Using Qualitative Feedback to Adapt a Communication Simulation for Nursing Students and Novice Nurses.

Area of Science:

• Nursing Education
• Palliative Care
• Medical Simulation

Background:

• A critical gap exists in nursing education regarding palliative care communication for patients with serious illnesses.
• Nurses require enhanced skills to address complex communication needs in serious illness care.
• Simulation-based education offers a safe environment for practicing essential communication strategies.

Purpose of the Study:

• To adapt and implement a standardized palliative communication simulation for prelicensure nursing students and nurse residents.
• To address curriculum gaps in palliative care communication training.
• To evaluate the impact of simulation on nurses' confidence and competence in serious illness conversations.

Main Methods:

• An established palliative communication simulation was modified for third- and fourth-year nursing students and incorporated into a nurse residency program.
• Students practiced conversations on symptom management, advance directives, and goals of care.
• Modifications included guided discussions and pre- and post-simulation reflections.

Main Results:

• Participants reported decreased fear and anxiety regarding serious illness conversations.
• Learners acquired practical approaches for communicating with patients and families about palliative care.
• The adapted simulation effectively enhanced communication skills in both student and resident groups.

Conclusions:

• Simulation-based palliative care communication training is effective in preparing nurses for serious illness discussions.
• Addressing curriculum gaps through simulation improves nurse preparedness and confidence.
• Increased exposure to palliative care training, including simulation, is crucial for quality patient care.