Author ORCID Identifier

Christopher Norman: https://orcid.org/0009-0005-7053-0554

Jodi Sutherland, https://orcid.org/0000-0002-3637-3007

Laura Lipke, https://orcid.org/0000-0003-3653-5843

Document Type

Other

Publication Date

Fall 2024

Keywords

Nursing, Undergraduate Education, End of Life, Simulation, Rural, Scoping Review

Abstract

Objective: The purpose of this scoping review is to provide nurse educators and nurse leaders in practice with the findings on the state of the science surrounding undergraduate nursing education simulation-based experiences focused on end-of-life (EOL) care in rural settings. This scoping review aims to identify undergraduate nursing student experiences with EOL care in the rural setting and identify key simulation-based educational strategies utilized in undergraduate nursing programs to inform educational programs about simulation practices. The outcome of this review is intended to advance nursing education to better prepare future nurses for practice and to develop competence in providing EOL and palliative care for rural populations. Introduction: Simulation offers an additional option for clinical education/training in light of the often-limited availability to practice EOL nursing care in nursing educational training. While the number of hospice services increased in all locations including urban and micropolitan, rural and frontier residents may have increased health disparities due to limited access to hospice and palliative care. Access to hospice and palliative care is especially important as rural populations are often older, have multiple chronic conditions, and have lower incomes compared to urban populations. While hospice services are needed in rural and frontier locations, a shortage of healthcare professionals exists, resulting in symptoms of illness and healthcare goals not addressed. Having a workforce and a rural hospice and palliative care team is necessary to intervene early and prevent complications from disability and chronic illness. Inclusion criteria: Relevant sources are defined as including undergraduate nursing students in the United States, simulation-based experiences with end-of-life care, in rural settings in the United States. Sources that included graduate nursing students or professional nurses, non simulation-type training, urban populations, and settings outside the United States will be excluded. Methods: The search terms “undergraduate nursing education,” “hospice/palliative care,” “simulation,” and “rural” were developed by the authors. The search strategy was developed through consultation with the authors, keywords and terms found within the exemplar articles and corresponding controlled vocabularies of the search databases. The search strategy will be peer-reviewed according to the PRESS guidelines by a health science librarian. The databases are to be chosen by availability of access through the university library and corresponding topic coverage. The following databases were searched in August 2024: PubMed, Embase (Elsevier), Web of Science (Core Collection), CINAHL Ultimate (EBSCO), and HealthSource: Nursing/Academic, ERIC, Education Source Ultimate (EBSCO) by Health Science Librarian (LL). Databases searched on the EBSCO platform: APA PsychINFO, ERIC and Education Source revealed zero results and HealthSource: Nursing/Academic had 1 result; all other results are specified in the following tables. Sources dated between January 2011 and August 2024 will be considered. Only sources published in English will be included. Data Synthesis: Data will be gathered from the available evidence to describe the state of the science surrounding undergraduate nursing education simulation-based experiences focused on end-of-life (EOL) care in rural settings. Conclusions: There is a dearth of literature pertaining to undergraduate nursing student simulation-based experiences with end-of-life care in rural settings in the United States. Educational efforts to bolster this practice area are necessary to meet the needs of an aging population.

Publisher Attribution

Norman, C., Sutherland, J., Sprague,L., Palmer, D., Rood, A. & Lipke, L. (2024). Undergraduate nursing students’ simulation experiences with end-of-life care in a rural setting: A scoping review protocol. OSF Registries: https://doi.org/10.17605/OSF.IO/7Q8RC

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