Use of high-fidelity simulation in advancing palliative care skills in nursing students: A convergent mixed methods study

Objective: High-fidelity simulation (HFS) has positive effects on different learning outcomes in nursing education. The aim of the study was to develop a comprehensive understanding of the added value of HFS building on traditional learning methods in the development of self-efficacy in Bachelor of Science in Nursing students caring for adult patients and their families in early palliative situations.Methods: A convergent mixed methods study was conducted. In the quantitative study section, a quasi-experimental, repeated measures design was applied measuring self-efficacy using the Self-Efficacy-Subscale of the Bonner Palliativwissenstest (BPW) and the Family Nursing Practice Scale (FNPS). In the qualitative study section, a qualitative descriptive study design was applied. Mixed methods meta-inferences were generated by a joint display table.Results: The added value of HFS concerning strengthening nursing student’s self-efficacy in early palliative care and family systems care was confirmed. The expanded findings were the strengths of HFS with the possibility for students to reflect on their performance and synthesize new insights, as well as the importance of students’ practical experience to integrate family systems care in symptom management.Conclusions: HFS strengthens students in their future role as nurses caring for adult patients and their families in early palliative situations.