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No Time Like the Present: End-of-Life Simulation in the First Semester of a 12-Month Accelerated Baccalaureate
Alexander T Wolf1, Karen L Hunt2, Maura D Penfield3
1Alexander T. Wolf, DNP, APRN, ACHPN, is assistant Professor, School of Nursing, MGH Institute of Health Professions, Boston, MA. Nurse practitioner, Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, MA.
Summary
Accelerated nursing students gained essential palliative care skills through a home hospice simulation. This early integration enhanced their preparedness in areas like pain management and communication.
Area of Science:
- Nursing Education
- Palliative Care
- Simulation-Based Learning
Background:
- Accelerated nursing programs present unique challenges for integrating palliative care education.
- Early exposure to palliative care concepts is crucial for developing competent nurses.
Purpose of the Study:
- To describe the development and implementation of a high-fidelity home hospice simulation for first-semester accelerated baccalaureate nursing students.
- To assess the simulation's effectiveness in integrating foundational nursing skills with palliative care competencies.
Main Methods:
- A high-fidelity home hospice simulation was designed for a 12-month accelerated baccalaureate nursing program.
- Student reflections were analyzed thematically to identify key learning outcomes.
Main Results:
- Thematic analysis revealed five key themes: pain management, empathy, family involvement, communication, and knowledge/preparation.
- Students reported valuable hands-on experience despite environmental challenges.
Conclusions:
- Home hospice simulation is a viable method for early curricular integration of palliative care in accelerated nursing programs.
- The simulation effectively enhanced students' understanding and skills in critical palliative care domains.
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