Document Type
DNP - Open Access
Award Date
2024
Degree Name
Doctor of Nursing Practice (DNP)
Department
Graduate Nursing
First Advisor
Dannica Callies
Second Advisor
Christina Plemmons
Abstract
Background: New graduate nurses (NGNs) often lack exposure to end-of-life (EOL) care. Simulation experiences offer a safe place for learning and reflection. Implementation of an EOL simulation has the potential to increase NGNs attitudes, selfconfidence, and communication skills.
Methods: Forty-one NGNs in a nurse residency program participated in an EOL simulation. Attitudes toward EOL, self-confidence regarding EOL care, and EOL communication were evaluated using a pretest posttest format.
Results: Following the simulation, mean self-confidence scores increased, however the increase was not statistically significant (p = 0.53). Mean scores increased for 1 of 2 categories related to attitude toward EOL, however the increase was not statistically significant (p = 0.53). Mean scores regarding comfort with EOL communication with families and other healthcare providers increased, however, this was not statistically significant (p = 0.79, p = 0.71).
Conclusion: Simulation experiences provide a safe learning environment and encourage self-reflection. An EOL simulation is an effective tool for preparing NGNs to provide care to patients and families as the patient nears death.
Publisher
South Dakota State University
Rights
Copyright © 2024 Amanda Scofield
Recommended Citation
Scofield, Amanda, "Impact of an End-of-Life Simulation on Nurses’ Attitudes, Self-Confidence, and Communication Skills" (2024). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 202.
https://openprairie.sdstate.edu/con_dnp/202