临终沟通情境模拟教学的设计及在护理临床教学中的应用研究

doi:10.3761/j.issn.1672-9234.2025.11.008

Abstract

Abstract:

Objective To understand the gains of nursing interns in the situational simulation teaching of discussing the end-of-life needs of patients in hospice care，as well as their suggestions for the teaching. MethodsUsing the convenient sampling method，24 nursing students interning in 5 tertiary grade A hospitals in Hangzhou City from September to December 2024 were selected as the participants. They received situational simulation teaching on identification of end-of-life needs of hospice patients，using the Heart to Heart Cards as the teaching medium. After the teaching，all nursing interns were surveyed using the Heart to Heart Cards Participant Evaluation Form，and 8 nursing interns were purposefully selected as interviewees for one-on-one semi-structured interviews to understand the interns’ gains in the teaching and their suggestions for the teaching. Results All nursing interns considered the learning based on the Heart to Heart Cards a very meaningful experience；among them，23 thought that discussing death-related topics with the help of the Heart to Heart Cards was relatively easier. Four themes were extracted from the interview data：teaching stimulates students’ learning initiative，teaching drives the internalization of students’ communication skills，teaching facilitates the deepening of students’ cognition，and students expect the teaching to be optimized in two aspects：case types and teaching duration. Conclusion The situational simulation teaching of confirmation about end-of-life needs of hospice patients integrated with the Heart to Heart Cards can mobilize nursing interns’ initiative in learning relevant teaching content，and to a certain extent，help cultivate their end-of-life communication and humanistic care abilities. Nursing interns hold a positive attitude toward integrating the Heart to Heart Cards into this end-of-life communication situational simulation. In the future，the teaching needs to be further optimized in combination with the suggestions of nursing interns.

Key words: Hospice and Palliative Care, End-of-life Communication, Confirmation about End-of-life Needs, Heart to Heart Cards, Nursing Interns, Constructivist Theory

LIU Jinlong, HOU Binbin, XU Yunjia, XIA Yun, LOU Yan. Design of simulated teaching for end-of-life communication and its application among nursing interns[J].Chinese Journal of Nursing Education, 2025, 22(11): 1328-1335.

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Design of simulated teaching for end-of-life communication and its application among nursing interns

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