Home Care Simulation to Teach Culturally Based Competencies in End-of-Life Care

A simulation on end-of-life home care was developed for senior nursing students to address cultural components, communication skills, and common concerns at the end of life. Evidence-based clinical guidelines were provided beforehand on the treatment of pain, dyspnea, and depression, as well as culture, which affects attitudes and beliefs around end-of-life care.

The simulation of end-of-life care in a Chinese-American home was scripted with student actors to familiarize students with the concepts of death and dying, as well as integrating cultural considerations in providing such care. The scenario included recognizing traditions from the Chinese culture, including view's on dying in the home, spiritual beliefs, and the use of Eastern treatment remedies.

After the simulation, many students reported that they had never reflected on death and dying before, and the majority of student and clinical faculty participants found that the simulation increased students' comfort level around end-of-life care.

Students appreciated the family members' response, the importance of one's cultural views on death and dying, and the emotional impact of nursing care in these situations.