Pre-post evaluations in reviewed SBLE studies report significant gains in EOL knowledge and attitudes, but not uniformly across studies¶

Claim · All claims
Evidence · 1 study · review r3 · q2
Currency · newest study 2018 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Several reviewed pre-post studies reported statistically significant improvements in EOL knowledge, attitudes, or confidence (e.g., Fluharty et al.: improved EOL care knowledge scores, P < .000), while at least one (Bodine and Miller) found improvement in EOL communication for the simulation group nonsignificant. → Smith Madison B. RN 2018

Evidence¶

Smith Madison B. RN 2018¶

Smith Madison B. RN, BSN, Macieira Tamara G. R. BSN, Bumbach Michael D. PhD, FNP-BC, Garbutt Susan J. DNP, RN, CIC, CNE, CHSE, Citty Sandra W. PhD, ARNP-BC, CNE, Stephen Anita MSN, RN, CNL, Ansell Margaret, Glover Toni L. PhD, GNP-BC, ACHPN, Keenan Gail PhD, RN, FAAN. (2018). The Use of Simulation to Teach Nursing Students and Clinicians Palliative Care and End-of-Life Communication: A Systematic Review. The American Journal of Hospice & Palliative Care. https://doi.org/10.1177/1049909118761386

q2 · i? · review · r3

Kirkpatrick levels 1 and 2 evaluation in the Fluharty et al. study (370 BSN and ABSN students) as summarized in Table 1: EOL knowledge questionnaire pre–postsimulation, Nurse Self-Concept, End-of-Life Communication Assessment, and satisfaction measures. Only p-values and descriptive means are printed; no effect size.

"Results: (1) Improved EOL care knowledge scores (P < .000); (2) mean 6.86 (SD .61) on 1-8 scale; (3) mean 4.33 (SD .56) on 1-5 scale; (4) mean 4.07 (SD .81) on 1-5 scale"

Discussion¶

Related Claims¶

• A simulation-based group showed stronger emotional and clinical preparedness and knowledge-to-practice conversion than a seminar-based comparison group
• Debriefing was a central element of nearly all reviewed palliative/EOL communication SBLEs, but methods varied widely — related
• In an RCT of ICU nurses, simulation-based education produced within-group gains in knowledge, confidence and competence but no between-group differences at 6 weeks — related
• Simulation-based learning experiences are being used to teach palliative and end-of-life communication skills to nursing students and clinicians — a broader claim this one bears on