Palliative care competence development through simulation: Excellence & innovation to meet the AACN essentials

IF 2.8 3区 医学 Q1 NURSING Journal of Professional Nursing Pub Date : 2024-07-17 DOI:10.1016/j.profnurs.2024.07.002
Amisha Parekh de Campos PhD, MPH, RN, CHPN , Amanda Kirkpatrick PhD, RN, FAAN , Stephanie B. Clark EdD, RN , Kaleigh Barnett MNE, RN, CHSE
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Abstract

Background

The updated American Association of Colleges of Nursing: The Essentials: Core Competencies for Professional Nursing Education (2021) outlines competence requirements for entry-to-practice nurses. Hospice and palliative care (PC) are identified as one of four spheres of care, emphasizing that nursing knowledge and proficiency in primary PC are critical for all nurses.

Purpose

This article identifies key elements for nursing educators to consider when adopting, adapting, or designing practical primary PC simulations to meet The AACN Essentials.

Methods

Using Healthcare Simulation Standards of Best Practice™ (HSSBP) as a framework, a panel of nursing education researchers identified and compared key elements of four PC simulations from varied evidence-based exemplars across the U.S.

Results

Overarching elements in simulation development include choosing modalities, assessing resources, and simulation logistics, creating opportunities for difficult conversations with interprofessional team engagement, and validating scenarios with expert input. Simulation implementation should include tailored pre-briefing to address psychological safety in caring for the dying patient, piloting scenarios, and maximizing observer/vicarious learner roles. Finally, evaluation is vital for competency assessment, scenario enhancement, and logistical changes.

Limitations included variability in PC simulation scenarios, learners/learner level, curricula, and geography across selected exemplars, which may affect the general applicability of these findings.

Conclusions

Simulations developed according to HSSBP™ provide effective practical experience in PC, affording active and vicarious learners the knowledge and skills essential for baseline nursing competence.

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通过模拟培养姑息关怀能力:卓越与创新,满足 AACN 的基本要求
背景美国护理学院协会更新了《美国护理学院协会》(American Association of Colleges of Nursing:要点:专业护理教育核心能力》(2021 年)概述了对入门护士的能力要求。临终关怀和姑息治疗(PC)被确定为四个护理领域之一,强调护理知识和熟练掌握初级 PC 对所有护士都至关重要。目的本文确定了护理教育者在采用、改编或设计实用初级 PC 模拟以满足《AACN 要点》时需要考虑的关键要素。方法以《医疗保健模拟最佳实践标准》(HSSBP)为框架,由护理教育研究人员组成的小组从全美不同的循证范例中确定并比较了四种 PC 模拟的关键要素。结果模拟开发的总体要素包括选择模式、评估资源和模拟后勤、为跨专业团队参与的困难对话创造机会以及利用专家意见验证情景。模拟实施应包括量身定制的前期简报,以解决临终病人护理过程中的心理安全问题、试演情景以及最大限度地发挥观察者/各种学习者的作用。结论根据 HSSBP™ 开发的模拟情景为 PC 提供了有效的实践经验,为主动和替代学习者提供了基线护理能力所必需的知识和技能。
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来源期刊
CiteScore
4.80
自引率
8.00%
发文量
153
审稿时长
52 days
期刊介绍: The Journal will accept articles that focus on baccalaureate and higher degree nursing education, educational research, policy related to education, and education and practice partnerships. Reports of original work, research, reviews, insightful descriptions, and policy papers focusing on baccalaureate and graduate nursing education will be published.
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