Palliative medicine reports · 2026
Online Simulation in Palliative Care Education for Early-Career Nurses in Japan: A Pre-Post Exploratory Evaluation of Perceived Outcomes and Feasibility.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Inumaru Anri, Tamaki Tomoko, Tsujikawa Mayumi, Skaguchi Miwa, Takeda Yoshiko, Kako Jun
Аннотация
BACKGROUND: Early-career nurses often encounter difficulties in symptom management and communication with patients and families in palliative care. Although simulation-based education improves clinical competence, most programs require in-person participation. Evidence regarding the feasibility and outcomes of fully online simulation with immediate feedback for palliative care training remains limited.
OBJECTIVE: To examine the perceived outcomes and feasibility of a fully online simulation-based palliative care education program for early-career nurses in Japan.
DESIGN: Exploratory pre-post, single-arm study.
SETTING/SUBJECTS: The study was conducted in Japan and included 34 early-career nurses with 2-4 years of clinical experience who participated in a 90-minute online program delivered via Zoom.
MEASUREMENTS: The program comprised briefing, simulation, group work, and debriefing sessions focusing on total pain and communication. Outcomes were assessed at baseline, immediately post-intervention, and 1 month after using the Palliative Care Difficulties Scale, Nurses' Difficulty with Cancer Care Scale, Palliative Care Self-reported Practices Scale, and measures of confidence and satisfaction. Open-ended responses were analyzed descriptively.
RESULTS: Scores improved significantly from baseline in Palliative Care Difficulties Scale scores for symptom alleviation (p = 0.024, d = 0.41) and communication (p = 0.002, d = 0.57). Confidence in recognizing total pain (p = 0.008, d = 0.63) and communication (p = 0.011, d = 0.66) increased from baseline. Researcher-rated practice levels improved in 9 of 14 items, and mean satisfaction was 5.2/6. Qualitative findings indicated that most participants applied their learning in clinical practice.
CONCLUSIONS: These findings suggest that the program may contribute to improvements in perceived difficulties and confidence, supporting its potential feasibility as an educational model.
OBJECTIVE: To examine the perceived outcomes and feasibility of a fully online simulation-based palliative care education program for early-career nurses in Japan.
DESIGN: Exploratory pre-post, single-arm study.
SETTING/SUBJECTS: The study was conducted in Japan and included 34 early-career nurses with 2-4 years of clinical experience who participated in a 90-minute online program delivered via Zoom.
MEASUREMENTS: The program comprised briefing, simulation, group work, and debriefing sessions focusing on total pain and communication. Outcomes were assessed at baseline, immediately post-intervention, and 1 month after using the Palliative Care Difficulties Scale, Nurses' Difficulty with Cancer Care Scale, Palliative Care Self-reported Practices Scale, and measures of confidence and satisfaction. Open-ended responses were analyzed descriptively.
RESULTS: Scores improved significantly from baseline in Palliative Care Difficulties Scale scores for symptom alleviation (p = 0.024, d = 0.41) and communication (p = 0.002, d = 0.57). Confidence in recognizing total pain (p = 0.008, d = 0.63) and communication (p = 0.011, d = 0.66) increased from baseline. Researcher-rated practice levels improved in 9 of 14 items, and mean satisfaction was 5.2/6. Qualitative findings indicated that most participants applied their learning in clinical practice.
CONCLUSIONS: These findings suggest that the program may contribute to improvements in perceived difficulties and confidence, supporting its potential feasibility as an educational model.