Roleplay as an Educational Strategy in Palliative Care: A Systematic Integrative Review

Novaes, Lucas Mariano Santos; Paiva, Eliza Mara das Chagas; O’Mahony, Aoife; Garcia, Ana Cláudia Mesquita

doi:10.1177/10499091211036703

Cited by 3 publications

(1 citation statement)

References 58 publications

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“…We suggest adding advance directives-relevant information on laws into the content of continuing education for end-of-life care, particularly for cardiac and respiratory ICU nurses. Educational strategies such as simulated education with role-playing scenarios to introduce advance directives to patients would likely be effective in improving nurses' end-of-life care [21,22]. Furthermore, the dignity of patients with palliative needs were also needed to be considered when developing the aforementioned educational strategies for nurses to promote palliative care.…”

Section: Discussionmentioning

confidence: 99%

Critical care nurses’ knowledge and attitudes and their perspectives toward promoting advance directives and end-of-life care

Liu

Joo

et al. 2022

BMC Nurs

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Background End-of-life care can be a difficult and challenging process for critical care nurses in intensive care units (ICUs) due to the care plan shifts from providing life-sustaining measures to end-of-life care. The aims of this study were to assess critical care nurses' perceived knowledge and attitudes toward end-of-life care, as well as their perspectives on promoting advance directives and the associated factors. Methods A cross-sectional study was undertaken in an acute major metropolitan medical center in northern Taiwan between February and March 2020, and 250 critical care nurses were invited to participate in the study. Data on demographics, self-perceived knowledge of end-of-life care, attitudes toward end-of-life care, and perspectives of promoting advance directives were collected. A multiple linear regression model with stepwise selection was used to identify factors associated with their perspectives of promoting advance directives. Results The law related to end-of-life care was rated as the least familiar part of the self-perceived end-of-life care knowledge, while ‘I have sufficient knowledge to care for patients who have accepted end-of-life care’ was the lowest level of agreement in attitude scores among critical care nurses. Increased levels of perceived knowledge (β = 0.134; p = 0.045) and attitudes (β = 0.423; p < 0.001) toward end-of-life care were associated with the perspectives of promoting advance directives. Nurses who worked in cardiac (β = -0.234; p < 0.001) and respiratory ICUs (β = -0.135; p = 0.024) had less motivation to promote advance directives (F = 16.943; p < 0.001). Conclusion Given their important contributions to ICU care services, appropriate and meaningful support is required to optimize critical care nurses' involvement in end-of-life care. This study demonstrated a significant impact on perspectives of promoting advance directives of critical care nurse participants. Findings from this study can inform the design of effective nurse support programs to enhance the promotion of advance directives in intensive care settings.

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Section: Discussionmentioning

confidence: 99%

Critical care nurses’ knowledge and attitudes and their perspectives toward promoting advance directives and end-of-life care

Liu

Joo

et al. 2022

BMC Nurs

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Simulation-based learning in palliative care in postgraduate nursing education: a scoping review

et al. 2023

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Background Nurses require advanced competence in palliative care, but they face wide variations in education and a shortage in opportunities for clinical placement. Simulation-based learning (SBL) can enable students to develop clinical skills, critical thinking and confidence. No scoping reviews to date have mapped the use of SBL in palliative care within postgraduate nursing education. Methods The aim of this scoping review was to systematically map published studies on the use of SBL in palliative care in postgraduate nursing education. A scoping review was conducted using Arksey and O’Malley’s (Int J Soc Res Meth 8(1):19–32, 2005) methodological framework. A systematic and comprehensive search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Education Resources Information Center (ERIC), Ovid MEDLINE, Ovid EMBASE, Allied and Complementary Medicine and PsycINFO was performed for studies published between January 2000 and April 2022. Two authors independently assessed papers for inclusion and extracted data. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. The protocol was registered on the Open Science Framework. Results This review includes 10 studies. Three thematic groupings were identified: enhanced understanding of the importance of teamwork, interdisciplinarity and interpersonal skills; preparedness and confidence in one’s ability to communicate during emotionally challenging situations; and impact and relevance to one’s own clinical practice. Conclusions The use of SBL in palliative care in postgraduate nursing education seems to enhance students’ understanding of the importance of teamwork and interdisciplinarity. The review shows contradictory results regarding whether SBL in palliative care increases students’ confidence in their communication skills. Postgraduate nursing students experienced personal growth after participating in SBL. Because our findings indicate that limited research has been conducted within this field, future research should (1) explore postgraduate nursing students’ experiences with SBL in palliative care with a focus on more practical content such as symptom management, (2) examine the relevance and application of SBL in clinical practice, and (3) be reported in line with recommendations on the reporting of simulation research.

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Comunicación asertiva de malas noticias a pacientes y familiares de cuidados paliativos

Brito Guerrero,

Zurita Soria,

Padrón Fernández

et al. 2024

Qualitas

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En cuidados paliativos, la comunicación asertiva al dar malas noticias incide en la manera de afrontar la situación. El objetivo de este estudio fue analizar la comunicación asertiva de malas noticias en pacientes y familiares de cuidados paliativos. La búsqueda bibliográfica se realizó en 5 bases de datos: PubMed, DialNet, SciELO, Elsiever y Redalyc. Los resultados mostraron que: Los pacientes quieren conocer sus diagnósticos. Una información oportuna y asertiva, reduce síntomas físicos y psicológicos, permitiéndoles tomar decisiones informadas sobre su tratamiento, pronóstico y el futuro familiar. Las principales barreras de la comunicación son: escaso tiempo, espacio y forma de transmitir el mensaje, colapso de servicios, pedidos de no divulgación y la falta de preparación. Se concluyó que la comunicación de malas noticias debe ser empática, honesta y asertiva, asegurando que se ha comprendido lo informado y buscando efectos positivos en el paciente, la familia y los profesionales.

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Roleplay as an Educational Strategy in Palliative Care: A Systematic Integrative Review

Cited by 3 publications

References 58 publications

Critical care nurses’ knowledge and attitudes and their perspectives toward promoting advance directives and end-of-life care

Critical care nurses’ knowledge and attitudes and their perspectives toward promoting advance directives and end-of-life care

Simulation-based learning in palliative care in postgraduate nursing education: a scoping review

Comunicación asertiva de malas noticias a pacientes y familiares de cuidados paliativos

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