Table 1 The simulation scenario

Learning outcomes of scenario interventions

1. Knowing how to assess the conditions of hospice patients.

2. Providing hospice patients with appropriate care according to priorities.

3. Explaining pain management to hospice patients.

4. Providing patients/caregivers with information and therapeutic communication.

Scenario

You are a visiting nurse affiliated with a community health centre in City C. The patient is a 27-year-old woman who was diagnosed with cervical cancer in September 2018. She has a history of repeated surgery, chemotherapy, recurrence, radiation therapy, and metastasis. On September 8, 2020, she was given six months to live and her treatment was discontinued. With the anti-cancer treatment stopped, she came back home after discharge to spend her remaining time at home. She is using an indwelling urinary catheter due to the damage to her bladder and sphincter while receiving chemo and radiation treatment. You visit her every other week to provide care. Today, on November 12, you are supposed to change the catheter tube. The patient was notified of the visit yesterday, and you are visiting her today at 9 o’clock in the morning with four other nursing trainees.

Prior nursing skills

• Vital sign measurement (core basic nursing skills)

• Indwelling catheterisation (core basic nursing skills)

• Pain assessment method

Prior nursing knowledge

• Hospice patient assessment (physical, psychosocial, and spiritual needs)

• Hospice patient care (symptom management)

• End-of-life and bereavement care