Cognitive theory of multimedia learning. In R. E. Mayer (Ed.), The Cambridge Handbook of Multimedia Learning (2 ed., pp. 43-71). Cambridge University Press. https://doi.org/10.1017/CBO9781139547369.005
Mercer-Mapstone, L., & Bovill, C. (2020). Equity and diversity in institutional approaches to student–staff partnership schemes in higher education. Studies in Higher Education, 45(12), 2541-2557. https://doi.org/10.1080/03075079.2019.1620721
Roh, Y. S., Jang, K. I., & Issenberg, S. B. (2021). Nursing students’ perceptions of simulation design features and learning outcomes: The mediating effect of psychological safety. Collegian, 28(2), 184-189. https://doi.org/10.1016/j.colegn.2020.06.007
Tyerman, J., Graham, L., & Luctkar-Flude, M. (2020). Facilitator guide to virtual debriefing. Canadian Alliance of Nurse Educators using Simulation. Retrieved January 20, 2021 from http://www.can-sim.ca/games/fdvdebrief/story_html5.html
Valderama-Wallace, C. P., & Apesoa-Varano, E. C. (2020). ‘The problem of the color line’: Faculty approaches to teaching Social Justice in Baccalaureate Nursing Programs. Nursing Inquiry, 27(3), e12349. https://doi.org/10.1111/nin.12349 Villarroel, V., Bloxham, S., Bruna, D., Bruna, C., & Herrera-Seda, C. (2018). Authentic assessment: Creating a blueprint for course design. Assessment and Evaluation in Higher Education, 43(5), 840–854. https://doi.org/10.1080/02602938.2017.1412396
Villarroel, V., Bloxham, S., Bruna, D., Bruna, C., & Herrera-Seda, C. (2018). Authentic assessment: Creating a blueprint for course design. Assessment and Evaluation in Higher Education, 43(5), 840–854. https://doi.org/10.1080/02602938.2017.1412396
Vygotskiĭ, L. S. (1978). Mind in society: The development of higher psychological processes. Harvard University Press.