Brussels Expertise Centre for Healthcare Innovation (BruCHI), Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium.
Research group Mental Health and Wellbeing, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
PLoS One. 2024 Mar 28;19(3):e0299049. doi: 10.1371/journal.pone.0299049. eCollection 2024.
Nursing students are confronted with euthanasia during their internship and certainly during their later career but they feel inadequately prepared in dealing with a euthanasia request. This study presents a simulation module focused on euthanasia and evaluates nursing students' perceptions after they have completed the simulation practice. The 'euthanasia module' consisted of a preparatory online learning module, a good-practice video, an in-vivo simulation scenario, and a debriefing session. The module's content was validated by four experts in end-of-life care. The module was completed by three groups of students from two different University Colleges (n = 17 in total). The students were divided into three groups: one with no previous simulation education experience, one with all students having previous experience, and another with a mix of experiences. After completing the entire module, each group had a discussion regarding their perceptions and expectations concerning this simulation module. Thematic content analysis was conducted on audio-recorded group interviews using NVIVO® software, involving initial open coding, transformation into specific themes and subthemes through axial coding, and defining core themes through selective coding, with data analysis continuing until data saturation was reached. Students generally found the online learning module valuable for background information, had mixed perceptions of the good-practice video, and appreciated the well-crafted scenarios with the taboo of euthanasia emerging during simulations, while the debriefing process was seen as enhancing clinical reasoning abilities. Students considered the simulation module a valuable addition to their education and nursing careers, expressing their satisfaction with the comprehensive coverage of the sensitive topic presented without sensationalism or taboos. This subject holds significance for nations with established euthanasia laws and those lacking such legal frameworks. The findings of this study can aid teachers in developing and accessing euthanasia simulation training programs, contributing to broader education's emphasis on integrating euthanasia-related knowledge and skills.
护理专业的学生在实习期间甚至在职业生涯后期都会面临安乐死的问题，但他们觉得自己在处理安乐死请求方面准备不足。本研究介绍了一个专注于安乐死的模拟模块，并评估了护理专业学生在完成模拟实践后的感知。“安乐死模块”包括一个预备的在线学习模块、一个良好实践视频、一个现场模拟场景和一个汇报环节。模块的内容由四位临终关怀专家进行了验证。该模块由来自两个不同大学学院的三组学生（共 17 人）完成。学生分为三组：一组没有以前的模拟教育经验，一组所有学生都有以前的经验，另一组则有混合经验。在完成整个模块后，每个小组都对他们对这个模拟模块的感知和期望进行了讨论。使用 NVIVO®软件对录音的小组访谈进行了主题内容分析，涉及初始开放式编码、通过轴向编码转化为特定主题和子主题、以及通过选择性编码定义核心主题，数据分析一直持续到达到数据饱和。学生普遍认为在线学习模块对背景信息很有价值，对良好实践视频的看法不一，赞赏精心制作的模拟场景，因为在模拟中出现了安乐死的禁忌，而汇报环节则被认为增强了临床推理能力。学生认为模拟模块是他们教育和护理职业的宝贵补充，对呈现这一敏感话题的全面性表示满意，没有耸人听闻或禁忌。这个主题对于已经制定安乐死法律的国家和缺乏此类法律框架的国家都具有重要意义。本研究的结果可以帮助教师开发和使用安乐死模拟培训计划，为更广泛的教育强调整合安乐死相关知识和技能做出贡献。
