A palliative care communication simulation for undergraduate nursing and midwifery students: A pilot study (original) (raw)

Realistic simulation as a teaching tool in critical situation communication in palliative care

2020

Objectives: To identify the perception, skills and competencies of nursing students regarding the communication of the critical situation in palliative care through realistic simulation. Method: Qualitative and quantitative descriptive study, developed with 41 undergraduate Nursing students from a university in southern Brazil. Research conducted in the laboratory of simulated practices, between March and May 2019. Results: The average age of students was 23.4 years. Regarding their perception about communication of critical situation: 39% scored it as difficult; 75.6% never participated in communication in critical situations and; 36.6% feel quite stressed in this context. From the analysis of qualitative data, emerged two categories: Feelings and difficulties of the student facing the communication of critical situations in palliative care and; Main competences acquired through the teaching-simulation tool. Conclusion and implications for nursing practice: Clinical simulation is a...

The Use of Simulation to Teach Nursing Students and Clinicians Palliative Care and End-of-Life Communication: A Systematic Review

The American journal of hospice & palliative care, 2018

To present the findings of a systematic review on the use of simulation-based learning experiences (SBLEs) to teach communication skills to nursing students and clinicians who provide palliative and end-of-life care to patients and their families. Palliative care communication skills are fundamental to providing holistic patient care. Since nurses have the greatest amount of direct exposure to patients, building such communication competencies is essential. However, exposure to patients and families receiving palliative and end-of-life care is often limited, resulting in few opportunities to learn these skills in the clinical setting. Simulation-based learning experiences can be used to supplement didactic teaching and clinical experiences to build the requisite communication skills. Searches of CINAHL, MEDLINE, PsychINFO, ERIC, and Web of Science electronic databases and Grey Literature returned 442 unique records. Thirty articles met the established criteria, including the SBLE mu...

Simulation-based learning in palliative care in postgraduate nursing education: a scoping review

BMC Palliative Care

Background Nurses require advanced competence in palliative care, but they face wide variations in education and a shortage in opportunities for clinical placement. Simulation-based learning (SBL) can enable students to develop clinical skills, critical thinking and confidence. No scoping reviews to date have mapped the use of SBL in palliative care within postgraduate nursing education. Methods The aim of this scoping review was to systematically map published studies on the use of SBL in palliative care in postgraduate nursing education. A scoping review was conducted using Arksey and O’Malley’s (Int J Soc Res Meth 8(1):19–32, 2005) methodological framework. A systematic and comprehensive search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Education Resources Information Center (ERIC), Ovid MEDLINE, Ovid EMBASE, Allied and Complementary Medicine and PsycINFO was performed for studies published between January 2000 and April 2022. Two authors indepe...

Efficacy of a Standardised Patient Simulation Programme for Chronicity and End-of-Life Care Training in Undergraduate Nursing Students

International Journal of Environmental Research and Public Health, 2021

Background: Standardised patient simulations seem to be useful for improving the communication skills of health sciences students. However, it is important to define the effectiveness of these types of interventions in complex scenarios linked to disease chronicity and end-of-life contexts. Methods: A quasi-experimental study with pre- and post-intervention measures was carried out in a single group. A total of 161 nursing students completed different assessment instruments to measure their attitudes towards communication (Attitude Toward Communication Scale), self-efficacy (Self-Efficacy of Communication Skills, SE-12), and communication skills (Health Professionals Communication Skills Scale, EHC-PS) before and after simulation training with standardised patients. The objective of the program was to train students in non-technical skills for complex situations involving chronicity and end-of-life care. It comprised eight sessions lasting 2.5 h each. Results: The results showed not...

Postgraduate nursing students' experiences of simulation training and reflection in end‐of‐life communication with intensive care patients and their families

Nursing & Health Sciences, 2021

Losing a loved one in the intensive care unit relates to a risk of developing stress and complicated grief. Education in intensive care nursing should cover end‐of‐life care, and the use of simulation in nursing education is a powerful instrument to develop confidence in end‐of‐life care. The aim of this study was to explore postgraduate nursing students' experiences with simulation training in end‐of‐life communication with intensive care patients and their families. Twenty‐nine students answered a questionnaire and nine students participated in an interview. Analyses were conducted according to the principles of phenomenography. The result is presented in four categories including the following: the design of the scenario affects learning, uncertainty overshadows learning, intertwining theory and practice contributes to learning, and learning to encounter existential dimensions. The conclusion is that high‐fidelity simulation training contributes toward preparing students to b...

Effectiveness of high-fidelity simulation in nursing education for end-of-life care: A quasi-experimental design

Indian Journal of Palliative Care

A multidisciplinary approach toward palliative care encompasses providing end of life (EOL) care and dealing with death and dying. [1] Weisse et al. assert that the health-care providers report a lack of training in EOL care and limited opportunities to learn about the dying process of a person [2] Nurses are required to support the patient and family during the dying process and bereavement. This process involves symptom control and pain management. [3] However, nursing graduates do not feel prepared for providing palliative care [2-4] and they acknowledge the need to increase palliative care education in undergraduate nursing curricula. [2,3] Highlighting the importance of educating and training nurses for providing palliative care, Pesut and Greig emphasize that nurses are the frontline care providers for patients and families at EOL. Therefore, it is essential that through education and training, these care providers are to be prepared for providing palliative care. [5] Limited availability of clinical

Therapeutic communication skills in palliative care nursing education: an exploratory study using a role-playing tool

2021

This study aim to explore the experiences of nursing final-year students on the care of the person in a palliative situation and their family using the role-playing technique. Qualitative, descriptive research developed in October 2020 with 30 third-year nursing students from a palliative care nursing course, in Portugal. Individual debriefing reflections and thematic analysis of the information were conducted. Two main themes emerged: 1) facilitators; and 2) barriers of role-playing in a simulated palliative care context. We concluded that type of simulation allows students to deal with complex palliative care situations from an individual and realistic perspective.

Training Interprofessional Teamwork in Palliative Care: A Pilot Study of Online Simulation Activity for Registered Nurses and Nursing Associates

Springer International Publishing eBooks, 2022

Successful interprofessional teamwork is essential in palliative care to achieve quality in patient care. During their education, the students need to train and gain knowledge about the different professions they are going to cooperate with [1].Taking an interprofessional approach to palliative care education has been found to be effective in the live setting [2]. It is stated that "Palliative care is, by the nature of its practice, collaborative" [3]. Previous studies have used live standardized patient simulation to teach interprofessional teamwork with a focus on palliative care topics and communication [4]. Interprofessional simulation in palliative care study programmes often takes place within the faculty and focuses on cooperation with other professional groups such as doctors, occupational therapists and physiotherapists. Nursing associates educated in educational institutions outside academia are a professional group that is often part of the palliative care team. So far, we have not found studies where the cooperation of a registered nurse (RN) with a nursing associate (NA) is in focus. Addressing didactical questions about how to enable students to train and achieve interprofessional competency during education is an ongoing process. Learning using simulation activity offers such possibilities. As teachers in a postgraduate study programme in palliative care, we have tried out simulation as a learning approach with success both from the teachers' and students' point of view. They report that they value such training and claim it is an efficient way to learn. Several challenges and questions have been raised as to how to facilitate simulation activity to achieve collaborative, student-centred, experimental and clinical practice-based

Interprofessional simulation-based training in gynecologic oncology palliative care for students in the healthcare profession: A comparative randomized controlled trial

Nurse Education Today, 2020

Background: Preprofessional palliative care education may be inadequate, leaving a gap in health professional students' knowledge and understanding of managing patients with gynecologic cancer and their families. Interprofessional simulation-based training may be useful in helping health professional students gain the necessary skills required for palliative care. Objective: This study aimed to determine the effectiveness of different simulation methods used for interprofessional training on gynecologic oncology palliative care knowledge, interdisciplinary education perceptions, and teamwork attitudes of health professional students and to compare these methods. Design: A comparative randomized controlled trial was conducted with a pre-test and two post-tests. Settings: This study was conducted at a university in Ankara, Turkey, in 2016-2017. Participants: A convenience sample of 84 interprofessional students (nursing, medical, nutrition-dietician, and social work) was used in the study. Methods: Students were stratified by their profession and randomized by four blocks into high-fidelity simulation, hybrid simulation, and a control group. Data were collected using a semi-structured questionnaire form, palliative care knowledge test, interdisciplinary education perception scale, and teamwork attitudes questionnaire. Results: The high-fidelity simulation and hybrid simulation groups improved their palliative care knowledge, interdisciplinary education perception, and teamwork attitudes from pre-test to first and second post-tests compared to the control group. Conclusion: The introduction of high-fidelity simulation and hybrid simulation or hybrid simulation-based interprofessional training in undergraduate education can increase students' palliative care knowledge, interdisciplinary education perception, and teamwork attitudes. Training programs that are used together with highfidelity simulation and hybrid simulation applications in interdisciplinary training should be integrated into the undergraduate curricula of future cooperating health professions.