A Multisite, Multi-Academic Track Evaluation of End-of-Life Simulation for Nursing Education

Linda Fluharty, Amy Sorrell Hayes, Lesley Milgrom, Kathleen Malarney, Diana Smith, Mary Ann Reklau, Pamela Jeffries, Angela M. McNelis

Research output: Contribution to journalArticlepeer-review

50 Scopus citations


Background: Opportunities for students to care for end-of-life patients are limited in undergraduate nursing programs. Method: Students participated in a quasi-experimental study evaluating knowledge, levels of self-confidence, and self-reported communication skills in caring for a dying patient, as well as satisfaction with the high-fidelity simulation. Results: The convenience sample of 370 associate's degree, traditional baccalaureate, and accelerated baccalaureate nursing students demonstrated a significant increase in knowledge, regardless of role played in the scenario, as well as high levels of self-confidence, self-reported communication skills, and satisfaction with the pedagogical approach. Conclusions: Results showed significantly enhanced student knowledge in end-of-life care. Findings support end-of-life simulation as a strong and viable pedagogical approach to learning.

Original languageEnglish (US)
Pages (from-to)e135-e143
JournalClinical Simulation in Nursing
Issue number4
StatePublished - Apr 2012


  • Communication
  • End of life
  • High-fidelity simulation
  • Knowledge
  • Nursing education
  • Quasi-experimental
  • Research
  • Self-confidence
  • Undergraduate

ASJC Scopus subject areas

  • Modeling and Simulation
  • Education
  • Nursing (miscellaneous)


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