High-fidelity simulation: Teaching end-of-life care

Shaw, Peggy; Abbott, Miriam

doi:10.1016/j.nedt.2016.10.014

Cited by 27 publications

(24 citation statements)

References 4 publications

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“…Research reports show that not only nursing and medical students, but also professionally active nurses and physicians do not consider themselves adequately prepared to provide care to dying patients. This is evidenced by opinions shared by physicians and nurses as well as by patients and their families [4,6,[8][9][10][11]. One must realise that the process of dying and death is special and, at the same time, difficult for the patients and their families on the one hand, but, on the other hand, for the medical staff as well.…”

Section: Discussionmentioning

confidence: 99%

“…in the form of medical simulation. The effectiveness of medical simulation in the development of social competences required in the care of the dying has been indicated [4,13].…”

Section: Discussionmentioning

confidence: 99%

“…The available research results suggest that the consequences of the lack of preparation to provide professional care to dying patients are experienced not only by the patient and his/her relatives, but also by the medical staff whose representatives report discomfort being unable to offer relief to a suffering patient [4,5]. Therefore, the surveyed physicians and nurses emphasised the necessity to increase the hours of care of the dying patient, as well as diversifying the forms and methods of teaching these issues, stipulating an increase in the effectiveness of practical education [11].…”

Section: Discussionmentioning

confidence: 99%

“…listic, multi-faceted end-of-life care [3,4]. The complexity of EOL requires from those working with dying persons not only appropriate knowledge and skills, but also deep empathy and a mature attitude towards his/her own and someone else's death.…”

mentioning

confidence: 99%

“…The complexity of EOL requires from those working with dying persons not only appropriate knowledge and skills, but also deep empathy and a mature attitude towards his/her own and someone else's death. Regrettably, the results of research carried out globally and in Poland have shown that nursing and medical students do not feel prepared to provide care to patients at the end of their lives [5][6][7], and it is only after they start career that they acquire knowledge in this respect -this unfortunately acts against the quality of care [4].…”

mentioning

confidence: 99%

See 4 more Smart Citations

Opinions of nursing and medical students before the end of their university education on their preparation for work with the dying patient

Mazur¹,

Dobrowolska

Rabiasz

et al. 2018

Polish Journal of Public Health

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Introduction. Well-implemented, holistic care of the dying patient requires appropriate qualifications from the medical personnel. Aim. The aim of the study was to collect the opinions of nursing and medical students before the end of their professional education on their preparation to provide care to the dying patient. Material and methods. The survey was carried out in a group of 213 medical and nursing students during their final year of professional education. Results. Students were unable to clearly express their opinion on their preparation to provide care to patients at the end of their lives (87; 40.8%). Nursing students were more likely to perceive themselves as prepared for such care – 30 (26.7%) than medical students – 11 (10.9%). Statistically significant correlation was observed. A large group of the students (92; 43.2%) had never been present at the scene of a patient’s death during clinical classes. The majority of the respondents chose ‘definitely not’ (59; 27.7%) and ‘rather not’ (53; 24.9%) answers when asked if their university education had prepared them for work with patients at the end of their lives. Students considered their knowledge to be lacking mostly in areas such as coping with their own emotions in the face of a patient’s death (137; 64.3%); communicating with a dying person (119; 55.9%); providing care to the patient’s family (154; 72.3%); cooperating with the patient’s family (125; 58.7%). Conclusions. Students of both majors are not certain about the level of their preparation to provide care to people at the end of their lives, nor about the extent to which their university education had introduced them to the specificity of care of a dying patient. The medical students were observed to exhibit higher statistical significance as compared to the nursing students. The university curriculum prepared the students to take care of the dying patient’s biological sphere, but did not prepare them to assume a holistic approach to care of the patient and his family.

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Section: Discussionmentioning

confidence: 99%

“…in the form of medical simulation. The effectiveness of medical simulation in the development of social competences required in the care of the dying has been indicated [4,13].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Opinions of nursing and medical students before the end of their university education on their preparation for work with the dying patient

Mazur¹,

Dobrowolska

Rabiasz

et al. 2018

Polish Journal of Public Health

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What Intern Nursing Students in Turkey Think About Death and End-of-Life Care? A Qualitative Exploration

Dalcalı

Taş

2021

J Relig Health

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This descriptive qualitative study was planned to determine the views of intern nursing students about death and end-of-life care. The study was completed with 12 intern students based on the criterion of data saturation. As a result of the study, the categories of 'end,' 'uncertainty,' 'fear,' 'beginning,' 'helplessness' under the theme of death, 'ensuring peace,' 'continuing communication' 'providing psychosocial/ spiritual support,' 'acting in conformity with principles of ethics/morality,' 'continuing to provide physical care,' 'supporting the family,' 'making the best use of the limited remaining time or helping the patient's last wishes come true' under the theme of end-of-life care emerged.

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Pediatric Resident Experience Caring for Children at the End of Life in a Children's Hospital

Trowbridge

Bamat

Griffis

et al. 2020

Academic Pediatrics

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OBJECTIVE: Pediatric residents are expected to be competent in end-of-life (EOL) care. We aimed to quantify pediatric resident exposure to patient deaths, and the context of these exposures. METHODS: Retrospective chart review of all deceased patients at one children's hospital over 3 years collected patient demographics, time, and location of death. Mode of death was determined after chart review. Each death was cross-referenced with pediatric resident call schedules to determine residents involved within 48 hours of death. Descriptive statistics are presented. RESULTS: Of 579 patients who died during the study period, 46% had resident involvement. Most deaths occurred in the NICU (30% of all deaths); however, resident exposure to EOL care most commonly occurred in the PICU (52% of resident exposures) and were after withdrawals of lifesustaining therapy (41%), followed by nonescalation (31%) and failed resuscitation (15%). During their postgraduate year (PGY)-1, <1% of residents encountered a patient death. During PGY-2 and PGY-3, 96% and 78%, respectively, of residents encountered at least 1 death. During PGY-2, residents encountered a mean of 3.5 patient deaths (range 0-12); during PGY-3, residents encountered a mean of 1.4 deaths (range 0-5). Residents observed for their full 3-year residency encountered a mean of 5.6 deaths (range 2-10). CONCLUSIONS: Pediatric residents have limited but variable exposure to EOL care, with most exposures in the ICU after withdrawal of life-sustaining technology. Educators should consider how to optimize EOL education with limited clinical exposure, and design resident support and education with these variable exposures in mind.

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High-fidelity simulation: Teaching end-of-life care

Cited by 27 publications

References 4 publications

Opinions of nursing and medical students before the end of their university education on their preparation for work with the dying patient

Opinions of nursing and medical students before the end of their university education on their preparation for work with the dying patient

What Intern Nursing Students in Turkey Think About Death and End-of-Life Care? A Qualitative Exploration

Pediatric Resident Experience Caring for Children at the End of Life in a Children's Hospital

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