Honors Scholars Collaborative Projects


A Study into End-of-Life Simulation Learning Experiences for Accelerated Nursing Students at Belmont University: A Comparison of Active Simulation Participation with Simulation Observation

Publication Date



Simulation learning is seen as an important area of focus for nursing education research as programs continue to utilize this method of learning (Sofer, 2018). As demand for simulation experiences increases, new ways of learning through simulation have arisen, including student observation roles. Through examination of pre and post simulation experience surveys, this study aims to analyze the relationship between affective outcomes of active participation in simulation and simulation observation during and end-of-life simulation in the accelerated nursing program at Belmont University. Using a Mann-Whitney U test for comparison, this study measured statistical survey score differences between five active participants and five observing students. These affective outcomes were measured using modified Frommelt Attitudes Towards Care of Dying (FATCOD) evaluation tools designed to measure non-family caregiver’s attitudes towards providing care to people who are terminally ill and their families. Finding a critical value of 2 that is smaller than the test statistic of 12, the Mann-Whitney U test does not provide sufficient evidence to reject the null hypothesis that the distribution of differences between pre and post simulation survey scores from active participants and observer sample groups in the end-of-life simulation will be similar. Based on this, there is no indication of a difference between the differences of pre and post simulation survey scores from active and observer groups. There is no reason to believe that there is a difference in affective learning outcomes from this end-of-life simulation based on a student’s role as an observer or an active participant in this class of accelerated nursing students at Belmont University.

Faculty Advisor

Dr. Beth Hallmark

Document Type

Metadata Only

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