Strategy Submission
High-Fidelity Simulation to Teach the Role of the Advanced Practice Nurse in Palliative Communication
Author:
Adrienne Markiewicz
MSN, RN, AGACNP-BC
Title:
Clinical Instructor
Coauthors:
Natalie McAndrew PhD, RN, ACNS-BC, CCRN-K
Institution:
University of Wisconsin-Milwaukee
Email:
Competency Categories:
Evidence-Based Practice, Patient-Centered Care
Learner Level(s):
Graduate Students
Learner Setting(s):
Skills or Simulation Laboratories
Strategy Type:
Case Studies
Learning Objectives:
Strategy Overview:
This strategy allows graduate APRN students to practice principles of palliative communication for patients with chronic illness disease trajectory through an unfolding, two-scenario high fidelity simulation of the same patient. By extending the same patient case through two scenarios, students can see a realistic illness trajectory and simulate their role as the APRN in goals of care discussions with both the patient and her family. Pre-briefing materials provide didactic instruction on palliative communication, patient-centered care, and shared decision making. Structured debriefing allows the student to analyze the experience through the lens of patient centered care, affirming the necessity of valuing and upholding shared decision-making, even when disagreements occur. The scenario also examines the legal and ethical implications of shared decision-making in the incapacitated patient.
Submitted Materials:
PalliativeSimulationDesignPlan-1.docx - https://drive.google.com/open?id=10AjmQUEtKlL7xtWTemA651vtfEKgLcA9&usp=drive_copy
Handout-for-Students-for-Simulation-1-2.docx - https://drive.google.com/open?id=1yJXHwGfKgjeQrT6y2_Yz1WckdWq7SbsT&usp=drive_copy
Handout-for-Students-for-Simulation-2-1.docx - https://drive.google.com/open?id=1ykDP5y2-U6BtJsWgf1jmbNNl1_nvGSbC&usp=drive_copy
Worksheet-for-Students-to-Complete-During-Sim.docx - https://drive.google.com/open?id=1BYX6dxI1KulZMIg-yxkRrudbk7oqTJf-&usp=drive_copy
Additional Materials:
Attached to this submission, author can be contacted at markiewi@uwm.edu for additional information.
Evaluation Description: