Advance Care Planning Simulation-Based Learning for Nurses: Mixed Methods Pilot Study

Abstract Background Simulation-based learning (SBL) is beneficial for training health care professionals in advance care planning (ACP) or end-of-life communication. Methods ACP SBL intervention with actors was developed for outpatient nurses (n = 13) based on Jeffries' simulation design framework. Quasi-experimental design examined pre-post differences in knowledge, self-confidence, and behaviour. Qualitative description explored benefits, improvements, and impact on clinical practice. Results SBL elicited a statistically significant change in participants' self-confidence in initiating (z = -2.859, p  = .004) and revisiting (z = −2.565, p  = .010) ACP conversations. Qualitative findings supported increased knowledge, self-confidence, and understanding with some reported implementation into clinical practice. Conclusions With appropriate training, nurses may be better engaged in ACP.