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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.
Abstract:
Accelerated nursing programs face unique challenges in incorporating palliative care. This report describes a high-fidelity home hospice simulation developed for first-semester students in a 12-month accelerated baccalaureate nursing program in the northeastern United States. The simulation integrated foundational nursing skills with palliative care competencies. Thematic analysis of student reflections revealed 5 emerging themes: pain management, empathy, family involvement, communication, and knowledge and preparation. Despite challenges in creating a realistic home environment, the simulation provided valuable hands-on experience in palliative care, demonstrating the potential for early curricular integration of these crucial skills.
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