Nurses who provide person-centered care even after death must possess essential competencies to perform their duties effectively. Therefore, it is imperative to develop educational programs to enhance the capabilities of new nurses in care after death.
Objective:
To develop a care after-death mentoring program that includes an augmented reality (AR) end-of-life experience for new nurses and to describe its effectiveness.
Design:
A quasi-experimental pre- to post-test design was followed to evaluate program outcomes.
Setting/Participants:
The participants (n = 18) were nurses with <12 months of experience working at a tertiary general hospital in South Korea.
Measurements:
A pre–post survey was conducted on comfort in bereavement/end-of-life care, death anxiety, and compassion competency. Data were analyzed using the SPSS program, employing descriptive statistics and paired sample t-tests.
Results:
Significant improvements were observed in both comfort during bereavement/end-of-life care and compassion competency (t = −8.43, p < 0.001; t = −4.90, p < 0.001).
Conclusions:
This study demonstrated enhancements in participants’ comfort levels regarding bereavement and end-of-life care, as well as their ability to exhibit compassion after participating in the program. Consequently, it was confirmed that simulation-based care after-death mentoring education utilizing an AR app helped enhance the capabilities of new nurses.
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References
1.
OECD. Health at a Glance 2023. OECD Indicators: OECD Publishing; Paris; 2023; doi:10.1787/7a7afb35-en
2.
WebberC, HsuAT, TanuseputroP, et al.Acute care utilization and place of death among patients discharged from an inpatient palliative care unit. J Palliat Med, 2020; 23(1):54–59; doi: 10.1089/jpm.2019.0162
3.
OlaussonJ, FerrellBR. Care of the body after death. Clin J Oncol Nurs, 2013; 17(6):647–651; doi: 10.1188/13.CJON.647-651
4.
GreenwayK, JohnsonP. How to care for a patient after death in hospital. Nurs Stand, 2016; 30(33):36–39; doi: 10.7748/ns.30.33.36.s43
5.
Stevenson-BakerS. Promoting person-centred care at the end of life. Nurs Stand, 2023; 38(11):76–82; doi: 10.7748/ns.2023.e12171
6.
CroxonL, DeravinL, AndersonJ. Dealing with end of life—New graduated nurse experiences. J Clin Nurs, 2018; 27(1–2):337–344; doi: 10.1111/jocn.13907
7.
ParkJY, KimKK. ICU Nurses’ experiences with patient care after death. J Korean Acad Nurs Adm, 2022; 28(1):43–56; doi: 10.11111/jkana.2022.28.1.43
Statistics USBoL. Occupational Employment and Wage Statistics, May 2023 29-1141 Registered Nurses. Available from: https://www.bls.gov/oes/current/oes291141.htm [Last accessed: August8, 2024].
10.
AlshammariF, SimJ, LapkinS, et al.Registered Nurses’ attitudes towards end-of-life care: A sequential explanatory mixed method study. J Clin Nurs, 2023; 32(19–20):7162–7174; doi: 10.1111/jocn.16787
11.
GerberK, WillmottL, WhiteB, et al.Barriers to adequate pain and symptom relief at the end of life: A qualitative study capturing nurses’ perspectives. Collegian, 2022; 29(1):1–8; doi: 10.1016/j.colegn.2021.02.008
12.
LongNH, ThanasilpS, AnhTT, et al.Death anxiety and its related factors among advanced nurse practitioner candidates: A cross-sectional study. Nurs Forum (Hillsdale), 2023; 2023(1):1–6; doi: 10.1155/2023/6403193
13.
LeeLJ, ParkHS. Death anxiety and terminal care performance of nurses at long term care hospitals. Korean J Hosp Palliat Care, 2017; 20(1):37–45; doi: 10.14475/kjhpc.2017.20.1.37
14.
SaleemM, KhanZ. Healthcare Simulation: An effective way of learning in health care. Pak J Med Sci, 2023; 39(4):1185–1190; doi: 10.12669/pjms.39.4.7145
15.
EllmanMS, Schulman-GreenD, BlattL, et al.Using online learning and interactive simulation to teach spiritual and cultural aspects of palliative care to interprofessional students. J Palliat Med, 2012; 15(11):1240–1247; doi: 10.1089/jpm.2012.0038
16.
PesutB, GreigM. Resources for educating, training, and mentoring nurses and unregulated nursing care providers in palliative care: A review and expert consultation. J Palliat Med, 2018; 21(S1):S50–S56; doi: 10.1089/jpm.2017.0395
17.
National Cancer Center, Center NH. Professional Training Programs—Legally Required Education. Available from: https://hospice.go.kr:8444/?menuno=71 [Last accessed: May30, 2024].
18.
MillerA. The use of simulation‐based learning as an educational tool in nursing. Nurs Crit Care, 2023; 28(3):338–340; doi: 10.1111/nicc.12904
19.
PowersSC, MorrisMH, FlynnH, et al.Faculty-led role-play simulation: Going live to teach patient-centered care to nursing students. J Nurs Educ, 2019; 58(11):665–668; doi: 10.3928/01484834-20191021-10
20.
KshirsagarN, PandeyG, PrakashA, et al.Educative Reality-Augmented Reality Application for Education. 2023 2nd International Conference for Innovation in Technology (INOCON).IEEE: India, 2023, pp.1–6.
21.
ShaukatSM. Exploring the potential of augmented reality (AR) and virtual reality (VR) in Education. Int Adv Res Sci Commun Technol, 2023; 3(2):51–56; doi: 10.48175/IJARSCT-12108
22.
GarzónJ, PavónJ, BaldirisS. Systematic review and meta-analysis of augmented reality in educational settings. Virtual Real, 2019; 23(4):447–459; doi: 10.1007/s10055-019-00379-9
23.
Gularte-RinaldoJ, BaumgardnerR, TiltonT, et al.Mentorship ReSPeCT Study: A nurse mentorship program’s impact on transition to practice and decision to remain in nursing for newly graduated nurses. Nurse Lead, 2023; 21(2):262–267; doi: 10.1016/j.mnl.2022.07.003
24.
MazanecP, AslaksonRA, BodurthaJ, et al.Mentoring in palliative nursing. J Hosp Palliat Nurs, 2016; 18(6):488–495; doi: 10.1097/NJH.0000000000000297
25.
BarrereC, DurkinA. Finding the right words: The experience of new nurses after ELNEC education integration into a BSN curriculum. Medsurg Nurs, 2014; 23(1):35–43, 53.
26.
MerlaneH, ArmstrongL. Care after death. Br J Nurs, 2019; 28(6):342–343; doi: 10.12968/bjon.2019.28.6.342
27.
EnglerAJ, CussonRM, BrockettRT, et al.Neonatal staff and advanced practice nurses’ perceptions of bereavement/end-of-life care of families of critically ill and/or dying infants. Am J Crit Care, 2004; 13(6):489–498; doi: 10.4037/ajcc2004.13.6.489
28.
TemplerDI. The construction and validation of a death anxiety scale. J Gen Psychol, 1970; 82(2d Half):165–177; doi: 10.1080/00221309.1970.9920634
29.
KoH-G, ChoiJ-O, LeeH-P. The reliability and factor structure of K-Templer Death Anxiety Scale. The Korean Journal of Health Psychology, 2006; 11(2):315–328.
30.
LeeYJ. Development of the Compassionate Competence Scale for nurses. Seoul: Korea Univ. 2014.
31.
KimKK, KimAD, AhnKA, et al.Development of a protocol for nursing care after death for adult patients in hospitals. J Korean Clin Nurs Res, 2023; 29(1):75–84; doi: 10.22650/JKCNR.2023.29.1.75
32.
SorceG, ChamberlainJ. Evaluation of an education session using standardized patients and role play during perinatal bereavement. J Neonatal Nurs, 2019; 25(3):145–151; doi: 10.1016/j.jnn.2018.11.007
33.
Ghaemizade ShushtariSS, MolavynejadS, AdinehM, et al.Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit: A quasi-experimental study. BMC Nurs, 2022; 21(1):102; doi: 10.1186/s12912-022-00880-8
34.
LeeY, SeomunG. Development and validation of an instrument to measure nurses’ compassion competence. Appl Nurs Res, 2016; 30:76–82; doi: 10.1016/j.apnr.2015.09.007
35.
MenziesRE, ZuccalaM, SharpeL, et al.The effects of psychosocial interventions on death anxiety: A meta-analysis and systematic review of randomised controlled trials. J Anxiety Disord, 2018; 59:64–73; doi: 10.1016/j.janxdis.2018.09.004
36.
GhoshR, CohenS, SpindlerH, et al.Simulation and nurse-mentoring in a statewide nurse mentoring program in Bihar, India: Diagnosis of postpartum hemorrhage and intrapartum asphyxia. Gates Open Res, 2022; 6:70; doi: 10.12688/gatesopenres.13490.1
37.
PaxtonKL, DiamondL. Simulation Utilized for Mentoring and Measuring Integrative Thinking: A Model for Advanced Practice Nurse Competence Evaluation. Nurs Educ Perspect, 2023; doi: 10.1097/01.NEP.0000000000001128
38.
RobinsonK, SeifertD, FrederickJ, et al.515-P: Harnessing simulation-based corrective mentoring in continuing medical education to improve clinical decision making and identify persisting educational needs. Diabetes, 2022; 71(Suppl 1); doi: 10.2337/db22-515-P
39.
Mínguez MorenoI, González de la CuestaD, Barrado NarviónMJ, et al.Nurse mentoring: A scoping review. Healthcare (Basel), 2023; 11(16):2302; doi: 10.3390/healthcare11162302
40.
SmithSJ, FarraS, UlrichDL, et al.Learning and retention using virtual reality in a decontamination simulation. Nurs Educ Perspect, 2016; 37(4):210–214; doi: 10.1097/01.NEP.0000000000000035
41.
Department MoHaW. The First Comprehensive Hospice and Life-Sustaining Medical Care Plan, Policy Report (2019–2023). 2019. Available from: https://www.korea.kr/archive/expDocView.do?docId=38541 [Last accessed: June 5, 2024].
42.
HaddockA, WardN, YuR, et al.Positive Effects of Digital Technology Use by Adolescents: A Scoping Review of the Literature. Int J Environ Res Public Health, 2022; 19(21):14009; doi: 10.3390/ijerph192114009
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