Date of Award

Spring 5-6-2022

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


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First Advisor

Dr. Sterling Roberts, DNP, RN, CHSE

Second Advisor

Dr. Sheryl Winn, DNP, APRN, ANP-BC

Third Advisor

Dr. Lawanda Greene, DNP, MPH, APRN, AGACNP-BC


Palliative care interventions are in high demand due to patients living longer with chronic, life-limiting conditions. Nursing professionals are instrumental in the care of patients across their lifespan, and it is imperative that they receive end-of-life care training in their respective curriculums. The aims of this project were to 1) implement end-of-life content into an AGACNP program using the ELNEC curriculum and 2) to determine if the simulated environment affects the AGACNP students’ self-confidence and anxiety levels when making clinical decisions for end-of-life patients. As a result of the standardized participant (SP) end-of-life simulation, AGACNP students experienced an increase in self-confidence demonstrated baseline (M 114, SD 26.9) as compared to after the intervention (M 124.8, SD 23.2) t (25) = 3.27, p = .003. The study results also indicated that participants experienced the same level of anxiety before (M 59.2, SD 29.3) and after the interventions (M 59, SD 20.5) t (25) = .098, p = .923, when addressing terminal illness and end-of-life issues. This further confirms the level of uneasiness nurses feel when caring for patients nearing the end of their life. The inclusion of SP simulations related to end-of-life care in nursing curricula will give healthcare providers the confidence they need to make appropriate clinical decisions with terminally ill patients, ultimately improving patient care outcomes.

Included in

Nursing Commons