Health professionals involved in caring for dying children and their families use a variety of strategies to cope with the emotional and physical toll of providing support. They also engage in self-assessment to evaluate their support provision and this highlights the need for self-evaluation tools in paediatric palliative care.

Background: From the feedback of clinical preceptors and staff nurses, one of the reasons why students are not given the opportunity to practice hands-on with their patients in hospitals is because of the lack of practice in performing nursing procedures during their clinical placements. This study was conducted to improve students' clinical performance and readiness to practice. Methods: An experimental research design was used, and a randomized controlled trial was conducted. The clinical performance of nursing interns was evaluated by dividing them into group A (simultaneous high-fidelity simulation exposure along with hands-on clinical training) and group B (pure hands-on clinical training). Results: The mean grade obtained by group A was significantly higher by an average of 13.89 points than that obtained by group B. HFS exposure and clinical performance are significantly correlated. Conclusions: Incorporating HFS as a supplemental component of hands-on training can enhance nurses' performance. Repeated exposure to HFS facilitates proficiency and practice readiness.

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