Debra Nestel is Professor of Simulation Education in Healthcare, Monash University, and Professor of Surgical Education, Department of Surgery, University of Melbourne, Australia. Debra is Editor in Chief, Advances in Simulation (www.advancesinsimulation.com), the journal of the Society in Europe for Simulation Applied to Medicine (SESAM).
She is program lead for the Master of Surgical Education (Department of Surgery, University of Melbourne and Royal Australasian College of Surgeons) and Master of Surgical Science (University of Melbourne) and Graduate Certificate in Clinical Simulation (Monash University). Debra leads a national program for simulation educators – NHET-Sim (www.nhet-sim.edu.au) and a virtual network in simulated patient methodology (http://www.simulatedpatientnetwork.org/). Debra has published over 180 peer-reviewed papers in health professions education, edited books on simulated patient methodology (2015), healthcare simulation (2017), surgical education (to be published in 2018) and is working with colleagues on an edited book on research methods for healthcare simulation (2019) https://www.researchgate.net/profile/Debra_Nestel
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Colonoscopy Simulation: Criterion Validity Using Direct Observation Of Procedural Skills
Becoming a clinician: Trainee identity formation within the general practice supervisory r..
"Getting it wrong to get it right": Faculty perspectives of learning non-technical skills ..
Simulated participant methodology in paediatric surgical training: Exploring contemporary ..
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Displaying the 175 most recent scholarly works by Debra Nestel.
Listening to young voices: The lived experiences of adolescent simulated patients in health professional education
Andree S Gamble, Debra Nestel, Margaret Bearman
Journal article | 2020 | Nurse Education Today
BACKGROUND: Learners should be exposed to the core principles of adolescent specific communication and assessment frameworks as pa..
Becoming a clinician: Trainee identity formation within the general practice supervisory relationship
James Brown, Helen Reid, Tim Dornan, Debra Nestel
Journal article | 2020 | Medical Education
OBJECTIVES: Becoming a clinician is a trajectory of identity formation in the context of supervised practice. This is a social pro..
Struggling urology trainee: a qualitative study into causes of underperformance
Kathryn McLeod, Susan Waller, Dennis King, Debra Nestel
Journal article | 2020 | ANZ Journal of Surgery
BACKGROUND: Urological surgical trainees who underperform are difficult to identify, manage and require significant resources in a..
Simulated participant methodology in paediatric surgical training: Exploring contemporary practices
D Nestel, D Ljuhar, A Gamble
Journal article | 2020 | Seminars in Pediatric Surgery
Surgical training is long and complex. At the core of clinical practice is communication. Voice is central to relationships of car..
"It's Not an Acting Job horizontal ellipsis Don't Underestimate What a Simulated Patient Does": A Qualitative Study Exploring the Perspectives of Simulated Patients in Health Professions Education
Shane A Pritchard, Tracy Denning, Jennifer L Keating, Felicity C Blackstock, Debra Nestel
Journal article | 2020 | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare
INTRODUCTION: Simulated patients (SPs) are individuals who have learned to realistically portray patient roles in health professio..
A screen-based simulation training program to improve palliative care of people with advanced dementia living in residential aged care facilities and reduce hospital transfers: study protocol for the IMproving Palliative care Education and Training Using Simulation in Dementia (IMPETUS-D) cluster randomised controlled trial
Joanne Tropea, Christina E Johnson, Debra Nestel, Sanjoy K Paul, Caroline A Brand, Anastasia F Hutchinson, Ross Bicknell, Wen Kwang Lim
Journal article | 2019 | BMC Palliative Care
BACKGROUND: Many people with advanced dementia live in residential aged care homes. Care home staff need the knowledge and skills ..
Interprofessional simulation in a student community clinic: insights from an educational framework and contact theory.
Susan Waller, Debra Nestel
Journal article | 2019 | Advances in Simulation
Introduction: Simulation in community care is a relatively understudied area. In this paper, we report a qualitative evaluation of..
Exploring undergraduate nursing student interactions with virtual patients to develop 'non-technical skills' through case study methodology.
Monica Peddle, Margaret Bearman, Lisa Mckenna, Debra Nestel
Journal article | 2019 | Advances in Simulation
Background: Virtual patients are a recent addition to the educational arsenal to develop non-technical skills in undergraduate hea..
'I'm never going to change unless someone tells me I need to': fostering feedback dialogue between general practice supervisors and registrars
Bianca Denny, James Brown, Catherine Kirby, Belinda Garth, Janice Chesters, Debra Nestel
Journal article | 2019 | Australian Journal of Primary Health
Feedback is often unidirectional and focused on learners receiving feedback. Learning relationships are viewed as influential to p..
What non-technical skills competencies are addressed by Australian standards documents for health professionals who work in secondary and tertiary clinical settings? A qualitative comparative analysis
Monica Peddle, Margaret Bearman, Natalie Radomski, Lisa Mckenna, Debra Nestel
Journal article | 2018 | BMJ Open
Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick's framework: a mixed methods study
Arunaz Kumar, Sam Sturrock, Euan M Wallace, Debra Nestel, Donna Lucey, Sally Stoyles, Jenny Morgan, Peter Neil, Michelle Schlipalius, Philip Dekoninck
Journal article | 2018 | BMJ Open
Embedding assessment in a simulation skills training program for medical and midwifery students: A pre- and post-intervention evaluation
Arunaz Kumar, Debra Nestel, Christine East, Margaret Hay, Irene Lichtwark, Gayle McLelland, Deidre Bentley, Helen Hall, Shavi Fernando, Sebastian Hobson, Luke Larmour, Philip Dekoninck, Euan M Wallace
Journal article | 2018 | Australian and New Zealand Journal of Obstetrics and Gynaecology
Identifying educator behaviours for high quality verbal feedback in health professions education: literature review and expert refinement
Christina E Johnson, Jennifer L Keating, David J Boud, Megan Dalton, Debra Kiegaldie, Margaret Hay, Barry McGrath, Wendy A McKenzie, Kichu Balakrishnan R Nair, Debra Nestel, Claire Palermo, Elizabeth K Molloy
Journal article | 2016 | BMC Medical Education
A national training program for simulation educators and technicians: evaluation strategy and outcomes
Debra Nestel, Margaret Bearman, Peter Brooks, Dylan Campher, Kirsty Freeman, Jennene Greenhill, Brian Jolly, Leanne Rogers, Cobie Rudd, Cyle Sprick, Beverley Sutton, Jennifer Harlim, Marcus Watson
Journal article | 2016 | BMC MEDICAL EDUCATION
Establishing the effectiveness, cost-effectiveness and student experience of a Simulation-based education Training program On the Prevention of Falls (STOP-Falls) among hospitalised inpatients: a protocol for a randomised controlled trial
Cylie Williams, Kelly-Ann Bowles, Debra Kiegaldie, Stephen Maloney, Debra Nestel, Jessica Kaplonyi, Terry Haines
Journal article | 2016 | BMJ Open
Can we teach core clinical obstetrics and gynaecology skills using low fidelity simulation in an interprofessional setting?
Arunaz Kumar, Carole Gilmour, Debra Nestel, Robyn Aldridge, Gayle McLelland, Euan Wallace
Journal article | 2014 | Australian and New Zealand Journal of Obstetrics and Gynaecology
Empathy levels among health professional students: a cross-sectional study at two universities in Australia.
Brett Williams, Ted Brown, Lisa McKenna, Malcolm J Boyle, Claire Palermo, Debra Nestel, Richard Brightwell, Louise McCall, Verity Russo
Journal article | 2014 | Advances in Medical Education and Practice
BACKGROUND: Empathy is paramount in the health care setting, optimizing communication and rapport with patients. Recent empirical ..
Benefits and challenges of focus groups in the evaluation of a new Graduate Entry Medical Programme
Debra Nestel, Amelie Ivkovic, Robyn A Hill, Anthony N Warrens, Paraskeva A Paraskevas, Jacqueline A McDonnell, Ruvimbo S Mudarikwa, Chris Browne
Journal article | 2012 | Assessment & Evaluation in Higher Education
Key challenges in simulated patient programs: An international comparative case study
Debra Nestel, Diana Tabak, Tanya Tierney, Carine Layat-Burn, Anja Robb, Susan Clark, Tracy Morrison, Norma Jones, Rachel Ellis, Cathy Smith, Nancy McNaughton, Kerry Knickle, Jenny Higham, Roger Kneebone
Journal article | 2011 | BMC Medical Education
Implementation of a multi-level evaluation strategy: a case study on a program for international medical graduates.
Debra Nestel, Melanie Regan, Priyanga Vijayakumar, Irum Sunderji, Cathy Haigh, Cathy Smith, Alistair Wright
Journal article | 2011 | Journal of Educational Evaluation for Health Professions
Evaluation of educational interventions is often focused on immediate and/or short-term metrics associated with knowledge and/or s..
Formative assessment of procedural skills: students' responses to the Objective Structured Clinical Examination and the Integrated Performance Procedural Instrument
Debra Nestel, Roger Kneebone, Carmel Nolan, Kash Akhtar, Ara Darzi
Journal article | 2011 | Assessment & Evaluation in Higher Education
Assessment of surgical competence at carotid endarterectomy under local anaesthesia in a simulated operating theatre.
SA Black, DF Nestel, RL Kneebone, JHN Wolfe
Conference Proceedings | 2010 | British Journal of Surgery
BACKGROUND: Methods of surgical training that do not put patients at risk are desirable. A high-fidelity simulation of carotid end..
Factors compromising safety in surgery: stressful events in the operating room.
Sonal Arora, Louise Hull, Nick Sevdalis, Tanya Tierney, Debra Nestel, Maria Woloshynowych, Ara Darzi, Roger Kneebone
Journal article | 2010 | The American Journal of Surgery
BACKGROUND: Stressful events occur in the operating room (OR) with potentially severe consequences for patient safety. We recorded..
The effects of stress and coping on surgical performance during simulations.
Cordula M Wetzel, Stephen A Black, George B Hanna, Thanos Athanasiou, Roger L Kneebone, Debra Nestel, John HN Wolfe, Maria Woloshynowych
Journal article | 2010 | Annals of Surgery
OBJECTIVE: This study investigates the effects of surgeons' stress levels and coping strategies on surgical performance during sim..
Evaluating training for a simulated team in complex whole procedure simulations in the endovascular suite
Debra Nestel, Isabelle Van Herzeele, Rajesh Aggarwal, Kevin Odonoghue, Andrew Choong, Rachel Clough, Christopher Eades, Jenna Lau, Simon Neequaye, Gurpal Ahluwalia, Ara Darzi
Journal article | 2009 | Medical Teacher
Simulated anaesthetists in high fidelity simulations for surgical training: feasibility of a training programme for actors.
Debra F Nestel, Stephen A Black, Roger L Kneebone, Cordula M Wetzel, Piers Thomas, John HN Wolfe, Ara W Darzi
Journal article | 2008 | Medical Teacher
BACKGROUND: High fidelity simulations within the operating theatre (OT) require physical infrastructure and a full OT team. Such t..
Role-play for medical students learning about communication: guidelines for maximising benefits.
Debra Nestel, Tanya Tierney
Journal article | 2007 | BMC Medical Education
BACKGROUND: Role-play is widely used as an educational method for learning about communication in medical education. Although educ..
Training and assessment of procedural skills in context using an Integrated Procedural Performance Instrument (IPPI).
R Kneebone, F Bello, D Nestel, F Yadollahi, A Darzi
Conference Proceedings | 2007 | Studies in Health Technology and Informatics
The use of simulation in the training and assessment of procedural skills is widely acknowledged as a powerful and necessary alter..
Communication skills for mobile remote presence technology in clinical interactions.
Debra Nestel, Parvinder Sains, Cordula M Wetzel, Carmel Nolan, Ann Tay, Roger L Kneebone, Ara W Darzi
Journal article | 2007 | Journal of Telemedicine and Telecare
The use of mobile robotic units for teleconsultation means that the clinician's cognitive and attention skills are divided between..
Assessing procedural skills in context: Exploring the feasibility of an Integrated Procedural Performance Instrument (IPPI).
R Kneebone, D Nestel, F Yadollahi, R Brown, C Nolan, J Durack, H Brenton, C Moulton, J Archer, A Darzi
Journal article | 2006 | Medical Education
BACKGROUND: The assessment of clinical procedural skills has traditionally focused on technical elements alone. However, in real p..
The perioperative specialist practitioner: developing and evaluating a new surgical role.
R Kneebone, D Nestel, J Chrzanowska, AE Barnet, J Younger, A Burgess, A Darzi
Journal article | 2006 | Quality and Safety in Health Care
INTRODUCTION: This paper describes the design, implementation and evaluation of a new professional role in surgery. The role of th..
Innovative training for new surgical roles--the place of evaluation.
RL Kneebone, D Nestel, J Chrzanowska, AE Barnet, A Darzi
Journal article | 2006 | Medical Education
BACKGROUND: This paper describes the central role of 'external' evaluation, provided by an independent researcher, in developing a..
Reflection: a critical proficiency essential to the effective development of a high competence in communication.
Cindy L Adams, Debra Nestel, Peter Wolf
Conference Proceedings | 2006 | Journal of Veterinary Medical Education
Reflection, or the ability to step back from an experience and consider it critically, in an analytical, non-subjective manner, is..
Evaluation of a framework for case development and simulated patient training for complex procedures.
Stephen A Black, Debra F Nestel, Emma J Horrocks, Rachael H Harrison, Norma Jones, Cordula M Wetzel, John HN Wolfe, Roger L Kneebone, Ara W Darzi
Journal article | 2006 | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare
BACKGROUND: Simulation for training and assessing clinicians is increasing but often overlooks the patient's perspective. In this ..
The effects of stress on surgical performance.
Cordula M Wetzel, Roger L Kneebone, Maria Woloshynowych, Debra Nestel, Krishna Moorthy, Jane Kidd, Ara Darzi
Journal article | 2006 | The American Journal of Surgery
BACKGROUND: Although the general literature on stress and performance is extensive, little is known about specific effects of stre..
Blurring the boundaries: scenario-based simulation in a clinical setting.
RL Kneebone, J Kidd, D Nestel, A Barnet, B Lo, R King, GZ Yang, R Brown
Journal article | 2005 | Medical Education
CONTEXT: The ability to perform clinical procedures safely is a key skill for health care professionals. Performing such procedure..
Handheld computers in veterinary medical education: a view from human medical education.
Debra Nestel, Harry Brenton, Roger Kneebone
Journal article | 2005 | Journal of Veterinary Medical Education
Handheld computers are widely used in clinical practice, and their use in both human medical education and veterinary medical educ..
Inter-professional learning: discussion groups in a minor surgery skills course for nurses.
Debra Nestel, Roger Kneebone, Shirley Martin
Journal article | 2004 | Nurse Education in Practice
Inter-professional teaching and learning takes many forms. This paper describes an inter-professional educational intervention usi..
Evaluation of an inter-professional workshop to develop a psychosocial assessment and child-centred communication training programme for paediatricians in training.
Debra Nestel, Sharon Taylor, Quentin Spender
Conference Proceedings | 2004 | BMC Medical Education
BACKGROUND: The quality of psychosocial assessment of children in consultations varies widely. One reason for this difference is t..
Teaching and learning about written communications in a United Kingdom medical school.
Debra Nestel, Jane Kidd
Journal article | 2004 | Education for Health: Change in Learning & Practice
CONTEXT: Written communications have a long history in medicine. Today, doctors spend a significant part of their work time comple..
Making patient safety the focus: crisis resource management in the undergraduate curriculum.
Brendan Flanagan, Debra Nestel, Michele Joseph
Journal article | 2004 | Medical Education
BACKGROUND: This paper examines the role of high fidelity simulation and crisis resource management in bridging the gap between th..
Modelling the lay expert for first-year medical students: the actor-patient as teacher.
Debra Nestel, Elizabeth Muir, Marilyn Plant, Jane Kidd, Sue Thurlow
Journal article | 2002 | Medical Teacher
Actors are widely used in medical education as simulated patients. In this session, the role of actors was extended to 'simulated ..
An innovative model for teaching and learning clinical procedures.
Roger Kneebone, Jane Kidd, Debra Nestel, Suzanne Asvall, Paraskevas Paraskeva, Ara Darzi
Journal article | 2002 | Medical Education
CONTEXT: Performing a clinical procedure requires the integration of technical clinical skills with effective communication skills..
An evaluation of a communication skills workshop for dentists: cultural and clinical relevance of the patient-centred interview.
D Nestel, C Betson
Journal article | 1999 | British Dental Journal
The benefits for both doctors and patients of effective communication skills in medical care have been widely documented and are g..
Honours, Awards and Fellowships
Hamilton Russell Memorial Lecture
Ray Page Lifetime Simulation Achievement Award
Fellow, Society for Simulation in Healthcare