“…Skill development via simulation has become a widely accepted and effective teaching modality to improve nursing knowledge, skills, and communication, and has been linked to improvement in FFC (Van Gelderen et al, 2016). Simulated learning environments can improve clinical performance (Christian & Krumwiede, 2013;Nelissen et al, 2017) and ability to intervene during life-threatening concerns (Christian & Krumwiede, 2013;Nelissen et al, 2017), and enhance self-efficacy (Ehmke et al, 2021;Egenberg et al, 2017;Irby et al, 2017). Simulation that includes FFC increases proficiency and comfort with carrying out difficult conversations with families (Irby et al, 2017;Sanchez Exposito et al, 2017).…”